School of Nursing, The University of Western Ontario, London, Ontario, Canada.
Soc Work Public Health. 2012;27(3):229-37. doi: 10.1080/19371911003748786.
This research evaluates accessing of community-based mental health services in relation to the ongoing process of deinstitutionalization of mental health services in Canada. From 1998/1999 to 2002/2003, the process of deinstitutionalization decreased in intensity among the provinces that implemented deinstitutionalization earlier and increased in intensity among the provinces that implemented deinstitutionalization later. By 2002/2003, average days of care per 1,000 population in psychiatric units in general hospitals exceeded days of care in psychiatric hospitals (transinstitutionalization). Accessing of community-based mental health services by individuals with higher levels of psychological distress increased in all provinces from 1998/1999 to 2002/2003.
本研究评估了加拿大社区心理健康服务的获取情况与精神卫生服务去机构化进程之间的关系。从 1998/1999 年到 2002/2003 年，较早实施去机构化的省份去机构化进程的强度减弱，而较晚实施去机构化的省份去机构化进程的强度增强。到 2002/2003 年，综合医院精神科病房每千人口平均住院日数超过了精神病院（跨机构化）的住院日数。从 1998/1999 年到 2002/2003 年，所有省份中心理困扰程度较高的个体对社区心理健康服务的获取量均有所增加。
