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[拉文斯堡 - 魏森瑙的精神科家庭护理——发展与初步经验]

[Psychiatric family care in Ravensburg-Weissenau--development and initial experiences].

作者信息

Schmidt-Michel P O, Konrad M, Heiter-Metzger B, Schiele G

出版信息

Psychiatr Prax. 1987 May;14(3):88-97.

PMID:3602210
Abstract

It is unfortunate that mental patients with long-term hospitalisation patterns are still necessarily scheduled for long-term stay in mental hospitals and institutions designed for the care and treatment of psychiatric cases, since such institutions are characterized by a rather sterile, low-stimulation atmosphere underlining rather than relieving the severity of the disease. This article presents a possible alternative, namely, care of mental patients within the framework of a foster family; these patients has been hospitalised for a long time and are now living in families who are remunerated for their efforts and are given medical assistance in performing their task as hosts. An attempt is made to describe the initial work in setting up such host patterns, particularly during the first year after initiation of the scheme, and to point out the mistakes that were committed and the resulting re-orientation efforts. Case reports on host families and "guests" illustrate the principles of psychiatric family care.

摘要

遗憾的是,长期住院的精神疾病患者仍不可避免地要长期留在精神病医院以及专为精神病例护理和治疗而设的机构中,因为这类机构的特点是气氛相当沉闷、刺激不足,这非但不能缓解病情的严重程度,反而会加重病情。本文提出了一种可能的替代方案,即在寄养家庭的框架内照料精神疾病患者;这些患者长期住院,现生活在寄养家庭中,寄养家庭因付出努力而获得报酬,并在履行主人职责时得到医疗援助。本文试图描述建立此类寄养模式的初步工作,尤其是在该计划启动后的第一年,并指出所犯的错误以及由此做出的重新调整努力。关于寄养家庭和“客人”的病例报告说明了精神科家庭护理的原则。

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