Segal Steven P, Baumohl Jim
Mental Health and Social Welfare Research Group, School of Social Welfare, University of California, Berkeley, California.
J Urban Psychiatry. 1981 Winter;1(2):26-30.
The authors summarize the difficulties in transferring the long-term care function of the hospital to community-based sheltered-care facilities. To prevent social deterioration among sheltered-care residents, facilities must consider: [1] the negative effects of incarceration on social behavior; [2] the availability of support systems; [3] a proper balance between clinical assistance and social support; and [4] provisions for conducting private lives in public places. The authors argue that rehabilitative ideals must be tempered with realistic expectations about the achievement potential of ex-patients, and that resources must be focused on provisions for long-term support.
作者总结了将医院的长期护理功能转移到社区庇护性护理机构的困难。为防止庇护性护理机构中的居民出现社会退化，机构必须考虑：[1]监禁对社会行为的负面影响；[2]支持系统的可用性；[3]临床援助与社会支持之间的适当平衡；以及[4]在公共场所开展私人生活的规定。作者认为，康复理想必须与对康复患者成就潜力的现实期望相调和，并且资源必须集中用于长期支持的规定。
