Solomon P, Evans D, Delaney M A
Section of Mental Health Services, Hahnemann University, Philadelphia, PA 19102.
Community Ment Health J. 1993 Aug;29(4):333-46. doi: 10.1007/BF00761031.
A majority of a cohort of 62 children and adolescents who had been hospitalized in a state psychiatric facility was found to have received less restrictive services such as outpatient mental health services prior to their index admission. Also, a number had been involved with the juvenile justice system and almost two-thirds had been placed out-of-home. Ninety percent had at least one prior psychiatric hospitalization. Just over half of the cohort received case management and individual counseling post release. About a third received family counseling, and a few received other types of services. At least a third were rehospitalized within a year of release. Although 90% of the cohort received some type of service post release, a higher proportion of non service receivers were rehospitalized than service receivers. Even those who received services had a high rate of rehospitalization. These findings raise questions as to the appropriateness of service provision during and following hospitalization.
在一家州立精神病院住院的62名儿童和青少年队列中，大部分人在首次入院前接受过限制较少的服务，如门诊心理健康服务。此外，一些人曾与青少年司法系统有过接触，近三分之二的人曾被安置在家庭之外。90%的人至少有过一次先前的精神病住院经历。队列中略超过一半的人在出院后接受了病例管理和个人咨询。约三分之一的人接受了家庭咨询，少数人接受了其他类型的服务。至少三分之一的人在出院后一年内再次住院。尽管90%的队列在出院后接受了某种类型的服务，但未接受服务者的再住院比例高于接受服务者。即使是那些接受了服务的人，再住院率也很高。这些发现引发了关于住院期间及出院后服务提供是否恰当的问题。
