Henderson C, Thornicroft G
Département de psychiatrie communautaire, Institute of Psychiatry de Londres.
Sante Ment Que. 1997 Autumn;22(2):88-114.
The aim of this article is to explain the current status of deinstitutionalisation and of community care development by studying the extent to which community care can or should take over the functions of the asylum. These functions include those that are manifest, or explicit, and those that are latent, or unintended but implicit (Bachrach 1976). The continuing relevance of both sets of functions is argued to be exerting a powerful influence on the processes of asylum closure and community care development. The results include delayed asylum closures and transinstitutionnalisation, the shift of some patients from asylums to other institutions, which stifle the development of community care by concentrating spending in hospitals.
本文旨在通过研究社区护理能够或应该在多大程度上接管收容所的功能，来解释去机构化和社区护理发展的现状。这些功能包括显性的或明确的功能，以及隐性的或非预期但隐含的功能（巴赫拉赫，1976年）。两组功能的持续相关性被认为对收容所关闭和社区护理发展进程产生了强大影响。结果包括收容所关闭延迟和跨机构化，一些患者从收容所转移到其他机构，这通过将支出集中在医院而抑制了社区护理的发展。
