Dworkin R J, Adams G L
Dept. of Psychiatry, Baylor College of Medicine, Houston, TX 77030.
Community Ment Health J. 1987 Fall;23(3):204-16. doi: 10.1007/BF00754432.
Hispanic underutilization of mental health facilities extends to lowered retention rates among the chronically mentally ill. A theoretical model of retention was developed with four domains of variables: personal traits, accessibility of social support, treatment characteristics, and facility characteristics. Using data collected from CMHC clinical charts in 1983 and 1984, the model was tested using multiple regression and commonality analysis. The model was tenable (R = .59). However, the commonality analysis suggested that most of the unique variance was contributed by the treatment domain. The social support domain made negligible unique contribution. Implications of the model are discussed.
西班牙裔对心理健康设施利用不足的情况还表现为慢性精神病患者的留院率较低。我们构建了一个留院情况的理论模型,该模型包含四个变量领域:个人特质、社会支持的可及性、治疗特征和机构特征。利用1983年和1984年从社区心理健康中心临床病历中收集的数据,通过多元回归和共性分析对该模型进行了检验。该模型是成立的(R = 0.59)。然而,共性分析表明,大部分独特方差是由治疗领域造成的。社会支持领域的独特贡献微不足道。文中讨论了该模型的意义。