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Milieu and the Schizophrenic Patient

WILLIAM C. RUFFIN JR., MD; DEBORAH R. COGGINS, MD; JAMES L. DOWIS, PhD
Arch Gen Psychiatry. 1965;12(5):516-519. doi:10.1001/archpsyc.1965.01720350084011.
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Introduction  THE PSYCHIATRIC Inpatient Unit at the University of Florida Hospital is a 42-bed opendoor facility with the primary purpose of providing a therapeutic atmosphere conducive to progressive patient care, teaching, and research. During the four years of operation, the staff has repeatedly been asked, "Where are the disturbed patients?" "Is the locked ward on another floor?" etc. These questions have arisen not only from new patients and patients' families and friends, but also from visitors experienced in psychiatry but accustomed to more traditional hospitals.These questions and repeated evidences of interest have served as a stimulus to this study of the effect of an open, dynamic psychiatric treatment unit on the integration of the severely disturbed psychiatric patients. This study has elucidated strong evidence in favor of admitting severely disturbed patients into a mixed group of patients with varying degrees of illness and concomitant serious doubts regarding

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