Haugland G, Siegel C, Alexander M J, Galanter M
Statistical Sciences and Epidemiology Division, Nathan S. Kline Institute for Psychiatric Research, Orangeburg, NY 10962.
Hosp Community Psychiatry. 1991 Dec;42(12):1215-20. doi: 10.1176/ps.42.12.1215.
Eighty-eight of 143 hospitals in New York State providing psychiatric inpatient treatment responded to a mailed questionnaire designed to determine the size of three subgroups of chemical abusers--alcohol abusers, drug abusers, and polychemical abusers--among inpatients with psychiatric diagnoses, as well as the availability of services for these patients. Data for New York City and its metropolitan area were analyzed separately. In 1987 almost one-third of psychiatric admissions both in and outside the metropolitan area had comorbid chemical abuse disorders. Seventy-five percent of patients in the metropolitan area with comorbid chemical abuse had a drug abuse disorder; in rural areas 88 percent of patients with chemical abuse disorders abused alcohol. Both hospital- and community-based aftercare services, especially in the metropolitan area, were less available to psychiatric patients with chemical abuse than to patients without these disorders.
纽约州提供精神科住院治疗的143家医院中的88家回复了一份邮寄问卷，该问卷旨在确定精神科诊断住院患者中药物滥用者的三个亚组——酗酒者、吸毒者和多种药物滥用者——的规模，以及为这些患者提供服务的情况。纽约市及其大都市区的数据分别进行了分析。1987年，大都市区内外的精神科住院患者中近三分之一患有合并药物滥用障碍。大都市区患有合并药物滥用的患者中有75%患有药物滥用障碍；在农村地区，患有药物滥用障碍的患者中有88%酗酒。与没有这些障碍的患者相比，尤其是在大都市区，有药物滥用问题的精神科患者获得医院和社区后续护理服务的机会更少。
