Gerson S, Bassuk E
Am J Psychiatry. 1980 Jan;137(1):1-11. doi: 10.1176/ajp.137.1.1.
The psychiatric emergency ward has become a primary entry point into the network of mental health services for people who need help to cope with their problems of living. It is also the only source of treatment for many chronically mentally ill patients living in the community. The authors critically review the literature on emergency psychiatric services, focusing on the ways these services are used, the atmosphere in the emergency room, and the determinants of disposition decision making. On the basis of their research, they suggest a model for emergency services that includes an evaluation of the patient's and his on her community's resources and competence and minimizes subtle diagnostic considerations.
精神科急诊病房已成为那些需要帮助来应对生活问题的人进入心理健康服务网络的主要入口点。它也是许多居住在社区的慢性精神病患者唯一的治疗来源。作者批判性地回顾了关于急诊精神科服务的文献，重点关注这些服务的使用方式、急诊室的氛围以及出院决策的决定因素。基于他们的研究，他们提出了一个急诊服务模型，该模型包括对患者及其社区资源和能力的评估，并尽量减少细微的诊断考量。
