Thornicroft G, Bebbington P
MRC Social Psychiatry Unit, Institute of Psychiatry, De Crespigny Park, London.
Br J Psychiatry. 1989 Dec;155:739-53. doi: 10.1192/bjp.155.6.739.
The necessary components of a comprehensive service of local non-institutional forms of care for the seriously mentally ill have been researched separately in pilot trials, but not within integrated programmes for defined populations. Reported outcomes are at least as favourable as for traditional long-term hospital care, but alternative provisions are no less costly. A case manager system may allow co-ordinated formal and informal services to meet the individual needs of chronically ill patients. Poorly integrated programmes will expose discharged patients to disadvantages.
针对严重精神疾病患者的本地非机构化护理综合服务的必要组成部分，已在试点试验中分别进行了研究，但尚未在针对特定人群的综合项目中进行研究。报告的结果至少与传统的长期住院护理一样有利，但替代服务的成本也不低。病例管理系统可能允许协调正式和非正式服务，以满足慢性病患者的个人需求。整合不佳的项目将使出院患者面临不利处境。
