Lafave H G, de Souza H R, Gerber G J
Brockville Psychiatric Hospital, Ontario, Canada.
Psychiatr Serv. 1996 Jul;47(7):757-9. doi: 10.1176/ps.47.7.757.
The study assessed one-year outcomes for 110 clients with serious mental illness who were randomly assigned to an assertive community rehabilitation program that provides psychiatric rehabilitation services in community settings or to hospital-based rehabilitation programs. Key elements of the community program include a multidisciplinary team on call 24 hours a day, in vivo treatment, and instruction and assistance in basic living skills. Data from client interviews after one year of service were used to assess clients' quality of life, satisfaction with services, and psychopathology. Clients in the assertive community rehabilitation program were more likely to be maintained in community settings and reported better quality of life than clients in the hospital-based programs.
该研究评估了110名患有严重精神疾病的客户的一年期结果，这些客户被随机分配到一个在社区环境中提供精神康复服务的积极社区康复项目或医院康复项目。社区项目的关键要素包括一个一天24小时随叫随到的多学科团队、现场治疗以及基本生活技能的指导和协助。服务一年后客户访谈的数据用于评估客户的生活质量、对服务的满意度以及精神病理学状况。与医院康复项目中的客户相比，积极社区康复项目中的客户更有可能留在社区环境中，并且报告的生活质量更好。
