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August 1968

Nonprofessionals in Psychiatric Rehabilitation: The Psychiatric Aide and the Schizophrenic Patient.

Arch Gen Psychiatry. 1968;19(2):239-240. doi:10.1001/archpsyc.1968.01740080111016

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Dr. Ellsworth provides us with a careful description of a program to involve aides in working more actively with hospitalized psychiatric patients. His program was based on (1) the premise that more interaction between aides and patients would lead to less regressed and psychotic behavior and (2) that this interaction would be most effective in terms of spontaneous activity situations rather than in formal discussion groups. To accomplish this he furnished those aides accompanying patients through the day's activity therapy program with demonstrations, by himself and a nurse, how they could actively involve themselves with the patient as he was in the activity situation, rather than simply serving as escorts and letting the activity therapist carry the responsibility. Secondly he organized the ward team meeting so that the aides had the responsibility of developing the agenda and of giving the primary recommendations on

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