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显著受损患者社区治疗实用指南。

Practical guidelines for the community treatment of markedly impaired patients.

作者信息

Test M A, Stein L I

出版信息

Community Ment Health J. 1976 Spring;12(1):72-82. doi: 10.1007/BF01435740.

DOI:10.1007/BF01435740
PMID:182432
Abstract

A sound technology does not yet exist for successfully treating in the community those patients traditionally treated by public mental hospitals and aftercare programs. The current paper attempts to advance this technology by presenting practical guidelines based on the empirical work of the writers and others. Recommendations include a focus on the teaching of coping skills, an in vivo site of treatment, an assertive approach, and use of a variety of social learning techniques. Staffing and monetary needs for community treatment are also discussed.

摘要

目前还不存在一种完善的技术,能够成功地在社区中治疗那些传统上由公立精神病医院和后续护理项目治疗的患者。本文试图通过基于作者及其他人的实证研究成果提出实用指南来推动这项技术的发展。建议包括注重应对技能的教学、治疗的实际场所、坚定自信的方法以及使用多种社会学习技巧。文中还讨论了社区治疗的人员配备和资金需求。

相似文献

1
Practical guidelines for the community treatment of markedly impaired patients.显著受损患者社区治疗实用指南。
Community Ment Health J. 1976 Spring;12(1):72-82. doi: 10.1007/BF01435740.
2
Health care utilization and cost after discharge from a mental health hospital; an RCT comparing community residential aftercare and treatment as usual.精神卫生医院出院后的医疗利用和费用;一项比较社区住宅康复治疗和常规治疗的 RCT 研究。
BMC Psychiatry. 2018 Nov 12;18(1):363. doi: 10.1186/s12888-018-1941-2.
3
Community placement in comprehensive mental health planning: issues and obstacles.综合心理健康规划中的社区安置:问题与障碍
Community Ment Health J. 1970 Apr;6(2):155-62. doi: 10.1007/BF01434661.
4
Aftercare residential facility for ex-psychiatric patients--the Australian and American perspectives.为曾患精神疾病者提供后续护理的住宿机构——澳大利亚和美国的视角
Int Nurs Rev. 1986 May-Jun;33(3):79-82.
5
Landlord-supervised cooperative apartments: a new modality for community-based treatment.房东监督的合作公寓:一种基于社区治疗的新模式。
Am J Psychiatry. 1973 Feb;130(2):156-9. doi: 10.1176/ajp.130.2.156.
6
Community care for chronic mental patients: the need for a reassessment.慢性精神病患者的社区护理:重新评估的必要性。
Hosp Community Psychiatry. 1975 Feb;26(2):94-8. doi: 10.1176/ps.26.2.94.
7
The aftercare clinic as a residency training site. 'Community neuropsychiatry'.作为住院医师培训基地的后续护理诊所。“社区神经精神病学”。
Arch Gen Psychiatry. 1977 Nov;34(11):1349-52. doi: 10.1001/archpsyc.1977.01770230091007.
8
Interdisciplinary teamwork in a community SRO.
J Psychiatr Nurs Ment Health Serv. 1978 Jul;16(7):23-8.
9
Providing comprehensive mental health services with local resources.利用当地资源提供全面的心理健康服务。
Hosp Community Psychiatry. 1972 Sep;23(9):279-81. doi: 10.1176/ps.23.9.279.
10
Occupational therapy in a community aftercare program.社区后续护理计划中的职业治疗
Am J Occup Ther. 1975 Jan;29(1):22-7.

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本文引用的文献

1
The concept of mental illness: A new look at some old assumptions.精神疾病的概念:对一些旧假设的新看法。
Community Ment Health J. 1968 Oct;4(5):417-24. doi: 10.1007/BF01434379.
2
DANGEROUSNESS--ARREST RATE COMPARISONS OF DISCHARGED PATIENTS AND THE GENERAL POPULATION.危险性——出院患者与普通人群的逮捕率比较
Am J Psychiatry. 1965 Feb;121:776-83. doi: 10.1176/ajp.121.8.776.
3
MENTAL HEALTH'S THIRD REVOLUTION.心理健康的第三次革命。
Evaluation of a flexible assertive community treatment (FACT) program for patients with severe mental illness: an observational study in Salzburg, Austria.
针对重度精神疾病患者的灵活主动社区治疗(FACT)项目评估:奥地利萨尔茨堡的一项观察性研究
Int J Ment Health Syst. 2024 Feb 9;18(1):6. doi: 10.1186/s13033-024-00628-8.
4
Statewide implementation of high-fidelity recovery-oriented ACT: A case study.全州范围内实施高保真的以康复为导向的积极社区治疗:一项案例研究。
Implement Res Pract. 2021 Feb 26;2:2633489521994938. doi: 10.1177/2633489521994938. eCollection 2021 Jan-Dec.
5
"They Just Helped Save My Life:" Client Perspectives on the Los Angeles County Full Service Partnership (FSP) Program for Serious Mental Illness.“他们真的救了我的命:”客户对洛杉矶县严重精神疾病全面服务合作伙伴(FSP)计划的看法。
Community Ment Health J. 2023 Aug;59(6):1227-1234. doi: 10.1007/s10597-023-01096-z. Epub 2023 Feb 3.
6
The critical ingredients of assertive community treatment.积极社区治疗的关键要素。
World Psychiatry. 2015 Jun;14(2):240-2. doi: 10.1002/wps.20234.
7
The assertive community treatment team: an appropriate treatment for medical disorders that present with prominent psychiatric symptoms.积极社区治疗团队:对伴有显著精神症状的医学疾病的一种适当治疗方法。
Prim Care Companion CNS Disord. 2014 Jul 17;16(4). doi: 10.4088/PCC.14br01639. eCollection 2014.
8
How many Assertive Community Treatment Teams are Needed in Japan? Estimate from Need Survey in Sendai City.日本需要多少个积极社区治疗团队?来自仙台市需求调查的估计
Clin Pract Epidemiol Ment Health. 2014 Dec 29;10:184-90. doi: 10.2174/1745017901410010184. eCollection 2014.
9
Predicting initial client engagement with community mental health services by routinely measured data.通过常规测量数据预测服务对象对社区心理健康服务的初始参与度。
Community Ment Health J. 2015 Jan;51(1):71-8. doi: 10.1007/s10597-014-9740-9. Epub 2014 Jul 2.
10
Effects of interferential care: a community-based care program for persons with severe problems on several life areas.干扰性护理的效果:一项针对在多个生活领域存在严重问题的人群的社区护理项目。
Int J Soc Psychiatry. 2014 Sep;60(6):584-94. doi: 10.1177/0020764013507247. Epub 2013 Nov 11.
Am J Orthopsychiatry. 1964 Oct;34:822-33. doi: 10.1111/j.1939-0025.1964.tb02237.x.
4
THE INADEQUACY SYNDROME.不足综合征
Psychiatr Q. 1963 Oct;37:723-33. doi: 10.1007/BF01566440.
5
The mentally ill: from back wards to back alleys.
Washington Post. 1974 Feb 24:C1+.
6
Determinants of the decision for psychiatric hospitalization.
Arch Gen Psychiatry. 1969 Mar;20(3):321-8. doi: 10.1001/archpsyc.1969.01740150065010.
7
Psychological deficit versus impression management in schizophrenic word association performance.精神分裂症患者词语联想表现中的心理缺陷与印象管理
J Abnorm Psychol. 1972 Apr;79(2):132-7. doi: 10.1037/h0032729.
8
Chronic mental patient: current status--future directions.慢性精神病患者:现状与未来方向。
Psychol Bull. 1969 Feb;71(2):81-94. doi: 10.1037/h0027065.
9
Extrohospital management of severe mental illness. Feasibility and effects of social functioning.严重精神疾病的院外管理。社会功能的可行性及影响。
Arch Gen Psychiatry. 1973 Oct;29(4):505-11. doi: 10.1001/archpsyc.1973.04200040051009.
10
The 1974 APA achievement award winners. Gold award: A community treatment program. Mendota Mental Health Institute, Madison, Wisconsin.1974年美国心理学会成就奖获得者。金奖:一个社区治疗项目。门多塔心理健康研究所,威斯康星州麦迪逊市。
Hosp Community Psychiatry. 1974 Oct;25(10):669-72.