Trestman Robert L, Sevarino Kevin A, Kelly Martin
University of Connecticut Health Center, Farmington, USA.
Conn Med. 2004 Sep;68(8):495-8.
The psychiatric treatment of people with intellectual disability and mental illness has progressed substantially. Not only have our interventions improved, the willingness and ability of psychiatrists to provide such care has grown enormously. Inclusion of psychiatric residents in this endeavor enhances the likelihood of future treatment interest by them as professionals in their own careers. Meaningful improvement in functional capacity and in reduction of symptom burden is achievable in most patients. Multiple levels of service delivery are adapted readily to care provision for this population when attention is paid to the environment of care and the education and training of staff is addressed. With greater attention now being paid to this population, continued improvement in the quality and capacity of service delivery is on the horizon.
对智力残疾和精神疾病患者的精神治疗已经取得了长足的进步。不仅我们的干预措施有所改进,精神科医生提供此类护理的意愿和能力也有了极大的提高。让精神科住院医师参与这项工作,会增加他们未来作为专业人员从事此类治疗的可能性。大多数患者在功能能力方面都能实现有意义的改善,症状负担也能减轻。当关注护理环境并解决工作人员的教育和培训问题时,多层次的服务提供方式很容易适用于为这一人群提供护理。现在对这一人群的关注度更高了,服务提供的质量和能力有望持续提高。