Segal S P, Baumohl J
Soc Sci Med Med Psychol Med Sociol. 1980 Dec;14A(6):581-7. doi: 10.1016/0160-7979(80)90061-2.
Who gets psychotherapeutic aid in a population at risk of reexperiencing mental health problems? The study samples included 499, 18–65 year-old, nonretarded, formerly hospitalized mental patients living in 234 of California’s sheltered-care facilities. The sample of residents and facilities were representative of their respective statewide populations. At the time of the study 28.9% of the residents were receiving some form of psychotherapeutic aid. The study finds that the environmental context of sheltered-care, including the facility’s philosophy of care and the composition of its resident group, is a powerful determinant of treatment status—more important than such individual characteristics as chronicity or degree of psychopathology. This finding is especially pronounced for women and older residents.
在有再次经历心理健康问题风险的人群中,哪些人会获得心理治疗援助?研究样本包括499名年龄在18至65岁之间、无智力障碍、曾住院治疗的精神疾病患者,他们居住在加利福尼亚州234家庇护护理机构中。居民样本和机构样本分别代表了各自的全州人口。在研究时,28.9%的居民正在接受某种形式的心理治疗援助。研究发现,庇护护理的环境背景,包括机构的护理理念及其居民群体的构成,是治疗状况的一个有力决定因素——比诸如慢性程度或精神病理学程度等个体特征更重要。这一发现对女性和老年居民尤为明显。