精神病的第三级服务:为复杂精神病患者提供整体建议
Kimberley Davies1,2, Sarah Grattan1,2, Chloe Gott3
1The Tertiary Referral Service for Psychosis (TRSP), Randwick, Australia; and.
概括
被转诊接受精神病治疗的个体有显著的损伤. 建议将药物治疗与心理,社会和身体健康干预相结合,以提供综合护理.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 神经科学是一个神经科学.
背景情况:
- 精神病第三级推服务 (TRSP) 管理复杂的病例.
- 了解患者的特征和治疗建议对于优化护理至关重要.
研究的目的:
- 描述TRSP中提到的个人的特征.
- 概述心理药物和其他干预措施的治疗建议.
主要方法:
- 从2020年06月02日到2022年12月31日进行的临床数据的回顾性审计.
- 对心理药物学,神经心理学,心理学,心理社会学,身体健康学和物质滥用领域的建议进行分析.
主要成果:
- 包括82名精神分裂症 (54.9%) 和精神分裂情绪障碍 (30.5%) 的患者.
- 患者表现出不良的社会功能 (SOFAS M=37.0) 和认知缺陷 (RBANS M=74.6).
- 报告指出,伴随疾病 (67.1%),吸烟 (52.4%) 和滥用药物 (25.6%) 的比例很高. 建议包括克洛扎宾 (25.6%),认知补救 (73.2%),心理治疗 (39.0%) 和心理社会支持 (85.4%).
结论:
- 被转移到TRSP的个人存在严重的临床和功能缺陷.
- 协作护理规划有效地将精神药物治疗与心理,心理社会和身体健康干预相结合.
相关概念视频
Psychosis: Goals of Pharmacotherapy
168
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
168
Treatment Strategies for Psychological Disorders
175
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
175
Tertiary Healthcare System
1.8K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
1.8K
Drug Therapy
72
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
72
Community Based Intervention
66
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
66
Psychosis and Antipsychotic Drugs: Overview
335
The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic...
335


