Alternative to mental hospital treatment. I. Conceptual model, treatment program, and clinical evaluation.
Alternative to mental hospital treatment. I. Conceptual model, treatment program, and clinical evaluation.
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精神病院治疗的替代方案。
作者：
L. Stein;M. Test
开发了针对慢性残疾精神病患者制定基于社区的治疗方案的概念模型，并报告了对照研究和随访的结果。将基于概念模型的社区治疗计划与传统治疗（即渐进式短期住院加善后护理）进行比较。结果表明，使用社区计划14个月大大减少了患者住院的需要，并增强了实验患者的社区保有和适应能力。当特别计划停止后，许多已取得的成果都恶化了，医院的使用率急剧上升。结果表明，社区规划应该是全面且持续的。
A conceptual model for the development of community-based treatment programs for the chronically disabled psychiatric patient was developed, and the results of a controlled study and follow-up are reported. A community-treatment program that was based on the conceptual model was compared with conventional treatment (ie, progressive short-term hospitalization plus aftercare). The results have shown that use of the community program for 14 months greatly reduced the need to hospitalize patients and enhanced the community tenure and adjustment of the experimental patients. When the special programming was discontinued, many of the gains that were attained deteriorated, and use of the hospital rose sharply. The results suggest that community programming should be comprehensive and ongoing.