Deiker T
Hosp Community Psychiatry. 1986 Mar;37(3):256-60. doi: 10.1176/ps.37.3.256.
Although the vast majority of chronic mentally ill patients now live in the community, most of the funds for mental health services have remained in the budgets of large state institutions. As a result, adequate community support systems have not been developed for chronic patients. The author developed a strategy that permits funds to follow the patients from the hospital to the community. He explains how, within a single fiscal year and without increased funds, a treatment program's budget can be divided between hospital and community services, patients can be moved into community residential settings, and institutional staff can be absorbed into existing vacancies. The strategy was implemented for a treatment program in a Louisiana state hospital, resulting in substantial savings in the per diem cost of care.
尽管绝大多数慢性精神病患者现在居住在社区，但大部分心理健康服务资金仍保留在大型州立机构的预算中。因此，尚未为慢性患者建立足够的社区支持系统。作者制定了一项策略，使资金能够随着患者从医院流向社区。他解释了如何在不增加资金的情况下，在一个财政年度内将治疗项目的预算分配到医院和社区服务之间，将患者转移到社区居住环境中，并将机构工作人员吸纳到现有空缺岗位。该策略在路易斯安那州一家州立医院的一个治疗项目中得到实施，从而大幅节省了每日护理成本。
