Community Mental Health, Latrobe Regional Hospital, Traralgon, Victoria, Australia.
Int J Ment Health Nurs. 2011 Aug;20(4):274-83. doi: 10.1111/j.1447-0349.2010.00726.x. Epub 2011 Mar 31.
This exploratory study examined the impact of deinstitutionalization on consumers admitted to a regional community care unit (CCU) between 1996 and 2007, and looked at lengths of stay and re-admissions to acute psychiatric care units and the impact this might have on quality of life. The results showed that the original and current residents of CCU have improved quality of life through friendships, a home-like environment, and reduced re-admissions to acute psychiatric care units; however, further improvements can be made with more emphasis on employment/vocational services and social inclusion. More concerning is those who are unable to access a CCU bed due to chronic CCU bed shortages. This group, referred to as the 'new chronic patients', tend to become victims of 'the revolving door phenomenon', homelessness, and substance abuse. The assertive community treatment model of care and community packages are recommended for people on waiting lists for CCU, or those who do not fit the CCU criteria, to try and reduce the level of disability that is likely to occur from frequent relapses.
本探索性研究考察了 1996 年至 2007 年间被安置到一个地区社区护理单元（CCU）的患者去机构化的影响，并观察了他们在急性精神科护理单元的住院时间和再次入院情况，以及这可能对生活质量产生的影响。结果表明，CCU 的原有和现有居民通过友谊、类似家庭的环境以及减少再次入住急性精神科护理单元，提高了生活质量；然而，通过更加重视就业/职业服务和社会包容，可以进一步改善生活质量。更令人担忧的是，那些由于慢性 CCU 床位短缺而无法获得 CCU 床位的人。这群人被称为“新慢性患者”，他们往往成为“旋转门现象”、无家可归和药物滥用的受害者。建议为等待 CCU 床位或不符合 CCU 标准的人提供积极的社区治疗护理模式和社区套餐，以试图减少因频繁复发而可能导致的残疾程度。
