The present study examines the extent to which clients with serious mental illnesses (SMI) enrolled in a social-learning program (SLP) within a maximum-security state hospital were able to achieve discharge to less restrictive settings without requiring a return to maximum security. Retrospective analyses were undertaken to examine several time periods of the SLP's operation within maximum security. From 1988 to 2019, 248 clients were discharged from the SLP. Only 20 were readmitted to maximum security, primarily for violence in less restrictive facilities. The proportion of clients who were discharged from one 19-bed ward offering the SLP differed significantly from the proportion of clients who were discharged from an identical 19-bed ward offering treatment as usual within maximum security from 1988 to 1995. The rate of readmission to maximum security was also significantly lower for clients treated on the SLP than for clients treated on other long-term treatment programs within maximum security from 2010 to 2019. Violence in a less restrictive facility was the most common reason for readmission, which typically occurred more than 1 year after discharge. The results of the present study demonstrate the SLP's success in discharging clients with SMI from a maximum-security state hospital. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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在最高安全的州立医院环境中实施的社会学习计划的检查。

本研究检查了在最高安全性州立医院参加社会学习计划 (SLP) 的严重精神疾病 (SMI) 患者能够在多大程度上实现出院到限制较少的环境，而无需返回最高安全性。进行了回顾性分析，以检查 SLP 在最大安全范围内运行的几个时间段。从 1988 年到 2019 年，有 248 名客户从 SLP 中解散。只有 20 人被重新接纳为最高安全级别，主要是针对限制较少的设施中的暴力行为。从 1988 年到 1995 年，从一个提供 SLP 的 19 个床位的病房出院的客户比例与从一个相同的 19 个床位的病房出院并提供最大安全性治疗的客户比例显着不同。从 2010 年到 2019 年，接受 SLP 治疗的客户再次进入最高安全级别的比率也显着低于接受其他长期治疗计划接受最高安全级别的客户。在限制较少的设施中的暴力是再入院的最常见原因，这通常发生在出院后 1 年以上。本研究的结果表明，SLP 成功地将患有 SMI 的客户从最高安全的州立医院出院。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。这通常发生在出院后 1 年以上。本研究的结果表明，SLP 成功地将患有 SMI 的客户从最高安全的州立医院出院。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。这通常发生在出院后 1 年以上。本研究的结果表明，SLP 成功地将患有 SMI 的客户从最高安全的州立医院出院。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。