Schalock R L, Touchstone F, Nelson G, Weber L, Sheehan M, Stull C
Department of Psychology, Hastings College, NE 68902, USA.
J Ment Health Adm. 1995 Fall;22(4):358-67. doi: 10.1007/BF02518630.
This study identifies health problems, instrumental activities of daily living, employment status, and number of previous admissions as significant factors of recidivism to a mental health residential facility. The study, conducted over a 5-year period, includes measures on 32 predictor variables collected either on admission, on discharge, or 12-15 months following discharge or on readmission. The study's results are interpreted in light of current changes in the mental health service delivery system including the interactive role of physical and mental illnesses, expanding access to community-based generic services, focusing on functional skills and their development or remediation, and the changing criteria for measuring mental health effectiveness.
本研究确定了健康问题、日常生活自理活动、就业状况以及既往住院次数是导致再次入住心理健康住院机构的重要因素。这项为期5年的研究纳入了在入院时、出院时、出院后12 - 15个月或再次入院时收集的32个预测变量的测量数据。该研究结果是根据心理健康服务提供系统当前的变化来解读的,这些变化包括身心疾病的相互作用、社区通用服务可及性的扩大、对功能技能及其发展或补救的关注,以及衡量心理健康效果的标准变化。