Bates W J, Smeltzer D J, Arnoczky S M
Am J Ment Defic. 1986 Jan;90(4):363-70.
Evaluation of psychiatric treatment in institutions must be based not only on the numbers and types of drugs prescribed but also on diagnoses and other characteristics of the patients. We crosstabulated psychotherapeutic medication regimens against diagnoses for 242 institutionalized mentally retarded adolescents and adults selected for psychiatric treatment. The drugs had generally been prescribed by nonpsychiatrists, but diagnoses were determined by consensus of evaluation teams that included fully trained psychiatrists. According to widely accepted standards for psychopharmacologic treatment, 45.4% to 60.9% of the regimens were rated as appropriate and 39.1% to 54.6% were rated as inappropriate for the conditions diagnosed.
对机构内精神治疗的评估不仅要基于所开药物的数量和种类，还要基于患者的诊断及其他特征。我们将242名接受精神治疗的机构收容的智障青少年和成年人的心理治疗用药方案与诊断结果进行了交叉制表分析。这些药物通常由非精神科医生开出，但诊断是由包括训练有素的精神科医生在内的评估小组达成的共识确定的。根据广泛接受的精神药物治疗标准，45.4%至60.9%的治疗方案被评为适合所诊断的病情，39.1%至54.6%的治疗方案被评为不适合所诊断的病情。
