Public education for community care - A new approach

Public education for community care - A new approach
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DOI:
10.1192/bjp.168.4.441
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发表时间:
1996-04-01
影响因子:
10.5
通讯作者:
Leff, A
Leff, A
中科院分区:
医学1区
文献类型:
--
作者:
Wolff, G;Pathare, S;Leff, A

文献摘要

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背景从一项对照研究的公众教育运动对社区精神病患者的态度的影响的结果。在为精神病患者开设支助之家之前,在两个地区进行了邻居对精神病态度的普查。在一个地区开展了教育运动。然后在两个地区重复进行态度调查,并记录患者与邻居的社会接触。受访者接触到的教育运动的组成部分显示,只有一个小的增加有关精神疾病的知识,但有一个减少的恐惧和拒绝的态度,在实验区,而不是在控制区。实验区的邻居更有可能与工作人员和病人进行社会接触。与态度改善直接相关的是社会接触,而不是教育本身。实验区的患者与邻居建立了联系甚至友谊,而对照区的患者则没有。公众教育运动并没有导致邻居对精神疾病的认识发生重大变化。然而,他们的态度有所改善,病人的社会融合得到加强。
Background. The findings from a controlled study of the effect of a public education campaign on community attitudes to mentally ill people are presented.Method. A census of neighbours' attitudes toward mental illness was conducted in two areas before the opening of supported houses for the mentally ill. In one area an educational campaign was conducted. The attitude survey was then repeated in both areas and patients' social contact with neighbours was recorded.Results. Respondents exposed to the didactic component of the campaign showed only a small increase in knowledge about mental illness but there was a lessening of fearful and rejecting attitudes in the experimental area and not in the control area. Neighbours in the experimental area were more likely to make social contact with both staff and patients. It was social contact which was directly associated with improved attitudes rather than education per se. Patients in the experimental area made contact and even friendships with neighbours whereas those in the control area did not.Conclusions. The public education campaign did not lead to significant changes in neighbours' knowledge of mental illness. However, their attitudes improved and patients' social integration was enhanced.