Lamb H R, Goertzel V
Arch Gen Psychiatry. 1977 Jun;34(6):679-82. doi: 10.1001/archpsyc.1977.01770180065005.
Post hospital follow-up studies do not encompass the total population of long-term, psychiatrically disabled patients in the community, because a large proportion (in this study, 64%) have not had a recent hospitalization, either state or local. The authors identified a population of long-term, psychiatrically disabled patients in the community, all of whom carried functional psychotic diagnoses. Long-term disabled patients generally lead inactive lives, but in California seldom return to state hospitals. One third have been hospitalized locally within the past two years-younger patients much more than older patients. Almost half use private (Medicaid) outpatient services, but one fourth receive no mental health services at all. Less than a third live in board and care homes or cheap hotels; most live in nonsegregated, noninsitutional settings. The role of Supplemental Security Income (SSI) in enhancing adaptation of the chronically disabled was impressive to the research team.
出院后的随访研究并未涵盖社区中长期患有精神疾病的所有患者，因为很大一部分（在本研究中为64%）患者近期未曾在州立或地方医院住院治疗。作者确定了社区中一群长期患有精神疾病的患者，他们都被诊断患有功能性精神病。长期残疾患者通常生活不活跃，但在加利福尼亚州，他们很少返回州立医院。三分之一的患者在过去两年内在当地住院治疗过，年轻患者比老年患者多得多。几乎一半的患者使用私人（医疗补助）门诊服务，但四分之一的患者根本没有接受任何心理健康服务。不到三分之一的患者住在寄宿护理院或廉价酒店；大多数患者生活在非隔离、非机构化的环境中。补充保障收入（SSI）在促进慢性残疾患者适应方面所起的作用给研究团队留下了深刻印象。
