A historical review of the Madison model of community care.
A historical review of the Madison model of community care.
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麦迪逊社区护理模式的历史回顾。
DOI：
10.1176/ps.41.6.625
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发表时间：
1990
期刊：
影响因子：
--
通讯作者：
Leaf,PJ
中科院分区：
文献类型：
--
作者：
Thompson,KS;Griffith,EE;Leaf,PJ
斯坦因、泰斯特和他们在威斯康星州麦迪逊的同事开发的社区精神卫生保健计划，对向严重精神病患者提供精神卫生服务产生了不良影响。作者追溯了该模式从20世纪60年代末开始的发展，重点是改善门多塔州立医院并通过早期将患者释放到社区、防止住院、为年轻的精神分裂症患者提供持续的社区护理、在社区维持困难患者以及组织护理系统等阶段提供密集的出院后护理。在整个演变过程中，该模式因应不断变化的环境而发生了重大变化，反映了该方法的坚定适应性。试图在自己的环境中融入麦迪逊模式元素的项目规划者必须意识到当前的压力，这些压力可能会迫使他们进一步适应。
The community-based mental health care programs developed by Stein, Test, and their colleagues in Madison, Wisconsin, have bad a profound impact on the delivery of mental health services to the severely mentally ill. The authors trace the development of the model from its late-1960s emphasis on improving Mendota State Hospital and providing intensive post-discharge care through the phases of releasing patients early to the community, preventing hospitalization, providing continuous community care for young schizophremics, maintaining difficult patients in the community, and organizing a system of care. Throughout its evolution the model has changed significantly in response to changing circumstances, reflecting the assertive adaptability of the approach. Program planners attempting to incorporate elements of the Madison model in their own settings must be aware of current pressures that are likely to force further adaptations.