Anthony W A, Farkas M
Schizophr Bull. 1982;8(1):13-38. doi: 10.1093/schbul/8.1.13.
Skill training, drug therapy, and community support strategies are the three primary intervention techniques used by practitioners attempting to rehabilitate severely psychiatrically disabled clients. The present article describes a comprehensive client outcome planning model that encompasses both the intended and unintended effects of an intervention, and that extends beyond such traditional outcome measures as recidivism, clinical relapse, and employment. In addition, data collection strategies and instruments capable of measuring a broad range of possible outcomes are described. A comprehensive model has the advantage of encouraging researchers to consider, during the process of research design, the specific outcomes that will and will not be effected by an intervention. Furthermore, such a model discriminates between process and outcome variables, limits the scope of the implications derived from the research data, and encourages the researcher to assess both the positive and negative effects of the rehabilitation intervention.
技能培训、药物治疗和社区支持策略是试图使严重精神残疾患者康复的从业者所使用的三种主要干预技术。本文描述了一个全面的患者结果规划模型,该模型涵盖了干预的预期和非预期效果,并且超越了诸如累犯、临床复发和就业等传统结果指标。此外,还描述了能够测量广泛可能结果的数据收集策略和工具。一个全面的模型具有这样的优势,即鼓励研究人员在研究设计过程中考虑干预将会和不会产生影响的具体结果。此外,这样一个模型区分了过程变量和结果变量,限制了从研究数据得出的影响范围,并鼓励研究人员评估康复干预的积极和消极效果。