Knight Edward L
Boston University, USA.
Behav Healthc Tomorrow. 2004 Jun;13(3):20-4.
Southeast Mental Health Services, in rural Colorado, has successfully transitioned from a traditional model of maintenance and control to one focused on recovery and community integration. They moved from delivering day treatment, congregate living, assertive community treatment and no-choice therapy to providing individuals with choice of goals and the supports needed to achieve and maintain their goals. As a result, consumers are now living independently. Currently, 38 percent of those with serious and persistent mental illness are working, going to school or volunteering. The keys to this transition have been peer support networks, home healthcare aides, field case management and a crisis hostel with no threshold of symptoms for its use. Southeast Mental Health Services has achieved results and is a national example of the "transformation" called for in the President's New Freedom Commission on Mental Health report.
位于科罗拉多州农村地区的东南心理健康服务中心,已成功从传统的维持与控制模式转变为专注于康复和社区融入的模式。他们从提供日间治疗、集体生活、积极社区治疗和无选择疗法,转变为为个人提供目标选择以及实现和维持这些目标所需的支持。结果,消费者现在能够独立生活。目前,患有严重且持续性精神疾病的人中有38%正在工作、上学或从事志愿活动。这一转变的关键在于同伴支持网络、家庭医疗护理助手、实地个案管理以及一家对使用没有症状门槛的危机旅馆。东南心理健康服务中心已取得成效,是总统心理健康新自由委员会报告中所呼吁的“转变”的全国典范。