Reich R, Siegel L
Psychiatr Q. 1978 Fall;50(3):191-201. doi: 10.1007/BF01064709.
The drastic reduction of State Hospital population in New York over the past decade has led to a demographic relocation of the mentally ill, rather than any real decline in the rate or severity of mental disorders. Unable to function on their own in society and without adequate supportive facilities available, many discharged patients live in the streets and eventually end up on the Bowery, where they are cared for at The Men's Shelter. Studies have shown that over 50% of the current Bowery population has a history of mental illness and that alcoholism is often a secondary, rather than primary diagnosis. The most frequently encountered diagnostic syndromes are mentioned and commented upon. Possible alternative treatment interventions are suggested.
在过去十年中,纽约州立医院收治人数的急剧减少导致了精神病患者在人口统计学上的重新分布,而非精神障碍发病率或严重程度的任何实际下降。许多出院患者由于无法在社会中独立生活且没有足够的支持性设施,只能流落街头,最终来到布赖厄里街,在那里的男子收容所接受照料。研究表明,目前布赖厄里街的居民中超过50%有精神疾病史,而且酗酒往往是次要而非主要诊断。文中提到并评论了最常遇到的诊断综合征。还提出了可能的替代治疗干预措施。