Where next with residential alternatives to admission?

Sonia Johnson, Brynmor Lloyd-Evans, Louise Howard, David P J Osborn, Mike Slade
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Abstract

The quest for alternatives to traditional psychiatric wards has a long history but methodological difficulties have limited research into their benefits. Two UK studies suggest that community-based residential alternatives are valued by service users and may be cost-effective. Establishing and/or maintaining such services, where they function as an integrated component of local acute care pathways, is a justifiable decision. However, our findings do not provide compelling evidence that they should be seen as essential in every catchment area. Quality of therapeutic relationships appears central to service user experiences, and future research should explore how this may be improved in both hospital and community settings.

接下来会有什么住宿替代方案吗?
寻找替代传统精神病房的方法由来已久,但方法上的困难限制了对其益处的研究。英国的两项研究表明,以社区为基础的住宅替代方案受到服务使用者的重视,可能具有成本效益。建立和/或维持这些服务,将其作为当地急性护理途径的一个综合组成部分,是一个合理的决定。然而,我们的发现并没有提供令人信服的证据,证明它们应该在每个集水区都被视为必不可少的。治疗关系的质量似乎是服务用户体验的核心,未来的研究应探讨如何在医院和社区环境中改善这一点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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