Segal S P, Liese L H
School of Social Welfare, University of California, Berkeley 94720.
Hosp Community Psychiatry. 1991 Nov;42(11):1120-4. doi: 10.1176/ps.42.11.1120.
Data from three surveys of California sheltered care residents and facilities were used to determine which of three models best describes the use of sheltered care by residents and the provision of services to residents between 1973 and 1983. The continuum-of-care model emphasizes a person's movement along a treatment continuum to greater independence. In the residual model, the focus is on providing habitation for a chronic population from the era before deinstitutionalization. The developmental model emphasizes providing long-term care to persons who seek supported living arrangements at a particular point in their life cycle. Results indicated that the developmental model best describes the way residents used sheltered care, while service provision was based on the continuum-of-care model. In light of these findings, it should be determined whether service provision reflects the actual needs of this population.
来自对加利福尼亚州庇护所护理居民和设施的三项调查的数据，被用于确定三种模式中的哪一种最能描述1973年至1983年间居民对庇护所护理的使用情况以及向居民提供服务的情况。连续护理模式强调一个人沿着治疗连续体向更大程度的独立发展。在残余模式中，重点是为去机构化时代之前的慢性病人群提供居住场所。发展模式强调为在其生命周期中的特定阶段寻求支持性生活安排的人提供长期护理。结果表明，发展模式最能描述居民使用庇护所护理的方式，而服务提供则基于连续护理模式。鉴于这些发现，应该确定服务提供是否反映了这一人群的实际需求。
