Langevin H, Fortin J N, Leonard F, Menard B S
Can Med Assoc J. 1966 Mar 26;94(13):650-5.
The activities covering a three-year period of a psychiatric home care treatment program attached to a psychiatric unit of a general hospital are described. A detailed account of its operation and the roles played by each member of the team is given. This service frequently provides a substitute for hospitalization in the management of both acute and chronic psychiatric states and thereby constitutes an important preventive measure in the field of public health. Even if the initial attitude of the patient is negative it is possible to gain the co-operation of the family who become a useful ally in the treatment. The co-operation of the patient is not as essential as has been thought. The traditional role of the psychiatrist is reversed by virtue of his attending the patient at home. The active participation of social agencies is an integral part of the treatment.
本文描述了一家综合医院精神科附属的居家精神护理治疗项目在三年期间开展的活动。详细介绍了该项目的运作情况以及团队中每个成员所扮演的角色。这项服务在急性和慢性精神疾病的管理中常常可替代住院治疗，因此构成了公共卫生领域一项重要的预防措施。即使患者最初态度消极，也有可能赢得其家属的合作，而家属会成为治疗中有用的盟友。患者的合作并不像人们认为的那样必不可少。精神科医生因上门访视患者而颠覆了传统角色。社会机构的积极参与是治疗不可或缺的一部分。
