Toner J
Queens Road Day Hospital; and Department of Mental Health, Trafford NHS Trust, UK.
Br J Community Nurs. 2000 Oct;5(10):490-3. doi: 10.12968/bjcn.2000.5.10.12986.
The move to community care has resulted in many more individuals with severe mental health needs relying on community services. Community facilities did not receive the proceeds from hospital closures and this had led to inadequate provision and facilities for individuals with severe mental health needs. There also appears to have been a lack of effective interventions and skills for dealing with this specific client group. The National Framework Strategy (Department of Health, 1999) for mental health outlines ways to modernize mental health services and aims to ensure that they will be more accessible, more effective and coordinated across health and social care. Over the past decade, there has been a great deal of research examining the effectiveness of psychosocial and family interventions for individuals with psychosis. This article discusses how such interventions could address some of the shortcomings of community care for the severely mentally ill.
向社区护理的转变使得更多有严重心理健康需求的人依赖社区服务。社区设施并未从医院关闭中获得收益，这导致为有严重心理健康需求的人提供的服务和设施不足。此外，似乎还缺乏针对这一特定客户群体的有效干预措施和技能。国家心理健康框架战略（卫生部，1999年）概述了使心理健康服务现代化的方法，旨在确保这些服务在卫生和社会护理方面更易获得、更有效且更协调。在过去十年中，有大量研究探讨了心理社会和家庭干预对精神病患者的有效性。本文讨论了此类干预措施如何能够弥补社区对重症精神病患者护理的一些不足。
