Banks S M, Stone J L, Pandiani J A, Cox J F, Morschauser P C
Bristol Observatory, VT 05443, USA.
J Behav Health Serv Res. 2000 Nov;27(4):454-9. doi: 10.1007/BF02287827.
The idea that the deinstitutionalization of state psychiatric centers has resulted in increased utilization of general hospitals and correctional facilities by people with severe and persistent mental illness is widely held. This hypothesis of trans-institutionalization was tested by examining hospitalization and incarceration rates of people who had been or would be institutionalized in state psychiatric centers in 16 upstate New York counties. The results do not support the hypothesis of trans-institutionalization. Assumptions underlying the hypothesis are examined, potential explanations for the observed patterns are discussed, and areas for further research are suggested.
一种广泛流传的观点认为，州立精神病中心的非机构化导致患有严重和持续性精神疾病的人更多地利用综合医院和惩教设施。通过研究纽约州北部16个县曾在或将会在州立精神病中心接受机构治疗的人的住院率和监禁率，对这种跨机构化假说进行了检验。结果并不支持跨机构化假说。对该假说背后的假设进行了审视，讨论了观察到的模式的潜在解释，并提出了进一步研究的领域。
