Galioni E F
Calif Med. 1966 Jan;104(1):22-5.
Of all the problems facing patients released from a state hospital, the most serious one is adjustment. Failure here means a return to the hospital. The present aftercare program of the Department of Mental Hygiene does not and is not intended to meet all of the patient's needs. It must rely upon other agencies to assist. It must rely upon the general practitioner to provide the continuity of care which is so important to successful rehabilitation. The general practitioner can often make return to a state hospital unnecessary by an accurate assessment of the patient's problems, by effective intervention, by utilizing available consultation and by judicious referral. When services are not available, he can do much to make them available through the effective use of his professional channels.
对于从州立医院出院的患者所面临的所有问题而言，最严重的是适应问题。在这里适应失败意味着返回医院。精神卫生部门目前的后续护理计划无法也无意满足患者的所有需求。它必须依靠其他机构提供协助。它必须依靠全科医生来提供对成功康复至关重要的持续护理。全科医生常常能够通过准确评估患者的问题、进行有效干预、利用现有的咨询服务以及明智地进行转诊，使患者无需返回州立医院。当某些服务无法获得时，他可以通过有效利用其专业渠道，为获取这些服务做出很大努力。
