Bengelsdorf H, Alden D C
Hosp Community Psychiatry. 1987 Jun;38(6):662-5. doi: 10.1176/ps.38.6.662.
A mobile psychiatric crisis intervention service based in the emergency room of a county receiving hospital sends teams into the community to screen and treat patients in crisis. The teams have been able to treat 70 percent of the patients seen in the community without hospitalization. Two-thirds of those hospitalized are admitted to nonpublic community hospitals, thus relieving the load on public institutions. To augment their work with patients, the teams employ a multisystems approach to treatment that attempts to identify and resolve problems not only within the patient's family, but also with the referring therapist and agency, and even with the crisis intervention service itself. The service has ensured its survival by paying close attention to the needs of its sponsoring institutions.
一个设在县级接收医院急诊室的流动精神病危机干预服务机构派遣团队进入社区，对处于危机中的患者进行筛查和治疗。这些团队已经能够在不进行住院治疗的情况下，治疗社区中70%的患者。三分之二住院的患者被收治到非公立社区医院，从而减轻了公共机构的负担。为了加强对患者的治疗工作，这些团队采用多系统治疗方法，不仅试图识别和解决患者家庭内部的问题，还包括与转诊治疗师和机构，甚至与危机干预服务机构自身的问题。该服务机构通过密切关注其赞助机构的需求来确保自身的生存。
