Trieman N, Leff J, Glover G
Department of Psychiatry and Behavioural Sciences, Royal Free and University College Medical School, London NW3 2PF. n.trieman@fleet69
BMJ. 1999 Jul 3;319(7201):13-6. doi: 10.1136/bmj.319.7201.13.
To examine the outcome of a population of long stay psychiatric patients resettled in the community.
Prospective study with 5 year follow up.
Over 140 residential settings in north London.
670 long stay patients from two London hospitals (Friern and Claybury) discharged to the community from 1985 to 1993.
Continuity and quality of residential care, readmission to hospital, mortality, crime, and vagrancy.
Of the 523 patients who survived the 5 year follow up period, 469 (89.6%) were living in the community by the end of follow up, 310 (59.2%) in their original community placement. A third (210) of all patients were readmitted at least once. Crime and homelessness presented few problems. Standardised mortality ratios for the group were comparable with those reported for similar populations.
When carefully planned and adequately resourced, community care for long stay psychiatric patients is beneficial to most individuals and has minimal detrimental effects on society.
研究重新安置到社区的长期住院精神科患者的结局。
进行为期5年随访的前瞻性研究。
伦敦北部140多个居住场所。
1985年至1993年从伦敦两家医院（弗里恩医院和克莱伯里医院）出院并安置到社区的670名长期住院患者。
住院护理的连续性和质量、再次入院情况、死亡率、犯罪率和流浪情况。
在5年随访期内存活的523名患者中，随访结束时469名（89.6%）生活在社区，310名（59.2%）仍处于最初社区安置状态。三分之一（210名）的患者至少再次入院一次。犯罪和无家可归问题较少。该组的标准化死亡率与类似人群报告的死亡率相当。
精心规划并提供充足资源时，对长期住院精神科患者的社区护理对大多数患者有益，对社会的不利影响最小。
