Alternative to mental hospital treatment. III. Social cost.
Alternative to mental hospital treatment. III. Social cost.
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DOI：
10.1001/archpsyc.1980.01780170051005
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发表时间：
1980-04
影响因子：
--
通讯作者：
M. Test;L. Stein
中科院分区：
文献类型：
--
作者：
M. Test;L. Stein
人们对强调对严重精神障碍患者进行社区治疗的计划可能给家庭和社区成员造成的负担表示了极大的关注。在这项研究中，将实验性社区计划的社会成本与使用短期住院加善后护理的传统方法的社会成本进行了比较。获得了两组患者家属负担的六项客观指标和一项主观指标。通过警方记录的患者逮捕频率、需要医疗护理的自杀行为数量以及急诊室使用频率来评估社区负担。所有措施都表明，总体社区内计划不会比传统方法给家庭或社区带来更多负担。在解释这些结果时强调了实验方法为患者、家庭和社区成员提供的大量支持。
Much concern has been expressed over the possible burden placed on family and community members by programs that emphasize community treatment of severely disturbed patients. In this study, the social costs of an experimental in-community program were compared with those of a traditional approach using short-term hospitalization plus aftercare. Six objective and one subjective measures of the burden placed on the family members of patients in both groups were obtained. Community burden was assessed through police records of frequency of patient arrests, number of suicidal gestures that required medical attention, and frequency of emergency room use. All measures showed that the total in-community program resulted in no more burden on the family or community than the traditional approach. The large amount of support provided to patients, families, and community members in the experimental approach is emphasized in explaining these results.