Hargreaves W A, Gaynor J, Ransohoff P, Attkisson C C
Hosp Community Psychiatry. 1984 Jul;35(7):706-9. doi: 10.1176/ps.35.7.706.
Restrictiveness of care was assessed among 286 severely mentally disabled individuals known to an urban community mental health center. By examining clinical records, the authors rated each subject for each month during a period of up to 85 months on four dimensions of restrictiveness: physical freedom, time constraints, legal status, and conservatorship. The maximum restrictiveness experienced by most of the subjects was high, reflecting periodic involuntary hospitalization. The average restrictiveness they experienced, however, was well below the level represented by state hospital care. Thus the authors suggest that the average restrictiveness experienced by this population has been reduced since the initiation of deinstitutionalization.
在一个城市社区心理健康中心所了解的286名严重精神残疾个体中评估了护理的限制性。通过检查临床记录，作者在长达85个月的期间内，就身体自由、时间限制、法律地位和监护权这四个限制性维度，对每个月的每个受试者进行评分。大多数受试者经历的最大限制性较高，这反映了周期性的非自愿住院治疗。然而，他们经历的平均限制性远低于州立医院护理所代表的水平。因此，作者认为自去机构化开始以来，这一人群所经历的平均限制性有所降低。
