Bachrach L L
Maryland Psychiatric Research Center, University of Maryland School of Medicine, Catonsville.
Hosp Community Psychiatry. 1992 May;43(5):453-64. doi: 10.1176/ps.43.5.453.
Although extensive research on the homeless mentally ill population has been conducted, existing studies have failed to answer three important questions: the prevalence of chronic mental illness among homeless persons, whether deinstitutionalization has precipitated increased homelessness in this population, and what kinds of services should be offered. The author suggests that future research will require clearer definition of the terms used in discussing this population and calls for increased federal direction in making policies to respond to their problems, especially the problems of those who are geographically mobile. Successful service planning must address the full array of disabilities experienced by homeless mentally ill persons, including psychiatric symptoms, secondary responses to the experience of illness, and disabilities resulting from stigma and lack of societal opportunity.
尽管已经对无家可归的精神病患者群体进行了广泛研究,但现有研究未能回答三个重要问题:无家可归者中慢性精神疾病的患病率、非机构化是否导致该群体中无家可归者增加,以及应提供何种服务。作者建议,未来的研究需要更明确地界定讨论该群体时所使用的术语,并呼吁联邦政府在制定应对他们问题的政策方面加大指导力度,尤其是针对那些地理位置流动的人群的问题。成功的服务规划必须解决无家可归的精神病患者所经历的各种残疾问题,包括精神症状、对疾病经历的继发性反应,以及因耻辱感和缺乏社会机会而导致的残疾。