Clarkson P, McCrone P, Sutherby K, Johnson C, Johnson S, Thornicroft G
Section of Community Psychiatry (PRiSM), Institute of Psychiatry, London, UK.
Acta Psychiatr Scand. 1999 Mar;99(3):196-206. doi: 10.1111/j.1600-0447.1999.tb00976.x.
There has recently been an expansion of paraprofessional staff involved in the provision of care for the severely mentally ill. In this paper we shall evaluate the effects of a community support worker (CSW) service in South London. A sample of patients with severe mental illness receiving the service was assessed over a 6-month period in order to examine the effects of continuing use of CSWs on outcomes, service use and costs. During the study period there were improvements in outcome reflecting service satisfaction, needs, quality of life and social behaviour. Whilst provision of the CSW service did not lead to extra total service costs, service use and cost data suggest that CSWs are associated with the substitution of in-patient use by community-based services.
最近，参与为重症精神病患者提供护理的辅助专业人员有所增加。在本文中，我们将评估伦敦南部社区支持工作者（CSW）服务的效果。对接受该服务的重症精神病患者样本进行了为期6个月的评估，以研究持续使用社区支持工作者对治疗结果、服务使用情况和成本的影响。在研究期间，反映服务满意度、需求、生活质量和社会行为的结果有所改善。虽然提供社区支持工作者服务并未导致总服务成本增加，但服务使用情况和成本数据表明，社区支持工作者与以社区为基础的服务替代住院治疗有关。
