Abstract
assistant. At the end of the day, club staff return participants to their respective units at individualized times to ease transition to existing milieu. There is a two-week trial period upon admission to the program followed by weekly monitoring to assure participants meet the criteria of the Club. For some residents, it is an interim solution to disruptive behaviors on their home unit; for others, it is long-term placement. In rare cases, it is respite for a resident that is a victim of aggressive behavior. Discharge criteria from the Club setting include behavior that is dangerous to other residents or staff, lack of participation or benefit from therapeutic structure, and/or medical needs that cannot be met in the Club setting. Results: Although data is preliminary, there are many documented benefits from this approach including reduced incidents of aggressive behavior and a decreased need for psychoactive medications. Other advantages include an increase in normal sleep patterns, reduced falls and hospitalizations, as well as, improvement in the overall quality of life through a more structured activities program. Conclusions: Not only do the residents themselves benefit from temporary or ongoing management in this setting, but the therapeutic milieu of the facility overall is enhanced.
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