去机构化患者、无家可归和监禁：系统评价。
Deinstitutionalised patients, homelessness and imprisonment: systematic review.
机构信息
Petr Winkler, PhD, Department of Social Psychiatry, National Institute of Mental Health, Klecany, Czech Republic, and Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK; Barbara Barrett, PhD, Paul McCrone, PhD, Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK; Ladislav Csémy, PhD, Miroslava Janous̆ková, PhD, Cyril Höschl, DSc, FRCPsych, Department of Social Psychiatry, National Institute of Mental Health, Klecany, Czech Republic
Petr Winkler, PhD, Department of Social Psychiatry, National Institute of Mental Health, Klecany, Czech Republic, and Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK; Barbara Barrett, PhD, Paul McCrone, PhD, Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK; Ladislav Csémy, PhD, Miroslava Janous̆ková, PhD, Cyril Höschl, DSc, FRCPsych, Department of Social Psychiatry, National Institute of Mental Health, Klecany, Czech Republic.
出版信息
Br J Psychiatry. 2016 May;208(5):421-8. doi: 10.1192/bjp.bp.114.161943.
BACKGROUND
Reports linking the deinstitutionalisation of psychiatric care with homelessness and imprisonment have been published widely.
AIMS
To identify cohort studies that followed up or traced back long-term psychiatric hospital residents who had been discharged as a consequence of deinstitutionalisation.
METHOD
A broad search strategy was used and 9435 titles and abstracts were screened, 416 full articles reviewed and 171 articles from cohort studies of deinstitutionalised patients were examined in detail.
RESULTS
Twenty-three studies of unique populations assessed homelessness and imprisonment among patients discharged from long-term care. Homelessness and imprisonment occurred sporadically; in the majority of studies no single case of homelessness or imprisonment was reported.
CONCLUSIONS
Our results contradict the findings of ecological studies which indicated a strong correlation between the decreasing number of psychiatric beds and an increasing number of people with mental health problems who were homeless or in prison.
背景
将精神科护理机构外迁与无家可归和监禁联系起来的报告已经广泛发表。
目的
确定对因机构外迁而出院的长期住院精神病患者进行随访或追溯的队列研究。
方法
采用广泛的搜索策略，筛选了 9435 个标题和摘要，审查了 416 篇全文，并详细检查了 171 篇关于机构外迁患者的队列研究文章。
结果
对从长期护理中出院的独特人群的 23 项研究评估了无家可归和监禁情况。无家可归和监禁是零星发生的；在大多数研究中，没有报告单个无家可归或监禁的情况。
结论
我们的结果与生态研究的结果相矛盾，生态研究表明，精神病床位数量减少与精神健康问题患者无家可归或监禁人数增加之间存在很强的相关性。
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