Leeman C P
Gen Hosp Psychiatry. 1980 Sep;2(3):229-32. doi: 10.1016/0163-8343(80)90067-5.
During the past 10 years, more and more general hospitals have opened psychiatric units, many of which represent the best of modern hospital psychiatry. Therapeutic success on these units is based on control of admissions as well as on clinical programs. Pressure from the State to admit involuntary patients, recently justified by the doctrine of the "least restrictive environment," threatens to erode the quality of treatment now being provided. The concept of "least restrictive environment" is ambiguous and sometimes misleading. The treatment of involuntary psychiatric patients in general hospitals, in order to be safe and effective, requires the resolution of legal, clinical, financial, and architectural issues, as well as problems in the relationship between psychiatric units and other areas of the general hospital.
在过去十年中，越来越多的综合医院开设了精神科病房，其中许多代表了现代医院精神病学的最佳水平。这些病房的治疗成功基于对入院人数的控制以及临床项目。国家要求收治非自愿患者的压力，最近以“限制最少的环境”原则为依据，有可能侵蚀目前所提供的治疗质量。“限制最少的环境”这一概念含糊不清，有时还会产生误导。为了确保安全和有效，综合医院对非自愿精神科患者的治疗需要解决法律、临床、财务和建筑方面的问题，以及精神科病房与综合医院其他区域之间关系的问题。
