Cohen D, Sanders H E
Int J Soc Psychiatry. 1995 Summer;41(2):120-31. doi: 10.1177/002076409504100205.
The Social Psychiatric Services Center (SPDC C/OW) is the acute psychiatric clinic for the Amsterdam city center. The unit, originally an integrated part of a General Psychiatric Hospital located outside Amsterdam, was transferred to the city center in 1988. Since then, the unit has been transformed into a fully operational institute for day-program-based treatment, both as a substitute for 24 hours hospitalization and as an extension of community treatment programs. The SPDC's organization, the format and contents of the treatment program and the integrated cooperation with the district mental health care partners proceed directly from the consistently applied key concepts: day-program-based treatment, continuity of care and tailor-made care. After an overview of some relevant developments in the Netherlands in general and in Amsterdam more specifically the SPDC is described in detail. Some conclusions, based on the experience of 6 years work in this organisation, are drawn, focussing on long term treatment strategies and the differences and merits of community-based versus hospital-based care.
社会精神病服务中心(SPDC C/OW)是阿姆斯特丹市中心的急性精神病诊所。该部门最初是位于阿姆斯特丹以外的一家综合精神病医院的一部分,于1988年迁至市中心。从那时起,该部门已转变为一个全面运作的机构,提供基于日间项目的治疗,既作为24小时住院治疗的替代方案,也作为社区治疗项目的延伸。SPDC的组织架构、治疗项目的形式和内容以及与地区精神卫生保健合作伙伴的综合合作直接源于一贯应用的关键概念:基于日间项目的治疗、护理的连续性和量身定制的护理。在概述了荷兰总体上尤其是阿姆斯特丹的一些相关发展情况之后,对SPDC进行了详细描述。基于在该组织6年的工作经验得出了一些结论,重点关注长期治疗策略以及社区护理与医院护理的差异和优点。