RESUMO
In 1972 there were fewer than 10 nonpsychiatric adult day care centers in the United States; by late 1982 there were 1,000 or more. This development of programs as an alternative to nursing home and hospital care of impaired adults has been haphazard. Complications from surveys, field visits, and regulatory agencies reveal a lack of elements for systematic evaluation of the real costs and benefits. Future policies must also recognize that adult day care has become a new service without significantly diminishing institutional use.
Assuntos
Hospital Dia/organização & administração , Idoso , Análise Custo-Benefício , Coleta de Dados , Estudos de Avaliação como Assunto , Financiamento Governamental , Política de Saúde , Pesquisa sobre Serviços de Saúde , Serviços de Saúde para Idosos/organização & administração , Humanos , Pessoa de Meia-Idade , Modelos Teóricos , Estados UnidosRESUMO
Of 130 women initially seen in a general hospital emergency room after being raped, the authors were able to interview 41 of the women 1-21/2 years after the rape. Half of the women continued to fear being alone and three-quarters reported still being suspicious of others. Many also felt restricted in their daily lives and had self-reported episodes of depression and sexual problems, which they attributed to the rape; none had a history of mental or emotional disturbance. The authors recommend that short-term, issue-oriented therapy be made available for all rape victims, as well as resources for the treatment of long-term symptoms.
