Biegel D E, Tracy E M, Corvo K N
Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, OH 44106-7164.
Health Soc Work. 1994 Aug;19(3):206-16. doi: 10.1093/hsw/19.3.206.
The enhancement of social support networks for people with chronic mental illness is an important thrust of case management services. However, despite the worthy intentions of the National Institute of Mental Health Community Support Program, the development of comprehensive, community-based social support systems for people with chronic mental illness remains an elusive goal. Case managers face many obstacles in their efforts to enhance the natural support systems of their clients, and they need specific training in social network interventions with individuals with mental illness to overcome these obstacles. This article presents conceptual framework of social network interventions and discusses obstacles to enhancing natural support systems. The need for community resource development, especially in the building of community ties, is highlighted.
加强针对慢性精神疾病患者的社会支持网络是个案管理服务的一项重要工作重点。然而，尽管美国国立精神卫生研究所社区支持项目的初衷值得肯定，但为慢性精神疾病患者建立全面的、基于社区的社会支持系统仍是一个难以实现的目标。个案管理者在努力增强其服务对象的自然支持系统时面临诸多障碍，他们需要接受针对患有精神疾病的个体进行社会网络干预的专项培训，以克服这些障碍。本文介绍了社会网络干预的概念框架，并探讨了增强自然支持系统所面临的障碍。文中强调了社区资源开发的必要性，尤其是在建立社区联系方面。
