Dixon L B, Schwarz E C
New York State Psychiatric Institute, Department of Psychiatry, College of Physicians & Surgeons, Columbia University, New York, USA.
Epidemiol Psychiatr Sci. 2014 Mar;23(1):5-9. doi: 10.1017/S2045796013000620. Epub 2013 Nov 12.
Fifty years have elapsed since the passage of the Community Mental Health Centers (CMHC) Act in 1963 that reflected the legislative peak of the community mental healthcare movement in the US Progress of the last 10 years is represented both by expansions of evidence-based practices (EBPs) and the development of emerging practices and fundamental shifts in the orientation of the system stimulated by the consumer-driven recovery movement. Established EBPs have accumulated expanded evidence, new EBPs have been developed and emerging EBPs are gaining increased acceptance. While the lack of widespread implementation of EBPs as well as the limitations of these technologies produces unnecessary suffering and disability, we believe that the growth of evidence for treatments and services justifies optimism for the future.
自1963年《社区精神卫生中心（CMHC）法案》通过以来，已经过去了50年。该法案反映了美国社区精神卫生保健运动的立法高峰。过去10年的进展体现在循证实践（EBPs）的扩展、新实践的发展以及由消费者驱动的康复运动所激发的系统导向的根本转变。既定的循证实践积累了更多证据，新的循证实践不断涌现，新兴的循证实践也越来越被认可。虽然循证实践缺乏广泛实施以及这些技术存在局限性，导致了不必要的痛苦和残疾，但我们相信，治疗和服务证据的增长为未来带来了乐观的理由。
