从心理健康危机小组出院的人的同行支持自我管理:随机对照试验
Sonia Johnson1, Danielle Lamb2, Louise Marston3
1Division of Psychiatry, University College London, London, UK; Camden and Islington NHS Foundation Trust, London, UK.
Lancet (London, England)
|August 14, 2018
概括
由同行支持工作者主导的自我管理干预显著减少了精神健康患者的急性护理再入院. 这种方法有助于恢复,减少了急救的需要,为服务提供提供了有希望的替代方案.
科学领域:
- 心理健康服务研究
- 临床心理学
- 公共卫生干预措施
背景情况:
- 高昂的急症护理成本挑战了专注于康复的精神卫生服务.
- 在急性精神健康危机后复发是常见的.
- 自治干预措施对急性护理再入院的影响在很大程度上尚未得到证实.
研究的目的:
- 评估同行支持工作者协助的自我管理干预是否能降低急性护理再接收率.
- 评估这项干预措施对从危机解决小组中解雇的个人的有效性.
主要方法:
- 一项随机控制的优越性试验与来自英格兰六个危机解决小组的参与者进行.
- 参与者接受了同行支持的自我管理干预或对照 (邮件工作簿).
- 主要结局是在一年内重新入住急症室.
主要成果:
- 与对照组 (38%) 相比,干预组的一年内再入院率较低 (OR 0.66, p=0.0438).
- 虽然显著,但入院率低于预期,信心区间相对较大.
- 在两组中报告了71例严重不良事件.
结论:
- 同龄人提供的自我管理干预措施显示出减少心理健康急诊再入院的潜力.
- 需要进一步评估,以确定在常规临床环境中实施这种干预措施的可行性和有效性.
- 干预的复杂性要求仔细考虑更广泛的应用.
相关概念视频
Stress and Mental Health
954
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
954
Interdisciplinary Care: The Health Care Team-I
2.7K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
2.7K
Interdisciplinary Care: The Health Care Team-II
2.3K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
2.3K
Discharge Summary Forms
1.3K
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
1.3K
Influence of Parents and Peers on Identity
577
Adolescence is a pivotal period of identity formation, during which individuals begin to answer questions central to their sense of self, such as "Who am I?" and "Who do I hope to become?" Both parents and peers play critical roles in guiding adolescents through this complex developmental phase.
Parental Influence on Identity Development
Parents serve as primary guides and managers in an adolescent's life, offering support instrumental in decision-making and personal growth....
Parental Influence on Identity Development
Parents serve as primary guides and managers in an adolescent's life, offering support instrumental in decision-making and personal growth....
577
RC Circuits: Discharging A Capacitor
4.5K
One of the applications of an RC circuit is the relaxation oscillator. The relaxation oscillator comprises a voltage source, a capacitor, a resistor, and a neon lamp. The lamp acts like an open circuit (infinite resistance) until the potential difference across the neon lamp reaches a specific voltage. At that voltage, the lamp acts like a short circuit (zero resistance), and the capacitor discharges through the neon lamp and produces light. Once the capacitor is fully discharged through the...
4.5K


