Dydyk B J, French G, Gertsman C, Morrison N, O'Neill I
INTERFACE, Thistletown Regional Centre, Rexdale, Ontario.
Can J Psychiatry. 1989 Oct;34(7):694-9. doi: 10.1177/070674378903400712.
This paper is an examination of the effectiveness of a programme (described in detail elsewhere) designed to admit whole families for short-term intensive assessment and treatment. The goals of this programme are to eliminate residential care for symptomatic children who are admitted with their families to this service, to decrease the length of stay of the symptomatic child in residential treatment, if this is required following admission of the whole family to this unit, and to provide these services at costs comparable to or less than that currently being spent with conventional residential treatment. Results stemming from a number of pre- and post-treatment measures indicate that one half of the children initially assessed and recommended for inpatient treatment had successfully avoided inpatient treatment for six months following admission of their family to this unit. For children recommended for residential care after admission of their families to the family unit, a reduction of approximately 35% of total time in residence occurred (when compared with a comparison group). A cost saving of over +12,000 per case was realized as a result of admission of the whole family when compared with residential treatment.
本文考察了一项计划（在其他地方有详细描述）的有效性，该计划旨在让整个家庭入院接受短期强化评估和治疗。该计划的目标是，对于与家人一同入住该服务机构的有症状儿童，取消其住院护理；如果整个家庭入住该单元后有此需要，缩短有症状儿童的住院治疗时间；并以与目前传统住院治疗相当或更低的成本提供这些服务。一系列治疗前后措施的结果表明，最初接受评估并被建议住院治疗的儿童中，有一半在其家庭入住该单元后的六个月内成功避免了住院治疗。对于在其家庭入住家庭单元后被建议接受住院护理的儿童，住院总时间减少了约35%（与对照组相比）。与住院治疗相比，整个家庭入院使得每个病例节省了超过12000英镑的成本。
