Tillman Briana, Smith Erin, Cho Alicia, Kennington Colt, Kreis Alexandra
The Medical Center of Aurora, Aurora, CO.
Rocky Vista University College of Osteopathic Medicine, Parker, CO.
HCA Healthc J Med. 2022 Jun 28;3(3):85-88. doi: 10.36518/2689-0216.1369. eCollection 2022.
Description This paper aims to explore current disposition options for patients with psychosis in light of shifts toward community care and changes in mental healthcare funding in the post-asylum era and to propose systemic-level improvements based upon local successes. It evaluates critiques of long-term psychiatric care programs, claims of transinstitutionalization to incarceration, shelters, and emergency rooms, and programs initiated to address deinstitutionalization. The authors conclude that while Assertive Community Treatment, Partial Hospitalization Programs, intermediate-level care, and housing interventions can improve outcomes for many persons with psychotic illness, a significant portion of these patients would still be best served in long-term psychiatric care facilities.
描述 本文旨在探讨后收容时代向社区护理转变以及精神卫生保健资金变化背景下，精神病患者当前的处置选择，并根据当地的成功经验提出系统层面的改进建议。它评估了对长期精神病护理项目的批评、向监禁、庇护所和急诊室转移机构化的说法，以及为应对去机构化而启动的项目。作者得出结论，虽然积极社区治疗、部分住院项目、中级护理和住房干预措施可以改善许多精神病患者的治疗效果，但这些患者中的很大一部分仍最适合在长期精神病护理机构接受治疗。
