Killaspy H
Division of Psychiatry, University College London, Charles Bell House, 67-73 Riding House Street, London W1W 7UF, United Kingdom.
East Asian Arch Psychiatry. 2014 Sep;24(3):89-94.
In the United Kingdom, contemporary mental health rehabilitation services evolved during the period of deinstitutionalisation. They focus on people with complex psychosis, a "low volume, high needs" group which is at risk of social exclusion. Without these specialist services, this group is at risk of becoming stuck in a hospital or in other facilities that do not enable them to achieve their optimal level of autonomy. When a "whole system" of rehabilitative care is provided, including specialist inpatient facilities and supported accommodation, the majority are able to progress in their recovery and live successfully in the community. Rehabilitation is a complex intervention; current and further research is needed to identify the specific aspects of treatment and support it delivers that are most effective in enabling recovery and social inclusion for those with the most complex and long-term mental health needs.
在英国，当代心理健康康复服务是在去机构化时期发展起来的。它们关注患有复杂性精神病的人群，这是一个“数量少、需求高”且面临社会排斥风险的群体。如果没有这些专业服务，这个群体有可能被困在医院或其他无法让他们实现最佳自主水平的设施中。当提供包括专科住院设施和支持性住所在内的“全系统”康复护理时，大多数人能够在康复过程中取得进展并成功融入社区生活。康复是一项复杂的干预措施；需要进行当前和进一步的研究，以确定其提供的治疗和支持中，哪些具体方面对于那些有最复杂和长期心理健康需求的人实现康复和社会融入最为有效。
