Kates N, Webb S, LePage P
Professor, Department of Psychiatry, McMaster University, Hamilton, Ontario.
Can J Psychiatry. 1991 Nov;36(9):673-6. doi: 10.1177/070674379103600909.
The house call is a valuable but underused component of community psychiatric care. A review of home visits conducted by the staff of a community mental health service over a 12 month period identified four situations in which a home visit is useful: getting reluctant patients to enter therapy, conducting a comprehensive assessment, strengthening a support network, and maintaining patients in the community when their condition has deteriorated. Making psychiatric house calls requires some additional skills on the part of therapists and offers residents valuable training experience.
出诊是社区精神科护理中一项很有价值但未得到充分利用的组成部分。对一家社区心理健康服务机构的工作人员在12个月期间进行的家访进行的一项审查确定了家访有用的四种情况：促使不情愿的患者接受治疗、进行全面评估、加强支持网络以及在患者病情恶化时让其维持在社区中。进行精神科出诊需要治疗师具备一些额外技能，并且为住院医生提供了宝贵的培训经验。
