Becker T
Psychiatrische Universitätsklinik und Poliklinik, Würzburg.
Psychiatr Prax. 1995 Mar;22(2):50-4.
The TAPS study evaluates the closure of two Greater London mental hospitals. Beginning in 1985, one-year and five-year follow-up compared successive cohorts of long-stay patients discharged to the community (leavers) with groups of matched long-stay patients who stayed in hospital. Some psychopathological symptoms improved in discharged patients, some did not. Mortality, patient vagrancy and delinquent behaviour did not increase in leavers. Patient autonomy, social networks and patient satisfaction favoured out-patient provision of care as compared to continuing in-patient care.
TAPS研究评估了伦敦两家大型精神病院的关闭情况。从1985年开始，对连续几批出院到社区的长期住院患者（出院者）与留在医院的匹配长期住院患者组进行了一年和五年的随访。一些出院患者的精神病理症状有所改善，一些则没有。出院者的死亡率、患者流浪和犯罪行为并未增加。与继续住院治疗相比，患者自主权、社交网络和患者满意度更倾向于门诊护理。
