Lamb H R
Arch Gen Psychiatry. 1980 Nov;37(11):1224-8. doi: 10.1001/archpsyc.1980.01780240022002.
Eighty patients in a locked, skilled-nursing facility that serves only psychiatric patients were studied. Of these, 78 were diagnosed as psychotic, 48 had overt major psychopathologic characteristics, and 33 had been physically assaultive within the past 12 months. A third had diagnoses both of psychosis and severe drug and/or alcohol problems. Fifty-eight were unmanageable in previous placements in open settlings. Four of five were resistant to taking psychotropic medications. Six were judged dangerous to themselves. Such patients are extremely difficult to manage in community settings where the need for structure is often overlooked; therefore, this facility, serves as an alternative to the state hospital. Structure is provided not only by security features but also by an intensive treatment and rehabilitation program. This type of facility is contrasted with the state hospital.
对一家仅收治精神病患者的封闭式专业护理机构中的80名患者进行了研究。其中，78人被诊断为患有精神病，48人具有明显的主要精神病理特征，33人在过去12个月内有身体攻击行为。三分之一的患者同时患有精神病和严重的药物和/或酒精问题。58人在之前的开放式安置中难以管理。五分之四的人抗拒服用精神药物。6人被判定对自己有危险。这类患者在往往忽视结构化需求的社区环境中极难管理；因此，这家机构可作为州立医院的替代选择。不仅通过安全设施，还通过强化治疗和康复项目来提供结构化环境。这种类型的机构与州立医院形成了对比。
