Temkov I
Psychiatr Clin (Basel). 1977;10(1-3):64-84.
After describing the principles and structure of the psychiatric services in Bulgaria, the author goes in more detail into the organizational and administrative conditions of psychiatric crisis intervention. It is emphasized that the main basis for psychiatric crisis intervention must be the psychiatric out-patient service which includes and coordinates all service branches and works together with the non-psychiatric services. The author stresses two channels of information about crises: 'passive', when psychiatric services receive information from the family or non-psychiatric agencies associated with crisis interventions (e.g. general medical agencies, councelling centres, administrative authorities, etc.); 'active', if the dispensary itself collects information as e.g. by regular observation of registered patients, by psychiatric or general medical field investigation as may be carried out by the Prevention Department, etc.). A few ideas are also offered concerning the organization of a subsystem for crisis intervention within the entire psychiatric service delivery system.
在描述了保加利亚精神科服务的原则和结构之后，作者更详细地探讨了精神科危机干预的组织和管理条件。强调精神科危机干预的主要基础必须是精神科门诊服务，它涵盖并协调所有服务部门，并与非精神科服务部门协同工作。作者强调了危机信息的两个渠道：“被动”渠道，即精神科服务部门从与危机干预相关的家庭或非精神科机构（如综合医疗机构、咨询中心、行政当局等）接收信息；“主动”渠道，即如果诊疗所本身通过定期观察登记患者、由预防部门进行的精神科或综合医疗领域调查等方式收集信息。文中还就整个精神科服务提供系统内危机干预子系统的组织提出了一些想法。
