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  3. Text3 Sitting in the dark in his Blackpo

Text3 Sitting in the dark in his Blackpo

资格题库2022-08-02  38
问题 Text3 Sitting in the dark in his Blackpool bedsit,Harry Harper dialled 999.He told the operator that he had a bread knife at his throat and wanted to kill himself.A few years earlier,Mr Harper had been happily married and running a successful business.But after his wife committed suicide and his firm went bust,his life spiralled out of control.He started drinking and was admitted to a number of psychiatric hospitals.With little support,calling 999 became routine.Mr Harper is not alone.Many people who feel overwhelmed by their personal problems come to use the emergency services as a crutch.Data from NHS England show that around 5,000 people attend major A&E units more than 20 times each year.Some doctors nickname them"frequent flyers".Most regions have no strategy for dealing with these patients.In some places,frequent callers have been cut off from the ambulance service,or sent letters reprimanding them for wasting NHS money.Some have even been served with anti-social behaviour orders,which,whcn broken,result in jail time.Now a promising scheme aims to offer more effective help to the most frequent users,thereby reducing their reliance on the emergency services.It was started in 2013 by Rhian Monteith,then a paramedic in Blackpool,where health outcomes are among the worst in Britain.She asked local NHS managers for the names of the area's most frequently seen patients,and was handed a list of 23 people,including Mr Harper.Many,like him,were middle-aged folk with mental-health problems.Ms Monteith tried to give them a sense of"social inclusion and purpose".Often they talked about their social needs,rather than their medical symptoms.So she arranged community activities,like volunteer work,and help with practical matters such as applying for benefits.Those who often got worked up to a crisis point were taught coping mechanisms.The effect was quick and dramatic.Within months,A&E attendances,999 calls and hospital admissions all dropped by about 90%among the group.Many began to put their lives back together.The model was extended to about 300 patients in Blackpool over the following three years,saving the NHS over~2m.In 2017 it was rolled out by 36 0fEngland's 195 regional NHS commissioning groups.Implementing the programme is not without difficulty.Many of the most prolific users of A&E have no fixed address or are homeless.And they must agree to their data being shared across different govemment agencies,which is sometimes a hard sell.But the evidence so far is encouraging.The most recent winter crisis revealed just how stretched A&E departments are.Rerouting frequent flyers to the appropriate services would benefit besieged doctors and paramedics,as well as the patients themselves.34.Which of the following statement is right about the scheme?A.NHS managers selected these patients randomly.B.All of the 23 patients suffered mental-health problems.C.Most ofthe 23 patients have got benefits.D.It does not mainly focus on drug therapy.
选项 A.NHS managers selected these patients randomly.
B.All of the 23 patients suffered mental-health problems.
C.Most ofthe 23 patients have got benefits.
D.It does not mainly focus on drug therapy.
答案 D
解析 事实细节题。根据题干定位到文章第四段和第五段。原文提到他们经常会谈论自己的社会需求，而不是医疗症状，故D项正确。【干扰排除】第四段提到里安·蒙蒂思向NHS管理人员要了电话拨打频率高的病人的名单，可见不是随机的，A项错误；原文提到许多人和哈珀一样都是有心理健康问题的中年人，B项扩大了范围；原文提到蒙蒂思女士帮助他们申请福利，并未提到有多少人申请到了祸利．C项属于无中生有。
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