Wuerker A K, Keenan C K
UCLA School of Nursing 90095-1702, USA.
Psychiatr Q. 1997 Summer;68(2):101-16. doi: 10.1023/a:1025449504221.
The objective of this study was to describe the patterns of service use of homeless mentally ill clients prior to and for two years following an admission to Skid Row Mental Health (SRMH) services in Los Angeles during a recent year (N = 268). Twenty clients were still at SRMH two years later. These clients were older and more likely to be female; most of their prior service use was at SRMH. For the majority of the 124 clients in the second group, those who had been discharged and not readmitted, the index admission was their only admission. The 124 clients in the third group, these with admissions after the index admission, had long histories in the system. Cluster analysis showed distinct patterns in service use during the follow-up period. Knowledge of patterns of service use by homeless mentally ill persons will enhance understanding of interventions which have the greatest chance of success.
本研究的目的是描述近年来洛杉矶贫民窟心理健康（SRMH）服务机构收治的无家可归精神疾病患者在入院前及入院后两年的服务使用模式（N = 268）。两年后仍有20名患者留在SRMH。这些患者年龄较大，女性居多；他们之前大多在SRMH接受服务。在第二组的124名患者中，大多数已出院且未再次入院，此次索引入院是他们唯一的一次入院。第三组的124名患者在索引入院后又有入院情况，他们在该系统中有很长的病史。聚类分析显示了随访期间服务使用的不同模式。了解无家可归精神疾病患者的服务使用模式将有助于增强对最有可能成功的干预措施的理解。
