Flannery R B, Hanson M A, Penk W E, Pastva G J, Navon M A, Flannery G J
Department of Psychiatry, Cambridge Hospital, MA 02139, USA.
Psychiatr Q. 1997 Spring;68(1):67-76. doi: 10.1023/a:1025409222084.
Although the downsizing and closing of state mental hospitals is occurring with increasing frequency nationwide, there appears to be only one case study of the clinical impacts of downsizing state hospitals. In this study, Snyder reported a four-fold increase in frequency of assaults on staff as the hospital census decreased. The present paper is a second case study of state hospital downsizing and closing in which the frequency of assaults on staff decreased by 63%. Possible explanations for the two differing outcomes are considered, and some general guidelines for the downsizing and closing of state hospitals are proposed.
尽管全国范围内州立精神病医院的规模缩减和关闭越来越频繁，但似乎只有一项关于州立医院规模缩减临床影响的案例研究。在这项研究中，斯奈德报告称，随着医院住院人数的减少，工作人员遭受袭击的频率增加了四倍。本文是关于州立医院规模缩减和关闭的第二项案例研究，其中工作人员遭受袭击的频率下降了63%。我们考虑了两种不同结果的可能解释，并提出了一些州立医院规模缩减和关闭的一般指导原则。
