Smith Thomas E, Sederer Lloyd I
Department of Psychiatry, New York State Psychiatric Institute, Columbia University, 1051 Riverside Dr., Unit 14, New York, NY 10032, USA.
Psychiatr Serv. 2009 Apr;60(4):528-33. doi: 10.1176/ps.2009.60.4.528.
Individuals with serious mental illness often are unable to access consumer- and family-oriented community care, resulting in repeated hospitalizations, incarceration, and homelessness. The "medical home" concept was developed in primary care to provide accessible and accountable services for individuals with chronic medical conditions. Building on the work done in primary care, the authors propose a "mental health home." The model of care incorporates medical home characteristics, such as access to and coordination of services, integration of primary and preventive care, adoption of recovery orientation and evidence-based practices, and family and community outreach. Barriers to and strategies for implementation of mental health homes are discussed.
患有严重精神疾病的个体往往无法获得以消费者和家庭为导向的社区护理,导致反复住院、被监禁和无家可归。“医疗之家”的概念最初是在初级保健领域提出的,旨在为患有慢性疾病的个体提供可及且可问责的服务。基于初级保健领域已开展的工作,作者们提出了“心理健康之家”。这种护理模式融合了医疗之家的特点,如服务的可及性与协调性、初级保健与预防保健的整合、采用康复导向及循证实践,以及面向家庭和社区的拓展服务。文中还讨论了实施心理健康之家所面临的障碍及策略。