Rypins R F, Clark M L
Calif Med. 1968 Oct;109(4):273-8.
The Geriatric Screening Project, the purpose of which is to determine whether referred patients can be dealt with by some means of care less drastic than commitment to a state hospital, has significantly reduced commitments from San Francisco. Geriatric commitments previously numbered almost 500 a year. In its first three calendar years, 1,290 persons were directly served by the project. The commitments dropped successively in the three years to 40, to 12 and then to three. The project has demonstrated that vast reductions of geriatric commitments can be achieved with enlightened screening and recommendations before resort to petition for mental illness is considered. Essential to the dramatic success are home visits, supportive community resources and a dedicated staff unafraid to meet the depressing needs of old people.
老年筛查项目旨在确定被转诊的患者是否可以通过比送进州立医院不那么极端的护理方式来处理，该项目显著减少了来自旧金山的住院人数。以前每年老年住院人数几乎达到500人。在该项目的头三个日历年里，有1290人直接受益于该项目。住院人数在这三年中依次降至40人、12人，然后降至3人。该项目表明，在考虑申请精神疾病治疗之前，通过明智的筛查和建议，可以大幅减少老年住院人数。取得巨大成功的关键在于家访、支持性的社区资源以及一支敢于满足老年人令人沮丧需求的敬业员工队伍。
