Cardona F A, Davis E R, Switzer P K
South Carolina Department of Mental Health, Columbia 29202, USA.
J S C Med Assoc. 1996 May;92(5):220-4.
The treatment program for patients involved in the Kiva Project was individualized. Growth was reinforced and regression was accepted as a natural part of the treatment process. Discharge was never discussed until the patient indicated readiness to leave the hospital and willingness to undertake a particular placement opportunity in the community. Rehospitalization, if it occurred was considered a part of the process and the staff continued to be supportive of the patient regardless of whether or not they remained in the Department of Mental Health system. As of March, 1993, 21 patients had been successfully discharged to the community. Eleven of these patients have been out of the hospital for more than a year, and three for as long as six years. In financial terms, this means a savings in the long-term institutional care of these patients as opposed to more cost-effective outpatient services. The Project currently serves 17 patients. It continues to be a viable treatment modality for the Division of Psychiatric Rehabilitation.
参与基瓦项目的患者的治疗方案是个性化的。强化成长，并将病情反复视为治疗过程的自然组成部分。在患者表示准备好出院并愿意接受社区中的特定安置机会之前，从不讨论出院事宜。如果再次住院，也被视为治疗过程的一部分，无论患者是否仍留在心理健康系统内，工作人员都会继续支持患者。截至1993年3月，已有21名患者成功出院回归社区。其中11名患者已出院一年多，3名患者已出院长达六年。从经济角度来看，这意味着与更具成本效益的门诊服务相比，这些患者长期机构护理费用的节省。该项目目前为17名患者提供服务。它仍然是精神康复科一种可行的治疗方式。
