THE RESEARCH described in this paper was conducted as part of an investigation to identify those characteristics of Psychiatric hospital programs which seem to contribute most to the quality of the care and treatment offered patients. In any effort to assess the impact of a hospital on its patients it seems reasonable to consider, among other things, the opinions of hospital personnel concerning the ways in which patients should be managed and looked after.
Since the pioneering work of Stanton and Schwartz,1 which suggested that the attitudes of psychiatric hospital personnel have a marked impact on patients, an increasing amount of work has been focused on the construction of scales for measuring these attitudes. Gilbert and Levinson2 led the way in developing the Custodial Mental Illness Ideology Scale (CMI) to measure staff attitudes in terms of a proposed custodialism-humanism continuum. Their results indicate that the