Dermer S W, Landeen J L
Department of Psychiatry, McMaster University, Hamilton, Ontario.
Can J Psychiatry. 1991 Oct;36(8):588-93. doi: 10.1177/070674379103600808.
Unified service systems for the chronic mentally ill are frequently proposed yet rarely implemented. This paper presents a program developed specifically to meet the needs of young people with schizophrenia and their families. The program's evolution and design, from its origins in a hospital to its eventual base in the community, are described. The implications of a clinical teaching unit affiliated with a university are outlined. The experience of a typical patient and his family provides a view from a clinical context. Hypotheses arising from this case study point to future empirical work in the development of model programs in the care of the long term mentally ill.
针对慢性精神病患者的统一服务系统虽常被提出，但很少得到实施。本文介绍了一个专门为满足精神分裂症青少年及其家庭的需求而开发的项目。描述了该项目从医院起步到最终落户社区的发展历程和设计情况。概述了与一所大学相关联的临床教学单位的影响。一位典型患者及其家庭的经历提供了临床背景下的视角。本案例研究得出的假设为长期精神病患者护理示范项目的未来实证工作指明了方向。
