PSYCHIATRIC REHABILITATION AND LONG-TERM RE-HOSPITALIZATION RATES - FINDINGS OF 2 RESEARCH STUDIES
PSYCHIATRIC REHABILITATION AND LONG-TERM RE-HOSPITALIZATION RATES - FINDINGS OF 2 RESEARCH STUDIES
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DOI：
10.1093/schbul/4.4.622
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发表时间：
1978-01-01
影响因子：
6.6
通讯作者：
ROSSMAN, E
中科院分区：
文献类型：
--
作者：
BEARD, JH;MALAMUD, TJ;ROSSMAN, E
本文探讨了精神病康复领域的三个问题：（1）住院后寻求康复服务的精神病患者实际参与这种服务的程度如何？(2)”外展”技术能否促进服务对象参与康复服务？(3)病人参与和长期再住院模式之间存在什么关系？在Fountain House进行的两项对照研究的结果与上述三个问题有关，是本报告的数据基础。第一项研究始于1959年，提供了333名研究对象的9年随访数据。第二项研究于1964年开始，对74名受试者进行了5年的随访。实验对象有喷泉屋服务，而控制没有。此外，实验亚组接受系统的外展服务：家访，电话或信件联系。研究II的结果基本上重复了研究I。随访完成96- 97%。四分之三的对照组在5年内再次住院。接受2年外展服务的实验受试者在研究I的前5年和研究II的前2年的再住院率显着降低。再次住院被推迟，而不是被阻止。研究I中，接受2年外展服务的实验对象在再次住院前在社区的时间是对照组的两倍，住院天数减少了40%。研究二实验对象在社区几乎三倍以上的时间比控制再住院前。一半的研究I实验对象参加了不到10次。接受外展服务的实验对象参加的两倍，往往是那些没有接受外展服务。低或不参加的实验者的复发率（77%）与对照组（74%）几乎相同，而在有100次或更多访问的实验者中，37%再次住院。（PsycInfo数据库记录（c）2016阿帕，保留所有权利）
This article examines three issues in the field of psychiatric rehabilitation:(1) To what extent do psychiatric patients who seek rehabilitation services following hospitalization actually participate in such services?(2) Can" reaching-out" techniques facilitate client participation in rehabilitation services?(3) What relationship, if any, exists between client participation and longterm patterns of rehospitalization? The findings of two controlled research studies conducted at Fountain House relate to the three questions raised above and are the data base for this report. The first study, initiated in 1959, provides 9 years of followup data on 333 research subjects. For the second study, initiated in 1964, 5 years of followup on 74 subjects are available. Experimental subjects had Fountain House services available, while controls did not. Additionally, experimental subgroups received systematic reachingout services: home visits, telephone or letter contact. Study II findings essentially replicated study I. Followup was 96-97 percent complete. Three quarters of controls were rehospitalized within 5 years. Experimental subjects receiving reaching-out services for 2 years had significantly lower rehospitalization rates for the first 5 years in study I and the first 2 years in study II. Rehospitalizations were delayed, not prevented. Study I experimentals receiving 2 years of reaching-out services spent twice as long in the community before rehospitalization and 40 percent fewer days in the hospital than controls. Study II experimental subjects were in the community almost three times longer than controls before rehospitalization. Half of study I experimental subjects attended less than 10 times. Experimental subjects receiving reaching-out services attended twice as often as those not receiving reaching-out services. Low or nonattending experimentals had almost identical relapse rates (77 percent) as controls (74 percent), while, of experimentals having 100 or more visits, 37 percent were rehospitalized.(PsycINFO Database Record (c) 2016 APA, all rights reserved)