Trainor J N, Morrell-Bellai T L, Ballantyne R, Boydell K M
Community Support and Research Unit, Queen Street Mental Health Centre, Toronto, Ontario.
Can J Psychiatry. 1993 Sep;38(7):494-501. doi: 10.1177/070674379303800706.
The decrease over the past three decades in institutional care for people with mental illness has not been matched by the adequate development of specialized housing in the community. Broadly speaking, two major models of housing have emerged in the past 30 years: custodial and alternative. Large custodial settings, including boarding houses, nursing homes and special care homes, are typically not associated with residents' satisfaction or a positive outcome. Alternative housing refers to a range of models, including halfway houses, group homes, co-ops and supported housing. It is associated with better residents' outcomes. This paper briefly compares the two models and examines key issues in alternative housing and its development in Canada.
在过去三十年里，精神病患者机构护理的减少，并未伴随着社区专门住房的充分发展。广义而言，在过去30年里出现了两种主要的住房模式：监护型和替代型。大型监护场所，包括寄宿公寓、疗养院和特殊护理院，通常与居民满意度或积极结果无关。替代住房指一系列模式，包括中途之家、集体之家、合作社住房和支持性住房。它与更好的居民结果相关。本文简要比较了这两种模式，并探讨了加拿大替代住房及其发展中的关键问题。
