Mosher-Ashley P M, Turner B F, O'Neill D
Dept. of Social and Behavioral Sciences, Worcester State College, MA 01602-2597.
Community Ment Health J. 1991 Aug;27(4):241-53. doi: 10.1007/BF00757259.
The administrators of 92 nursing homes and rest homes in western Massachusetts were surveyed on their experiences with elderly residents with a history of psychiatric hospitalization and their willingness to admit such individuals in the future. A majority of those who had admitted deinstitutionalized elders with chronic psychiatric disorders reported having experienced severe problems with them. Most of the problems involved the resident going into crisis or producing some highly disruptive behavior. Although two-thirds of the facilities had admitted elders who had been deinstitutionalized from a public psychiatric hospital, only one-quarter clearly planned to do so in the future. Three quarters of the administrators reported that they did not have the support services that the deinstitutionalized elders in their facilities needed. A comparison of the services reported to be important and those reported to be available suggest that simply increasing the availability of psychiatric support services would probably not influence administrators to admit elders with chronic mental illness in the future.
对马萨诸塞州西部92家疗养院和养老院的管理人员进行了调查，了解他们对有精神科住院史的老年居民的管理经验，以及他们未来接纳这类人员的意愿。大多数接纳过患有慢性精神疾病的非机构化老年人的管理人员报告称，他们与这些老人相处时遇到了严重问题。大多数问题涉及居民陷入危机或做出一些极具破坏性的行为。尽管三分之二的机构接纳过从公立精神病院非机构化的老年人，但只有四分之一明确计划在未来这样做。四分之三的管理人员报告称，他们没有为所在机构中那些非机构化老年人提供所需的支持服务。对据报道重要的服务和据报道可获得的服务进行比较表明，仅仅增加精神科支持服务的可获得性可能不会影响管理人员未来接纳患有慢性精神疾病的老年人。
