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目的：了解社区精神障碍患者肇事肇祸防治现状。方法对社区精神障碍患者肇事肇祸现状及干预模式的相关文献进行统计分析。结果肇事肇祸率重性精神障碍患者为22.1%,流浪乞讨精神病患者为83.6%,旅途性精神障碍患者为54.8%；农村及西部欠发达地区重性精神障碍患者肇事肇祸率高达到100%；20.0%的患者从未就医,43.0%的患者未住院治疗,75.0%的重性精神障碍患者10年中未接受正规治疗。我国根据“三级预防”的原则,依托“686项目,构建了不同类型的社区精神卫生服务模式。结论我国精神卫生服务需求较大,但资源相对缺乏,应根据“三级预防”的原则,依托“686项目构建“医院、社区、家庭、个人”四位一体的综合系统处置体系,加强社区对精神障碍患者的综合干预能力,以减少其肇事肇祸行为的发生。“,”Objective To survey present prophylactico-therapeutic situation of troublemaking in community mental patients.Methods Literatures relative to present prophylactico-therapeutic situation of troublemaking and intervention measures in community mental patients were statistically analyzed.Results Troublemaking severe mental patients made up 22.1%,vagabond and begging 83.6%,and travel 54.8%;troublemaking rate of metal patients in rural and Western underdeveloped areas reached up to 100%;20.0% mental patients had never gone to a doc-tor,43.0% ones weren’t hospitalized,75.0% severe ones weren’t regularly treated during 10 years.Dif-ferent community mental health services had be established according to “tertiary prevention”principle and depending on “central government support for the local management and treatment of severe mental illness project”in our country.Conclusion Mental health service needs in our country are larger,but resources deficient relatively,comprehensive systemic treatment system should be established according to “tertiary prevention”principle and depending on “central government support for the local management and treat-ment of severe mental illness project”and community comprehensive intervention abilities to mental pa-tients enhanced in order to lower the development of troublemaking.