美国社区心理健康实践:过去,现在和未来
Jay A Hamm1,2, Samuel Rutherford3, Courtney N Wiesepape4
1Eskenazi Health, Midtown Community Mental Health.
Consortium psychiatricum
|July 15, 2024
概括
美国早期的精神疾病护理涉及监禁,在20世纪中叶转向以社区为基础的治疗和以康复为重点的社区心理健康中心 (CMHCs). 本文追溯了这些重要服务的历史和演变.
科学领域:
- 公共卫生 公共卫生
- 医学史 医学史 的历史
- 心理健康服务研究 心理健康服务研究
背景情况:
- 从历史上看,美国早期的精神疾病反映了欧洲的趋势,强调监禁和社区移除.
- 20世纪中叶标志着一个重要的范式转变,转向以社区为基础的治疗和社会重新融入.
- 这一过渡旨在促进精神健康状况下的人的康复和社区参与.
研究的目的:
- 提供美国社区心理健康服务的历史概述.
- 确定影响社区精神卫生保健发展的关键力量和因素.
- 检查社区精神卫生中心 (CMHC) 的建立和发展以及当前的做法.
主要方法:
- 在殖民时期的美国和早期的美国,对心理健康护理方法的历史分析.
- 审查推动创建CMHC的立法,同行和临床倡议.
- 检查当代社区心理健康实践和新出现的挑战.
主要成果:
- 美国早期的心理健康护理的特点是制度化和排斥.
- 20世纪中叶,人们开始走向非制度化和以社区为中心的护理模式.
- 立法和临床努力的高潮是建立CMHC,重点是恢复.
结论:
- 美国社区心理健康服务的演变反映了从排斥到包容和恢复的逐步转变.
- 了解这一历史对于应对当前的挑战和加强当前的心理健康实践至关重要.
- 基于社区的方法,以CMHC为例,仍然是促进心理健康和康复的核心.
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