Evaluating the Transfer of Care from Psychiatric Hospitals to District-Based Services
Evaluating the Transfer of Care from Psychiatric Hospitals to District-Based Services
复制标题
评估从精神病医院到地区服务的护理转移
DOI：
10.1192/s0007125000292180
复制
发表时间：
1993
影响因子：
10.5
通讯作者：
J. Leff
中科院分区：
文献类型：
--
作者：
J. Leff
1983年7月，东北泰晤士地区卫生局（NETRHA）的地区医疗官员在电视上宣布在10年内关闭Claybury医院和Friern医院的大部分。当NETRHA宣布其决定时，所采取的政策是创新的，因为它涉及到为市中心人口服务的精神病医院，而且显然没有打算通过将病人转移到其他精神病医院来实现其目标，就像关闭圣乌尔斯坦医院和班斯特德医院那样。尽管自20世纪50年代初以来，美国、英格兰和威尔士的精神病医院一直在以稳定的速度倒闭，但很少有人试图评估这项政策，而且没有人在任何意义上是全面的（本增刊，文件7）。社会精神病学领域的临床医生和研究人员非常清楚大规模评估研究的必要性，因为去机构化政策的支持者和反对者陷入了一场论战，由于缺乏可靠的信息，这种争论越来越尖锐。
In July 1983 the Regional Medical Officer of the North East Thames Regional Health Authority (NETRHA) appeared on television to announce the closure of Claybury Hospital and much of Friern Hospital over a ten-year period. When NETRHA announced its decision, the policy to be pursued was innovative because it involved psychiatric hospitals serving inner-city populations, and because there was apparently no intention to achieve its aim by decanting patients into other psychiatric hospitals, as had been done with the closures of St Wulstan's and Banstead Hospitals. Although the run-down of psychiatric hospitals had been occurring at a steady rate in the United States and in England and Wales since the early 1950s, there had been few attempts to evaluate the policy, and none had been in any sense comprehensive (this supplement, paper 7). Clinicians and research workers in the field of social psychiatry were well aware of the need for large-scale evaluative studies, since protagonists and opponents of the policy of deinstitutionalisation were locked in a polemical argument which was pursued with increasing stridency through lack of reliable information.