Zusman J, Lamb H R
Am J Psychiatry. 1977 Aug;134(8):887-90. doi: 10.1176/ajp.134.8.887.
Initial enthusiasm for community mental health has given way to a barrage of criticism, musch of it deserved. Originated to deal with abysmal conditions in state hospitals, community mental health focused instead on primary prevention, political activism, and the mildly mentally ill. The authors propose a return to the original fundamentals, stressing that the highest priority be given to community treatment and rehabilitation of the severely mentally ill.
最初对社区心理健康的热情已被一连串的批评所取代,其中许多批评是有道理的。社区心理健康原本是为了解决州立医院糟糕的状况,但后来却侧重于初级预防、政治激进主义以及轻度精神疾病患者。作者提议回归最初的基本原则,强调应将重度精神疾病患者的社区治疗和康复置于最优先地位。