Woodward H L
University Affiliated Cincinnati Center for Developmental Disorders Interface Project, Ohio 45229.
Community Ment Health J. 1993 Aug;29(4):347-59. doi: 10.1007/BF00761032.
Individuals with mental illness and mental retardation often fall between system and agency service cracks. This paper describes some of the barriers individuals and communities confront in developing new or expanding existing services to meet the needs of this population. It then describes how one community initiated multi-system collaboration in its delivery of crisis intervention services, community mental health center services and specialized short-term residential living. By increasing the multi-system services available to individuals with dual diagnosis at the community level, fewer individuals encountered placement failure and re-institutionalization.
患有精神疾病和智力障碍的个体常常处于系统和机构服务的缝隙之中。本文描述了个体和社区在开发新服务或扩大现有服务以满足这一人群需求时所面临的一些障碍。接着，本文描述了一个社区如何在提供危机干预服务、社区心理健康中心服务和专门的短期寄宿生活服务方面发起多系统协作。通过在社区层面增加为双重诊断个体提供的多系统服务，遭遇安置失败和重新入院的个体减少了。
