Bell M D, Ryan E R
Hosp Community Psychiatry. 1984 Oct;35(10):1017-23. doi: 10.1176/ps.35.10.1017.
Psychosocial rehabilitation services, while sorely needed by patients with prolonged mental illness, are not usually offered as part of hospital psychiatry. The authors describe the Veterans Resource Program (VRP), a hospital-based psychosocial rehabilitation program, as a model for introducing rehabilitation services into a hospital psychiatry system. Its perceived residential treatment environment was found to be more practically oriented and to provide more autonomy for patients than did an intensive treatment unit, while still possessing many supportive relationship characteristics. The authors found that the VRP patients had very low dropout and relapse rates; VRP patients also had better recidivism and employment rates compared with baseline rates and with patients in two comparison programs. These results suggest that integrating rehabilitation into hospital psychiatry improves patient care.
心理社会康复服务虽然是患有慢性精神疾病的患者迫切需要的，但通常并不作为医院精神病学的一部分提供。作者将退伍军人资源项目（VRP），一个基于医院的心理社会康复项目，描述为将康复服务引入医院精神病学系统的一个典范。研究发现，与强化治疗单元相比，其可感知的住院治疗环境更注重实际，为患者提供了更多自主权，同时仍具备许多支持性的关系特征。作者发现，VRP项目的患者退出率和复发率极低；与基线率以及两个对照项目的患者相比，VRP项目的患者再犯率和就业率也更高。这些结果表明，将康复纳入医院精神病学可改善患者护理。
