Hofmeister J F, Weiler V E, Ackerson L M
Community Care, Denver, Colorado 80210.
Hosp Community Psychiatry. 1989 Sep;40(9):927-32. doi: 10.1176/ps.40.9.927.
The treatment outcomes of 60 chronic mentally ill patients who received services at Community Care, a private-sector residential care program, were analyzed. In addition to psychiatric services, the program offers instruction in living skills and vocational preparation, helps patients find jobs and housing, and operates an outpatient support network. Forty-two percent of the patients discharged during the study period achieved independence or near independence in the program and functioned at that level during a three-year follow-up period. Patients' level of education, degree of participation in the program, levels of residential and vocational achievement at discharge, and discharge status were significantly related to outcome. Patients with good participation in the program who stayed with the outpatient support network at discharge had at least a 95 percent probability of good outcome.
对60名在私立机构社区护理中心接受服务的慢性精神病患者的治疗结果进行了分析。除了精神科服务外，该项目还提供生活技能指导和职业准备培训，帮助患者找到工作和住房，并运营一个门诊支持网络。在研究期间出院的患者中，42%在该项目中实现了独立或接近独立，并在三年的随访期内保持了这一水平。患者的教育程度、参与项目的程度、出院时的居住和职业成就水平以及出院状态与治疗结果显著相关。在项目中积极参与且出院时仍留在门诊支持网络的患者，至少有95%的概率获得良好的治疗结果。
