Sheets J L, Prevost J A, Reihman J
Hosp Community Psychiatry. 1982 Mar;33(3):197-203. doi: 10.1176/ps.33.3.197.
Shortly after the 1963 passage of the Community Mental Health Centers Act, New York State launched the construction of four new psychiatric centers, including the Richard H. Hutchings Psychiatric Center in Syracuse. The Hutchings acute care crisis stabilization model was intended to significantly diminish the phenomenon of chronic psychiatric disability. After a decade of operation, however, the Hutchings Center must deal with a caseload of young and chronically disabled individuals who are contributing to the build-up both in the hospital and in the community of the new long-stay patient. The idiosyncratic needs of this chronic group must be defined so that prescriptive programs can be built to meet their needs. The Hutchings Center's original goal of returning patients to and serving them in the community remains the same, but the process of treatment, rehabilitation, and long-term community support must change.
1963年《社区精神卫生中心法案》通过后不久，纽约州启动了四个新精神病中心的建设，其中包括位于锡拉丘兹的理查德·H·哈钦斯精神病中心。哈钦斯急性护理危机稳定模式旨在显著减少慢性精神残疾现象。然而，经过十年的运营，哈钦斯中心必须应对大量年轻且长期残疾的患者，他们导致了医院和社区中新长期住院患者数量的增加。必须明确这个慢性群体的特殊需求，以便制定针对性的项目来满足他们的需求。哈钦斯中心让患者回归社区并在社区为他们提供服务的最初目标仍然不变，但治疗、康复和长期社区支持的过程必须改变。
