我们应该如何处理在养老院的严重精神疾病的储存人员?
1Doctoral candidate in health policy at Harvard University in Cambridge, Massachusetts.
AMA journal of ethics
|October 6, 2023
概括
许多患有严重精神疾病 (SMI) 的个人居住在养老院,这在临床上是不合适的. 需要进行改革,以确定有风险的个人,并支持SMI患者的社区生活.
科学领域:
- 精神病学和老年学 精神病学和老年学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 长期以来的努力旨在防止严重精神疾病 (SMI) 患者安置在养老院.
- 尽管有这些努力,但大量患有精神分裂症,双相情感障碍和其他精神病的人仍然成为长期住宿的养老院居民.
研究的目的:
- 讨论SMI患者安置在养老院的临床和伦理不合适性.
- 建议对联邦审查要求进行改革,以便在社区环境中识别和支持SMI的个人.
主要方法:
- 本文介绍了当前趋势和政策影响的讨论和分析.
- 它审查了现有的联邦审查要求,并提出了具体的改革.
主要成果:
- 目前的做法导致许多SMI患者不适当地安置在养老院.
- 现有的联邦审查程序可能无法充分识别或支持患有SMI的个人,他们面临住院安置的风险.
结论:
- 对SMI患者的养老院安置在临床和伦理上是有问题的.
- 改革联邦审查要求至关重要,以更好地识别有风险的个人,并为SMI患者提供社区生活.
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