New directions for psychiatric rehabilitation in the USA

被引：20

作者：

Bond, G. R. ^{[1
]}

Drake, R. E. ^{[1
]}

机构：

[1] Westat Corp, Hlth Studies Sect, Rivermill Commercial Ctr, 85 Mech St, Lebanon, NH 03766 USA

来源：

EPIDEMIOLOGY AND PSYCHIATRIC SCIENCES | 2017年 / 26卷 / 03期

关键词：

Community mental health; evidence-based psychiatry; rehabilitation; schizophrenia; RANDOMIZED CONTROLLED-TRIAL; MENTAL-ILLNESS; SCHIZOPHRENIA; COMMUNITY; RECOVERY; PEOPLE; DISABILITIES; VALIDATION; SETTINGS; CARE;

D O I：

10.1017/S2045796016000834

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

American researchers have led the world in developing, evaluating, and disseminating evidence-based psychiatric rehabilitation practices for people with serious mental illness. Paradoxically, however, the USA lags behind most industrialized nations in providing access to high-quality mental health and psychiatric services. This essay examines several evidence-based practices developed in the USA, the spread of these practices, the barriers to ensuring availability to people who could benefit from these services, and some promising directions for overcoming the barriers. Factors influencing the growth and sustainment of effective client-centred practices include the availability of adequate and stable funding, committed leadership, and the influence of vested interests. Two strategies for promoting the spread and sustainment of well-implemented evidence-based practices are the adoption of fidelity scales and learning communities.

引用

页码：223 / 227

页数：5

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