- Cognitive milieu therapy, including physical activity, promoted mastery and learning in inpatients with dual diagnoses. Physical activity was an important source for personal learning.
- The learning climate was created through the proactive attitude of staff, including the application of an educational process, a focus on cooperation on equal terms between patients and staff, and a professional methodological approach through cognitive milieu therapy.
- The cognitive method was sometimes experienced as too theoretical and difficult to understand, and it was a challenge to achieve an optimal balance between staff-induced activities and patient initiatives.
- Patients highly appreciated learning from other patients.