Implementation of "24-hour" and classroom Reality Orientation procedures resulted in improved orientation to environment and behavioral functioning for confused and disoriented residents of an institution for the elderly. This study used a pretest-posttest control group design with 12 residents in the experimental group and 13 residents…

Describes trial use of milieu and activity-based therapy in two adult day centers to increase client involvement in physical and social environments of treatment settings. Reports results from empirical observations and recommends further investigation of this treatment modality in settings for the elderly. (Author/NRB)