189 Summary Summary The global population is ageing, leading to an increase in multimorbidity, geriatric syndromes and hospital admissions. Common reasons for hospitalization in older persons are infections, cardiac problems, surgical interventions, stroke, cancer or fall related trauma. Due to a decreased strength, endurance and independence in activities of daily living, older persons are not always able to return to their own living situation after hospitalization. These persons are referred to geriatric rehabilitation. Geriatric rehabilitation is a relatively young field and aims to optimize functional capacity, promote activity, and preserve functional reserve and social participation in older people with disabling impairments through a multidimensional approach of diagnostic and therapeutic interventions. Geriatric rehabilitation is offered by an interdisciplinary team consisting of nurses, elderly care physicians, physiotherapists, occupational therapists, psychologists, dietitians, and speech and language therapists. In the Netherlands, a total of 54.910 rehabilitants were treated in geriatric rehabilitation in 2021, which amounts to 1.5% of the Dutch population over 65 years of age. In 2019, 80% of the rehabilitants were able to return to their own living environment after geriatric rehabilitation. The concept of (socio)therapeutic climate has been used for some time in fields such as psychiatry and care for residents with dementia. This concept is based on a broad approach to treatment, which considers the social, physical and organizational environment to achieve the therapeutic goals. In 2011, this broad philosophy was transferred to geriatric rehabilitation by Marieke Terwel. Although this idea was enthusiastically adopted by rehabilitation wards in the Netherlands, there was no scientific substantiation of the concept at that time. As a result, it was not clear which aspects were important in the concept. Consideration was given to increasing therapy time, group training, independent practice, task-oriented practice and family participation. This thesis describes results of the CREATE study (Challenging REhAbiliTation Environment). The aim of the CREATE study was to conceptualize this concept and the development of a tool to support rehabilitation departments in its implemen-
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