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[为精神病患者提供的集体住房。现有精神病院的补充还是替代方案]

[Communal housing for the mentally ill. A supplement or an alternative to the existing psychiatric institutions].

作者信息

Maarbjerg K W, Vogel A

机构信息

Københavns Kommunehospital, psykiatrisk afdeling.

出版信息

Ugeskr Laeger. 1991 Feb 4;153(6):432-5.

PMID:2000649
Abstract

In 1980-1981, two communal housing schemes for young psychiatric patients in the Municipality of Copenhagen were established. The object was to offer these persons a home for a limited period (maximum three years). The object of this investigation is to describe the patients who lived in these communal homes during the period 1.3.1980-28.2.1989, to investigate the duration of hospitalization in psychiatric departments two years before and two years after they stay in the communal home and, on the basis of the experience gained, to discuss the possibilities and limitations of this form of housing. The investigation is retrospective and based on hospital case records. It includes 56 persons: 37 men and 19 women. The average age was 28.7 years. 92% of the residents had a chronic psychiatric disease. They had received psychiatric treatment early and had long histories with prolonged periods of hospitalization. The average duration of hospitalization was 17 months. At the conclusion of the investigation, 33 residents had moved out two or more years ago. The average duration of hospitalization for this group was reduced to approximately 1/3 of the duration of hospitalization prior to the stay in the communal home. The structure outlined here may be employed for a number of the chronic psychiatric patients but a communal psychiatric offer should include a greater spectrum of possibilities for chronic patients to cover their requirements. Establishing an offer of this type demands multidisciplinary cooperation.

摘要

1980年至1981年期间,哥本哈根市为年轻精神病患者设立了两项社区住房计划。目的是为这些人提供一个有限期限(最长三年)的住所。本调查的目的是描述在1980年3月1日至1989年2月28日期间居住在这些社区住所的患者,调查他们入住社区住所前两年和后两年在精神科住院的时长,并根据所获得的经验,讨论这种住房形式的可能性和局限性。该调查是回顾性的,基于医院病例记录。调查对象包括56人,其中男性37人,女性19人。平均年龄为28.7岁。92%的居民患有慢性精神疾病。他们很早就接受了精神治疗,病史很长,住院时间也很长。平均住院时长为17个月。在调查结束时,33名居民已在两年或更早之前搬离。该组居民的平均住院时长降至入住社区住所前时长的约三分之一。这里概述的模式可用于许多慢性精神病患者,但社区精神科服务应包括更多样化的可能性,以满足慢性病患者的需求。提供这种类型的服务需要多学科合作。

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