Stein L I, Test M A, Marx A J
Am J Psychiatry. 1975 May;132(5):517-22. doi: 10.1176/ajp.132.5.517.
The authors describe the evaluation of a treatment model that makes use of the community to help mentally ill patients acquire necessary coping skills. This approach is based on the assumption that deficiency in coping skills and aggressive dependency are primarily responsible for high readmission rates to mental hospitals and that coping skills and autonomy are best learned in the community, where the patient will be needing and using them. The treatment model is evaluated by comparing it with progressive in-hospital treatment and follow-up care. The results suggest that the model described can successfully treat patients with a high level of symptomatology in the community rather than in the mental hospital.
作者描述了一种治疗模式的评估，该模式利用社区帮助精神病患者获得必要的应对技能。这种方法基于以下假设：应对技能的缺乏和攻击性依赖是精神病院高再入院率的主要原因，并且应对技能和自主性最好在社区中学习，因为患者在社区中将需要并运用这些技能。通过将该治疗模式与渐进式住院治疗和后续护理进行比较来对其进行评估。结果表明，所描述的模式能够在社区而非精神病院中成功治疗症状严重的患者。
