Fisher J V
J Fam Pract. 1976 Dec;3(6):595-8.
The management of psychotic illness has taken some new directions since 1950. One of the effects of these changes is increased responsibility for care of psychotic patients within their own community. Family physicians are expected to play a significant part in the pre-hospitalization and after-care for these patients and their families. A training program to equip the family physician to give such care should provide the physician with: (1) skills to detect incipient psychotic illness and the ability to intervene at this stage; (2) a working knowledge of the psychoactive drugs; (3) awareness of the available community resources and the ability to mobilize them to provide a network of support for the psychotic patient and his family; and (4) an understanding of family dynamics and behavior. A training program which encompasses these essential elements will allow the family physician to provide the type of care that his patients/families and his community expect of him.
自1950年以来，精神病的治疗出现了一些新的方向。这些变化的影响之一是，精神病患者在其所在社区接受护理的责任增加了。家庭医生有望在这些患者及其家庭的住院前护理和后续护理中发挥重要作用。一项旨在使家庭医生具备提供此类护理能力的培训计划应向医生提供：（1）检测初期精神病的技能以及在此阶段进行干预的能力；（2）精神活性药物的实用知识；（3）对可用社区资源的了解以及调动这些资源为精神病患者及其家庭提供支持网络的能力；（4）对家庭动态和行为的理解。一个包含这些基本要素的培训计划将使家庭医生能够提供其患者/家庭及其社区期望他提供的那种护理。
