Chaudhry M R
Fountain House, Lahore, Pakistan.
Int Disabil Stud. 1987;9(3):129-31. doi: 10.3109/03790798709166340.
Mental health services in Pakistan, as in most developing countries, have not advanced beyond elementary level. Considering the population size, there are few beds in psychiatric wards or hospitals for those in need, and little, if any, opportunity for mentally ill individuals to receive aid and assistance in the community. One model which provides a comprehensive array of services for chronic mental patients in the community is known as the 'Clubhouse'. Since 1971, Fountain House has provided social, vocational, and residential services to chronic schizophrenics in Lahore, based on the concept of mental patients as members of a club receiving self-help through mutual cooperation. Equally basic to the model is the concept of family structure. Based on 14 years of experience, it has been found that the Clubhouse model can be initiated, grow, and thrive in a developing country. Essential to this process has been full involvement of the community. The model can be fully incorporated with adaptations reflecting local conditions and circumstances in other developing countries.
与大多数发展中国家一样，巴基斯坦的心理健康服务尚未超越初级水平。考虑到人口规模，精神病病房或医院中为有需要者提供的床位很少，而且精神病患者在社区中获得援助和帮助的机会微乎其微。一种为社区中的慢性精神病患者提供全面服务的模式被称为“俱乐部会所”。自1971年以来，喷泉之家基于精神病患者作为通过相互合作获得自助的俱乐部成员这一概念，为拉合尔的慢性精神分裂症患者提供社会、职业和居住服务。该模式同样基本的是家庭结构概念。基于14年的经验发现，俱乐部会所模式可以在发展中国家启动、发展并蓬勃发展。这一过程的关键在于社区的充分参与。该模式可以根据其他发展中国家的当地条件和情况进行调整后全面融入。
