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住进精神病院的无家可归者

[Homeless individuals admitted to a psychiatric hospital].

作者信息

Ahrensburg S J, Brandt P, Vendsborg P B

机构信息

Skt. Hans Hospital, Roskilde.

出版信息

Ugeskr Laeger. 1990 Jun 4;152(23):1664-7.

PMID:2363208
Abstract

This investigation reveals that 10% of the patients admitted to Sankt Hans Hospital in Roskilde during a period of three months were homeless and that the homeless patients are among the younger patients. Relatively more of the homeless patients are men. Women are represented by just under one third and these are primarily among the youngest. The homeless patients are mainly severely mentally ill. The majority of diagnoses are of psychoses. Compared with the entire group of hospitalized patients in which loneliness and poor social network are also pronounced, the homeless patients are among the most unfortunate. Homeless patients are, on an average, hospitalized for briefer periods that the hospital patients as a whole and the psychiatric hospital has apparently only limited possibilities of helping homeless patients. No therapeutic aftercare is available for half of these patients. The great majority are discharged to homelessness again. It is essential that a reasonable combination of therapeutic and housing possibilities is instituted for these patients e.g. in the form of offers of various forms of housing of more or less collective form, graduated as regards size and staffing and depending upon the needs and wishes of the individual patients.

摘要

这项调查显示,在罗斯基勒的圣汉斯医院,三个月内收治的患者中有10%是无家可归者,且这些无家可归的患者属于较为年轻的患者群体。相对而言,无家可归患者中男性更多。女性占比略低于三分之一,且主要是最年轻的群体。无家可归患者主要患有严重精神疾病。大多数诊断为精神病。与住院患者总体中孤独感和社交网络不佳也很突出的情况相比,无家可归患者是最不幸的群体之一。无家可归患者的平均住院时间比全体住院患者短,而且精神病院显然帮助无家可归患者的可能性有限。这些患者中有一半没有后续治疗护理。绝大多数患者出院后又再次无家可归。至关重要的是,应为这些患者建立合理的治疗与住房相结合的方案,例如提供各种规模和人员配置不同、或多或少集体形式的住房,根据个体患者的需求和意愿进行分级。

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