Macfarlane D, Fortin P, Fox J, Gundry S, Oshry J, Warren E
Riverview Hospital, Port Coquitlam, British Columbia, Canada.
Psychiatr Q. 1997 Spring;68(1):25-42. doi: 10.1023/a:1025405121176.
Riverview Hospital, B.C.'s only and Canada's largest remaining provincial psychiatric hospital began a formal planned "downsizing" process in 1992. This initiative was an important element in the Province's strategic plan to shift to a more community-focused mental health system and to bring tertiary psychiatric services "closer to home" by redeveloping Riverview Hospital on three sites. The paper summarizes the literature pertaining to the "downsizing" of psychiatric hospital services in relation both to clinical and human resource planning. It describes the mental health system in B.C. and the service system context in which this exercise is occurring. It is based on the first three years of experience in identifying the major challenges and the strategies developed to meet these challenges. It draws some conclusions about the effectiveness of these strategies and it speculates about the likely future challenges as the "downsizing" process continues.
里弗维尤医院是不列颠哥伦比亚省唯一一家、也是加拿大现存规模最大的省级精神病医院，于1992年开始了正式的计划性“缩编”进程。这一举措是该省战略计划的重要组成部分，该战略计划旨在转向更加以社区为中心的心理健康系统，并通过在三个地点重新开发里弗维尤医院，将三级精神病服务“更贴近家庭”。本文总结了与精神病医院服务“缩编”相关的临床和人力资源规划方面的文献。它描述了不列颠哥伦比亚省的心理健康系统以及此次行动所处的服务系统背景。它基于头三年在识别主要挑战以及为应对这些挑战而制定的策略方面的经验。它对这些策略的有效性得出了一些结论，并对随着“缩编”进程继续可能面临的未来挑战进行了推测。
