Tsiantis J, Perakis A, Kordoutis P, Kolaitis G, Zacharias V
Medical School, University of Athens, Greece.
Br J Psychiatry Suppl. 1995 Jul(28):10-45.
A three-year deinstitutionalisation and rehabilitation pilot intervention project was implemented at Leros PIKPA for people with severe learning disabilities. Initial conditions at the asylum were appalling. Residents suffered severe deprivation, extreme institutionalisation, and violation of basic human rights. Intervention involved professionals from different disciplines, and involved residents, their families, care staff, the institution, and the local community. As a result, resident care and adaptive behaviour has started to improve. Communication between residents and families has increased. Owing to training and sensitisation, care staff's poor resident-management practices and negative attitudes toward disabled people have changed. Living and hygienic conditions have been upgraded and building renovation is under way. Asylum administration and the local community have been sensitised to residents' needs. Eleven residents have moved to the project's pilot community home in Athens; two others now live with foster families. The results suggest that deinstitutionalisation and rehabilitation can be successfully initiated even in residential institutions of the severest kind.
在莱罗斯皮克帕为重度学习障碍者实施了一个为期三年的非机构化和康复试点干预项目。该收容所的初始状况令人震惊。居民遭受严重剥夺、极度机构化以及基本人权受到侵犯。干预措施涉及不同学科的专业人员，还包括居民、他们的家庭、护理人员、机构以及当地社区。结果，居民护理和适应性行为开始改善。居民与家庭之间的沟通增加了。由于培训和宣传，护理人员对居民管理不善的做法以及对残疾人的消极态度有所改变。生活和卫生条件得到了改善，建筑翻新正在进行。收容所管理部门和当地社区已开始关注居民的需求。11名居民已搬至该项目在雅典的试点社区之家；另外两名居民现在与寄养家庭生活在一起。结果表明，即使在最严苛的寄宿机构中，非机构化和康复也能够成功启动。
