Stein L I, Test M A
Arch Gen Psychiatry. 1980 Apr;37(4):392-7. doi: 10.1001/archpsyc.1980.01780170034003.
A conceptual model for the development of community-based treatment programs for the chronically disabled psychiatric patient was developed, and the results of a controlled study and follow-up are reported. A community-treatment program that was based on the conceptual model was compared with conventional treatment (ie, progressive short-term hospitalization plus aftercare). The results have shown that use of the community program for 14 months greatly reduced the need to hospitalize patients and enhanced the community tenure and adjustment of the experimental patients. When the special programming was discontinued, many of the gains that were attained deteriorated, and use of the hospital rose sharply. The results suggest that community programming should be comprehensive and ongoing.
为慢性残疾精神病患者制定了基于社区的治疗项目的概念模型，并报告了一项对照研究及随访结果。将基于该概念模型的社区治疗项目与传统治疗（即渐进性短期住院加后续护理）进行了比较。结果表明，使用社区项目14个月可大大减少患者住院需求，并提高实验患者在社区的留驻时间及适应能力。当特殊项目停止后，所取得的许多成果出现倒退，住院使用率急剧上升。结果表明，社区项目应该是全面且持续的。
