RESUMO
The placements, activity levels, and hospital admissions of 263 of the most severely mentally ill patients in a county continuing care program were studied over an 18-month period. The findings showed a major shift of patients from local locked facilities to independent living and a 33-per-cent drop in county hospital psychiatric admissions. But activity levels of many of the patients were well below therapists' expectations, with almost half doing little or nothing at 18 months. The authors conclude that essential services were provided for this group, but that their integration into the community was hampered by insufficient recreational and vocational activities.
Assuntos
Assistência ao Convalescente/organização & administração , Serviços Comunitários de Saúde Mental/organização & administração , Avaliação de Processos e Resultados em Cuidados de Saúde , Esquizofrenia/reabilitação , Adulto , California , Feminino , Humanos , Masculino , Admissão do Paciente , Recreação , Reabilitação VocacionalRESUMO
The Emergency Treatment Center, a new program of crisis intervention services, has been in operation since February 1975. This seven-day-week, twenty-four-hour-a-day program backs up ten Northern California police departments to provide help to people who are experiencing psychological emergencies such as violent family fights, suicide attempts, and severe emotional disturbance; in addition, the Center responds to any kind of crisis call involving adolescents. The population of the area served is approximately 750,000 of whom approximately 110,000 are adolescents between 10 and 17 years of age.
