Mechanic D
Milbank Q. 1987;65(2):203-30.
In the decades immediately following World War II a strong coalition of professionals and reformers emerged to shape agendas, debates, and national policy on caring for the mentally ill. The heterogeneity of mental health problems, the demographic shifts in populations at risk, and the realities of designing and implementing effective programs, were often overlooked; yet profound elements of change have taken place. Components essential for maintenance of function and rehabilitation have yet to be linked into a responsible alternative to long-term or episodic hospital care.
在第二次世界大战后的几十年里，一个由专业人士和改革者组成的强大联盟应运而生，他们负责制定有关照顾精神疾病患者的议程、展开辩论并制定国家政策。心理健康问题的多样性、高危人群的人口结构变化以及设计和实施有效项目的现实情况，常常被忽视；然而，深刻的变革因素已经出现。维持功能和康复所必需的要素尚未与长期或间歇性住院治疗的负责任替代方案联系起来。
