Holley H L, Jeffers B, Hodges P
Department of Psychiatry, Bow Valley Centre, Calgary Regional Health Authority, Alberta.
Can J Psychiatry. 1997 Sep;42(7):750-7. doi: 10.1177/070674379704200708.
To identify the proportion of residents in Alberta's psychiatric hospitals who would be relocatable to community-based alternatives to care if appropriate programs were made available.
A Survey of a representative sample of residents in all psychiatric hospitals and care centres was undertaken, excluding patients in specialized programs for forensic psychiatry, brain injury, and substance abuse.
Findings indicate that 11% of institutionalized patients could be considered good candidates for relocation to community-based alternative care. A further 35% were considered to have potential for relocation provided an intensive and complex array of services was first made available.
Results support a phased-in approach to hospital downsizing and the need for considerable transitional funding. Because hospital downsizing is unlikely to save dollars, at least in the short term, reforms must remain guided by humanitarian motivations to improve quality of life for persons with severe and persistent mental illnesses.
确定如果有合适的项目，艾伯塔省精神病院中有多少居民可转至社区替代护理机构。
对所有精神病院和护理中心的居民进行了一项具有代表性的抽样调查，排除了法医精神病学、脑损伤和药物滥用专门项目中的患者。
调查结果表明，11%的住院患者可被视为转至社区替代护理机构的合适人选。另有35%的患者被认为有转至社区的潜力，但前提是首先要提供一系列密集且复杂的服务。
研究结果支持逐步缩减医院规模的方法以及提供大量过渡资金的必要性。由于缩减医院规模不太可能节省资金，至少在短期内如此，因此改革必须继续以人道主义动机为指导，以改善严重和持续性精神疾病患者的生活质量。
