Cohen H, Conroy J W, Frazer D W, Snelbecker G E, Spreat S
Am J Ment Defic. 1977 Jul;82(1):12-8.
Deinstitutionalization requires relocation of mentally residents. An exploratory investigation was conducted of the impact of interinstitutional relocation. The subjects were residents transferred from a large institution to a smaller facility and a matched comparison group from the latter facility. The 92 male and female subjects ranged from 10 to 42 years of age. The Adaptive Behavior Scale was administered prior to relocation, immediately following relocation, and 6 to 8 weeks following relocation. Higher functioning residents showed a pattern of lowered functioning and withdrawal following relocation. Relative to the comparison group, they were more withdrawn and suffered setbacks in language development. In contrast, lower functioning residents generally increased activity levels of both adaptive and acting-out behavior. The necessity for risk/benefit analysis preceding decisions to relocate residents was discussed.
非机构化要求对精神疾病患者进行重新安置。开展了一项探索性调查，以研究机构间重新安置的影响。研究对象是从一家大型机构转移到一家较小机构的患者，以及来自后一家机构的匹配对照组。92名男性和女性研究对象年龄在10岁至42岁之间。在重新安置前、重新安置后即刻以及重新安置后6至8周，对研究对象施测了适应性行为量表。功能较高的患者在重新安置后呈现出功能下降和退缩的模式。与对照组相比，他们更加退缩，在语言发展方面遭遇挫折。相比之下，功能较低的患者通常适应性行为和外化行为的活动水平有所提高。文中讨论了在决定重新安置患者之前进行风险/收益分析的必要性。
