Morgan S L
Western State Hospital, Fort Steilacoom, Washington.
Hosp Community Psychiatry. 1989 Dec;40(12):1265-9. doi: 10.1176/ps.40.12.1265.
Sixty families from three self-help, psychoeducational groups in western New York State were interviewed about their experiences during recent psychiatric emergencies involving their mentally ill relatives. Twenty-six hospital-based emergency mental health service providers were compared with the families on key attitudes toward emergency services. Families reported that emergencies were complicated and traumatic and that they involved contacts with numerous agencies, sometimes over several months. Satisfaction with the emergency service system was generally low among both families and hospital service providers. Service providers were less likely than families to believe that families' assessments of their ill relatives' need for treatment were credible. The author suggests that apparently "crazy" behavior of families may make sense in the context of serious patient pathology and a general lack of emergency assistance. Much effort is needed to develop coordinated emergency mental health treatment that is sensitive to families' needs.
对纽约州西部三个自助式心理教育团体中的60个家庭进行了访谈，了解他们在近期涉及患有精神疾病亲属的精神科紧急情况中的经历。将26名医院急诊心理健康服务提供者与这些家庭在对待紧急服务的关键态度上进行了比较。家庭报告称，紧急情况复杂且具有创伤性，涉及与众多机构的接触，有时长达数月。家庭和医院服务提供者对紧急服务系统的满意度普遍较低。与家庭相比，服务提供者不太可能相信家庭对其患病亲属治疗需求的评估是可信的。作者认为，在严重的患者病理状况和普遍缺乏紧急援助的背景下，家庭明显的“疯狂”行为可能是有道理的。需要付出很多努力来开发对家庭需求敏感的协调一致的紧急心理健康治疗。
