Lehman A F, Possidente S, Hawker F
Hosp Community Psychiatry. 1986 Sep;37(9):901-7. doi: 10.1176/ps.37.9.901.
Amidst the controversy about the effects of deinstitutionalization, the well-being of the chronic mentally ill in different treatment settings remains unclear. This study examined objective and subjective quality-of-life experiences of four groups of chronic patients categorized according to whether they were inpatients of a state hospital or residents of a supervised community residence and whether their current length of stay had been less than or greater than six months. Regardless of length of stay, the community residents perceived their living conditions more favorably, had more financial resources, and were less likely to have been assaulted in the past year than the inpatients. The study illuminates the problematic living conditions of state hospitals and the benefits of appropriately designed community-based residences for the chronic mentally ill.
在关于非机构化影响的争议中，不同治疗环境下慢性精神病患者的福祉仍不明确。本研究考察了四组慢性病患者的客观和主观生活质量体验，这四组患者根据其是否为州立医院的住院患者或受监管社区住所的居民，以及他们目前的住院时长是否少于或多于六个月进行分类。无论住院时长如何，社区居民对自己生活条件的看法更为积极，拥有更多财务资源，且在过去一年中遭受攻击的可能性低于住院患者。该研究揭示了州立医院存在问题的生活条件，以及为慢性精神病患者设计得当的社区住所的益处。
