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为农村地区的老年智障和精神病患者提供服务。

Delivery of services in rural settings to the elderly mentally retarded-mentally ill.

作者信息

Menolascino F J, Potter J F

机构信息

University of Nebraska Medical Center.

出版信息

Int J Aging Hum Dev. 1989;28(4):261-75. doi: 10.2190/0HYL-GQT3-KTX5-6WNH.

Abstract

A number of controversial arguments exist regarding the ability of sparsely populated areas to adequately provide for their elderly mentally retarded; the elements of distance, education, and capital are said to effectively obstruct access to psychiatric and social support. Yet several facts speak soundly for the necessity to overcome these obstacles: a five-fold increase in the life spans of the mentally retarded in recent decades, and the amply demonstrated reality that individuals with mental retardation are nearly twice as likely as the general population to develop severe behavioral disorders. This article examines both the methods and the reasons for ensuring that rural populations of elderly mentally retarded citizens receive modern psychiatric assistance and community support.

摘要

关于人口稀少地区能否充分照顾其老年智障人士,存在一些有争议的观点;距离、教育和资金等因素被认为会有效阻碍获得精神科和社会支持。然而,有几个事实有力地表明有必要克服这些障碍:近几十年来智障人士的寿命增长了五倍,而且有充分证据表明,智障人士患严重行为障碍的可能性几乎是普通人群的两倍。本文探讨了确保农村老年智障公民获得现代精神科援助和社区支持的方法及原因。

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