Jellinek T
Hillside J Clin Psychiatry. 1983;5(1):57-72.
A major shortcoming of community mental health programs has been their limited success with chronic patients. This paper describes how one mental health center has addressed this problem by creating an administratively autonomous treatment program exclusively for chronic patients. The organization, staffing, and activities of the program's treatment and community support services are outlined. The program's day treatment component and interdisciplinary treatment team concept are detailed. The program has had success in creating and coordinating community-based services, in maintaining continuity of care, in sustaining high staff morale and commitment, and in integrating former state hospital staff into a community setting.
社区心理健康项目的一个主要缺点是它们在慢性病患者身上取得的成功有限。本文描述了一个心理健康中心如何通过专门为慢性病患者创建一个行政上自主的治疗项目来解决这个问题。概述了该项目的治疗和社区支持服务的组织、人员配备和活动。详细介绍了该项目的日间治疗部分和跨学科治疗团队概念。该项目在创建和协调基于社区的服务、维持护理连续性、保持员工高昂的士气和敬业精神以及将前州立医院的工作人员融入社区环境方面取得了成功。