Bachrach L L
Hosp Community Psychiatry. 1978 Sep;29(9):573-8. doi: 10.1176/ps.29.9.573.
Many serious problems in deinstitutionalization result from conceptual oversights or confusion. Understanding deinstitutionalization as a process and a philosophy, as well as a fact, permits planning that will accommodate the variety of patient populations that are the products of the deinstitutionalization movement. The role and possible contributions of the state hospital in caring for chronic patients must be assessed objectively. Effective program planning for chronic patients during this period of deinstitutionalization depends on a careful and realistic definitiin of what individuals are to be treated in the community. Such planning must not only attempt to match patients and appropriate treatment settings but must aim at enhancing rehabilitation, where feasible, through a skills training approach.
非机构化过程中出现的许多严重问题源于概念上的疏忽或混淆。将非机构化视为一个过程、一种理念以及一个事实，有助于进行规划，以适应作为非机构化运动产物的各类患者群体。必须客观评估州立医院在照顾慢性病患者方面的作用及可能做出的贡献。在非机构化这段时期，针对慢性病患者的有效项目规划取决于对社区中哪些个体将接受治疗进行细致且现实的界定。这样的规划不仅要努力使患者与合适的治疗环境相匹配，还必须在可行的情况下，通过技能培训的方法致力于促进康复。
