Spencer D A
Br J Psychiatry. 1976 May;128:467-70. doi: 10.1192/bjp.128.5.467.
Better Services for the Mentally Handicapped (1971) forecasts a diminution in the number of beds in hospitals for mental handicap. It can be achieved only by the admission of fewer new long-stay patients. This paper considers 50 new long-stay cases admitted to a hospital for mentally handicapped in the five years 1970 to 1974. Of these admissions 42% were children, and of all the admissions 54% had Wechsler intelligence quotients under 25. Further, 62% of the admissions were for behaviour problems and 38% were for physical infirmity and helplessness. It is concluded that there are some mentally handicapped people who have problems with which only a hospital can cope. The high nursing dependency and the profound mental retardation of a majority of the new long-stay patients present a formidable challenge.
《为智力障碍者提供更好的服务》（1971年）预测，智障者医院的床位数量将会减少。这只有通过减少新长期住院患者的入院人数才能实现。本文研究了1970年至1974年这五年间一所智障者医院收治的50例新长期住院病例。在这些入院患者中，42%是儿童，在所有入院患者中，54%的韦氏智商低于25。此外，62%的入院患者存在行为问题，38%的患者存在身体虚弱和无助的问题。得出的结论是，有些智障者的问题只有医院才能应对。大多数新长期住院患者的高护理依赖性和严重智力迟钝构成了巨大挑战。
