Integrating forensically and civilly committed adult inpatients in a treatment mall program at a state hospital.

Objective: This brief report presents outcome data from a 350-bed state psychiatric hospital that integrated its adult forensically and civilly committed inpatient populations within one rehabilitative program.

Methods: Dorothea Dix Hospital, located in Raleigh, North Carolina, used the "treatment mall" model to offer all of its resources to all adult patients in a centralized setting. Program participation of 100 patients from two long-term civil units was compared with program participation of 94 patients from the hospital's medium- and maximum-security forensic units.

Turning the tables: inpatients as decision makers in the treatment mall program at a state hospital.

Professionals have traditionally accomplished rehabilitative program development at public inpatient psychiatric facilities with limited input from program users. This report describes initial results and observations associated with the introduction of a user-controlled decision-making council built into the program development design of an evolving treatment mall at a state facility. Participant productivity and the satisfaction expressed by participants with regards to this approach captured the attention of staff facilitators and clinical managers, providing a sound basis for future impact studies.