Bond G R, Witheridge T F, Wasmer D, Dincin J, McRae S A, Mayes J, Ward R S
Department of Psychology, Indiana University, Purdue University, Indianapolis.
Hosp Community Psychiatry. 1989 Feb;40(2):177-83. doi: 10.1176/ps.40.2.177.
This study compared outcomes for demographically matched clients four months after their admission to two short-term crisis programs. The programs provided crisis housing and case management services as alternatives to psychiatric hospitalization for clients with severe and persistent mental illness. One program met housing needs by purchasing shelter in hotels and boarding houses, and the other provided lodging in an eight-bed crisis house. In both programs, two-thirds of the clients avoided hospitalization during four-month follow-up, and both programs were effective in stabilizing clients' housing and financial situations. Clients in the purchase-of-housing program showed an increase in substance abuse problems at follow-up. Average client costs were similar in the two programs. A critical program difference was the substantially higher staff turnover in the crisis house, which was later replaced with scattered-site crisis housing.
本研究比较了人口统计学特征匹配的客户在进入两个短期危机项目四个月后的结果。这些项目为患有严重持续性精神疾病的客户提供危机住房和个案管理服务，作为精神病住院治疗的替代方案。一个项目通过在酒店和寄宿公寓购买住所来满足住房需求，另一个项目则在一个有八张床位的危机之家提供住宿。在这两个项目中，三分之二的客户在四个月的随访期间避免了住院治疗，并且两个项目在稳定客户的住房和财务状况方面都很有效。购买住房项目的客户在随访时出现药物滥用问题增加。两个项目的平均客户成本相似。一个关键的项目差异是危机之家的员工流动率大幅更高，该危机之家后来被分散式危机住房所取代。
