Klerman G L
Hosp Community Psychiatry. 1979 Feb;30(2):110-3. doi: 10.1176/ps.30.2.110.
The past two decades have witnessed several important trends in mental health care: a decline in the resident census in public mental hospitals, an increase in outpatient treatment and facilities, relative stability in the number of hospitalization episodes per 100,000 population, and briefer duration of hospitalization. The combined result of these trends is increased pluraslism, diversity, and deinstitutionalization in mental health care. The changes are primarily the consequences of the success of psychopharmacologic agents, new forms of psychotherapy, changing attitudes of the public and the profession, and increased financial support by the federal government.
公立精神病院住院人数下降、门诊治疗和设施增加、每10万人口住院次数相对稳定以及住院时间缩短。这些趋势的综合结果是精神卫生保健领域的多元化、多样性增加以及去机构化。这些变化主要是精神药物成功、新型心理治疗方法、公众和专业人士态度转变以及联邦政府加大财政支持的结果。
