Harvey Carol A, Fielding John M
Department of Psychiatry, University of Melbourne, Parkville, VIC.
Med J Aust. 2003 May 5;178(S9):S49-52. doi: 10.5694/j.1326-5377.2003.tb05307.x.
In Australia, the configuration of public mental health services varies between States and Territories, but, overall, community-based services are increasingly integrated and responsive to people with schizophrenia. Community-based services include mobile crisis teams, providing home-based acute treatment, and case-management services for ongoing treatment. Service improvements have been uneven across Australia. Some people with schizophrenia in psychiatric crisis have had difficulty accessing either home-based acute psychiatric treatment or acute psychiatric beds. Social isolation and lack of meaningful occupation continue to be a problem for people with schizophrenia. Psychosocial interventions can enhance reintegration into the community. However, the number of community-based psychosocial rehabilitation programs is still inadequate.
在澳大利亚，各州和领地的公共心理健康服务配置有所不同，但总体而言，基于社区的服务正日益整合，并能更好地满足精神分裂症患者的需求。基于社区的服务包括流动危机干预小组，提供居家急性治疗，以及为持续治疗提供个案管理服务。澳大利亚各地的服务改善情况参差不齐。一些处于精神危机中的精神分裂症患者在获得居家急性精神科治疗或急性精神科床位方面存在困难。社会隔离和缺乏有意义的工作对精神分裂症患者来说仍然是个问题。心理社会干预可以促进患者重新融入社区。然而，基于社区的心理社会康复项目数量仍然不足。
