评估一项针对严重精神疾病的社区心理健康服务。维罗纳经验。
Evaluating a community-based mental health service focusing on severe mental illness. The Verona experience.
作者信息
Tansella M, Amaddeo F, Burti L, Lasalvia A, Ruggeri M
机构信息
Department of Medicine and Public Health, Section of Psychiatry and Clinical Psychology, University of Verona, WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Verona, Italy.
出版信息
Acta Psychiatr Scand Suppl. 2006(429):90-4. doi: 10.1111/j.1600-0447.2005.00724.x.
OBJECTIVE
To describe the development of a community-based mental health service, the patterns of care provided by this new service established in 1978 and its costs.
METHOD
The South-Verona Psychiatric Case Register, the South-Verona Outcome Project and studies designed to assess costs provided process and outcome data.
RESULTS
This paper summarizes descriptive statistics as well as the results of some evaluative studies conducted over the last 25 years in Verona, Italy. It reports patterns of care provided over the years by this new, comprehensive community-based service, targeted to the severely mentally ill but available also to all other residents in the area who need mental health care.
CONCLUSION
Developing community-based mental health care requires a series of coordinated actions that need to be pursued over a long period of time. Service evaluation, including costs assessment, is an important part of this exercise.
目的
描述一项基于社区的精神卫生服务的发展情况、1978年设立的这项新服务所提供的护理模式及其成本。
方法
南维罗纳精神病病例登记册、南维罗纳结局项目以及旨在评估成本的研究提供了过程和结局数据。
结果
本文总结了描述性统计数据以及过去25年在意大利维罗纳进行的一些评估研究的结果。报告了这项新的、全面的基于社区的服务多年来提供的护理模式，该服务针对严重精神疾病患者，但也向该地区所有其他需要精神卫生护理的居民提供。
结论
发展基于社区的精神卫生保健需要一系列长期开展的协调行动。包括成本评估在内的服务评估是这项工作的重要组成部分。
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