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International Journal of Social Psychiatry
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The Value of Treatment-Goal Themes for Treatment Planning and Outcome Evaluation of Psychiatric Inpatients

Martin Grosse Holtforth

University of Bern, Department of Psychology, Clinical Psychology and Psychotherapy Section, Muesmattstrasse 45, 3000 Bern 9, Switzerland.grosse{at}ptp.unibe.ch

Ingrid Reubi

Privatklinik Wyss AG, Munchenbuchsee, Switzerland.

Lorenz Ruckstuhl

Psychiatric Outpatient Services (EPD), Liestal, Switzerland.

Matthias Berking

Institut für Psychologie, Georg-August-Universität, Göttingen, Germany.

Klaus Grawe

University of Bern, Switzerland.

Background: The taxonomy of treatment-goal themes of the Bern Inventory of Treatment Goals (BIT-T) has shown to be a comprehensive coding system for outpatient use.

Aim: The current study examines the value of the BIT-T for treatment planning and outcome evaluation of psychiatric inpatients.

Method: The 1991 treatment goals of 675 predominantly non-psychotic psychiatric inpatients were coded using the BIT-T. Ratings of goal-related changes by patients and length of stay were used as outcome criteria.

Results: The BIT-T showed to be reliable and exhaustive. Distributions of goal themes are partially associated with diagnoses. Goal-related improvements as well as length of hospital stay differed depending on the themes of patients’ treatment goals.

Conclusions: Coding of treatment-goal themes with the BIT-T provides researchers as well as practitioners with valuable information that goes beyond psychopathological diagnoses. This information can be used clinically for treatment planning as well as outcome evaluation.

International Journal of Social Psychiatry, Vol. 50, No. 1, 80-91 (2004)
DOI: 10.1177/0020764004040955
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