Klyczek J P, Mann W C
Am J Occup Ther. 1986 Sep;40(9):606-11. doi: 10.5014/ajot.40.9.606.
The deinstitutionalization of patients with chronic mental illness and shorter hospitalizations of individuals recently diagnosed as mentally ill has resulted in the establishment of an enlarged network of community mental health services. Diminished federal financial support calls for greater efficiency and accountability in the delivery of community-based mental health services. The purpose of this study was to determine whether differences in treatment approach relate to differences in outcome measures of symptom reduction, community tenure, and relapse. In a study of two day treatment centers, one offering twice as much activity therapy as verbal therapy, and the other offering twice as much verbal therapy as activity therapy, it was found that clients receiving primarily activity therapy achieved four times more symptom reduction, equivalent community tenure, and a three and a half times greater relapse rate than clients receiving primarily verbal therapy.
慢性精神疾病患者的非机构化以及近期被诊断为患有精神疾病的个体住院时间的缩短，导致了社区心理健康服务网络的扩大。联邦财政支持的减少要求在提供社区心理健康服务方面提高效率和问责制。本研究的目的是确定治疗方法的差异是否与症状减轻、社区居住时间和复发等结果指标的差异有关。在对两个日间治疗中心的研究中，一个提供的活动疗法是言语疗法的两倍，另一个提供的言语疗法是活动疗法的两倍，结果发现，主要接受活动疗法的客户症状减轻程度是主要接受言语疗法的客户的四倍，社区居住时间相当，但复发率高出三倍半。
