Patterson T, Higgins M, Dyck D G
Spokane Community Mental Health Center, WA 99202, USA.
Psychiatr Serv. 1995 Mar;46(3):243-7. doi: 10.1176/ps.46.3.243.
Developmentally disabled clients with a concomitant mental illness are often underserved or inappropriately treated because of interorganizational barriers, leading to unnecessary hospitalization and lengthy delays in community placement. To overcome these barriers, agencies responsible for developmental disabilities and mental health services in Spokane County in Washington State developed a collaborative system of care in 1989. An interagency consortium was established to promote coordination of services between the community mental health center, the state hospital, the county human services agency, the state's regional developmental disability service agency, the state institution for the developmentally disabled, and several community agencies serving developmentally disabled persons. Between 1990 and 1992, admissions of developmentally disabled persons to the state hospital were more likely to be appropriate admissions of persons suffering from a mental illness, developmentally disabled clients were discharged more efficiently, and crisis respite services were used in place of hospitalization. In addition, anecdotal reports indicated a reduction of interagency tensions.
患有伴发精神疾病的发育障碍患者常常因组织间障碍而得不到充分服务或接受不恰当治疗，导致不必要的住院治疗以及社区安置的长期延误。为克服这些障碍，华盛顿州斯波坎县负责发育障碍和心理健康服务的机构于1989年建立了一个协作式护理系统。成立了一个跨部门联盟，以促进社区心理健康中心、州立医院、县公共服务机构、该州地区发育障碍服务机构、发育障碍者州立机构以及几个为发育障碍者服务的社区机构之间的服务协调。1990年至1992年期间，发育障碍患者入住州立医院更有可能是患有精神疾病患者的合理收治，发育障碍患者出院效率更高，并且使用危机缓解服务代替住院治疗。此外，轶事报告表明部门间紧张关系有所缓解。
