Gilburt Helen, Slade Mike, Rose Diana, Lloyd-Evans Brynmor, Johnson Sonia, Osborn David P J
National Addictions Centre, PO Box 48, Institute of Psychiatry, King's College London, London SE5 8BB.
Br J Psychiatry Suppl. 2010 Aug;53:s26-31. doi: 10.1192/bjp.bp.110.081075.
Little is known about the preferences and experiences of people with mental illness in relation to residential alternatives to hospital.
To explore patients' subjective experiences of traditional hospital services and residential alternatives to hospital.
In-depth interviews were conducted with 40 purposively selected patients in residential alternative services who had previously experienced hospital in-patient stays. Transcripts were coded and analysed for thematic content.
Patients reported an overall preference for residential alternatives. These were identified as treating patients with lower levels of disturbance, being safer, having more freedom and decreased coercion, and having less paternalistic staff compared with traditional in-patient services. However, patients identified no substantial difference between their relationships with staff overall and the care provided between the two types of services.
For patients who have acute mental illness but lower levels of disturbance, residential alternatives offer a preferable environment to traditional hospital services: they minimise coercion and maximise freedom, safety and opportunities for peer support.
关于精神疾病患者在住院替代方案方面的偏好和经历，我们知之甚少。
探讨患者对传统医院服务及住院替代方案的主观体验。
对40名有目的地挑选出的、曾有过住院经历且正在接受住院替代服务的患者进行了深度访谈。对访谈记录进行编码，并分析其主题内容。
患者总体上表示更倾向于住院替代方案。与传统住院服务相比，这些方案被认为能治疗病情较轻的患者，更安全，有更多自由，强制手段更少，且医护人员家长式作风更少。然而，患者认为他们与医护人员的总体关系以及两种服务所提供的护理之间没有实质性差异。
对于患有急性精神疾病但病情较轻的患者而言，住院替代方案为他们提供了一个比传统医院服务更适宜的环境：这些方案将强制手段减到最少，同时将自由、安全及同伴支持的机会最大化。
