Chalifoux Z, Neese J B, Buckwalter K C, Litwak E, Abraham I L
James Madison University, VA, USA.
Community Ment Health J. 1996 Oct;32(5):463-80. doi: 10.1007/BF02251046.
This paper reviews issues in planning and delivering mental health services to rural dwelling elderly. First, comparative data on the prevalence of mental illness among rural elderly, and the availability and accessibility of mental health services in rural areas are presented to provide a basis for subsequent discussion. Next, several strategies for improving the development and delivery of geriatric mental health services to rural areas are discussed. These include: increasing the number and quality of rural mental health providers; adapting or developing diagnostic techniques to improve case identification among rural elderly; providing culturally sensitive mental health services; strengthening informal and formal care linkages in rural communities; developing innovative service delivery models building upon the strengths of rural settings; and emphasizing fluidity as well as continuity in treatment models.
本文综述了为农村老年居民规划和提供心理健康服务的相关问题。首先，呈现了关于农村老年人精神疾病患病率以及农村地区心理健康服务的可获得性和可及性的比较数据，为后续讨论提供依据。接下来，讨论了几种改善农村地区老年心理健康服务发展与提供的策略。这些策略包括：增加农村心理健康服务提供者的数量并提高其质量；调整或开发诊断技术以改善农村老年人的病例识别；提供具有文化敏感性的心理健康服务；加强农村社区的非正式和正式护理联系；基于农村环境的优势开发创新的服务提供模式；以及强调治疗模式的灵活性和连续性。
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