Lawton M P, Lipton M B, Fulcomer M C, Kleban M H
Am J Psychiatry. 1977 Dec;134(12):1386-90. doi: 10.1176/ajp.134.12.1386.
The authors studied the patients and community facilities in an area for which a mental hospital phasedown was contemplated. They found that patients who were continuously hospitalized during a 9-month period were highly dependent and judged unlikely to be candidates for community placement. By contrast, the patients who had been discharged during this 9-month period were judged relocatable by staff and constituted a select group in terms of independence. The authors' survey of community facilities indicated few placement possibilities for the majority of the continuously hospitalized patients.
作者们研究了一个计划逐步缩减精神病院规模地区的患者和社区设施。他们发现，在9个月期间持续住院的患者依赖性很强，被判定不太可能成为社区安置的对象。相比之下，在这9个月期间已出院的患者被工作人员判定可以重新安置，并且在独立性方面属于精选出的群体。作者对社区设施的调查表明，大多数持续住院的患者几乎没有安置的可能性。
