Holzgang A J
Hawaii Med J. 1989 Mar;48(3):70, 72-3.
Acute-care general hospitals play an important role in the care of the seriously disabled mentally ill (SDMI), especially in the State of Hawaii. Currently there are 4 private hospitals on the island of Oahu that have acute psychiatric wards: (1) Castle Medical Center has a unit with both locked and unlocked wards; (2) The queen's Medical Center (QMC) has a unit with locked and unlocked wards as well as a 24-hour psychiatric resident physician coverage for the emergency room; (3) St. Francis Hospital has a small unlocked combined medical and psychiatric unit; and (4) Kahi Mohala, a psychiatric hospital, has a large locked and unlocked unit. In addition, Tripler Medical Center serves military-related cases on Oahu and there are 3 Neighbor Island general hospital psychiatric units. The emergency rooms in the acute hospitals are the frequent entryways to the care system for the SDMI. For many such patients, they continue to be the focus for treatment and, for some, they are almost the exclusive source of treatment.
急症综合医院在重症精神疾病患者（SDMI）的护理中发挥着重要作用，尤其是在夏威夷州。目前，瓦胡岛上有4家私立医院设有急性精神科病房：（1）卡塞尔医疗中心有一个既有上锁病房也有未上锁病房的科室；（2）女王医疗中心（QMC）有一个既有上锁病房也有未上锁病房的科室，并且急诊室有24小时精神科住院医师值班；（3）圣弗朗西斯医院有一个小型的未上锁的综合医疗和精神科科室；（4）一家精神病医院——卡希莫哈拉医院，有一个大型的既有上锁病房也有未上锁病房的科室。此外，特里普勒医疗中心为瓦胡岛上与军事相关的病例提供服务，还有3个邻岛综合医院精神科科室。急症医院的急诊室是SDMI患者进入护理系统的常见入口。对许多此类患者来说，急诊室仍然是治疗的重点，对一些患者而言，急诊室几乎是唯一的治疗来源。
