麦迪逊到马尼帕尔:对修改的自信社区治疗计划进行叙事审查
Praveen Arahanthabailu1, Samir Kumar Praharaj1, Abhiram N Purohith1
1Department of Psychiatry, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.
Asian journal of psychiatry
|August 25, 2023
概括
修改后的强烈社区治疗 (ACT) 计划在全球范围内表现出不同的有效性. 然而,低收入和中等收入国家的适应措施在减少住院治疗和改善严重精神障碍的坚持方面显示出希望.
科学领域:
- 精神病学是一个精神病学.
- 心理健康服务研究 心理健康服务研究
- 全球健康 全球健康
背景情况:
- 坚定的社区治疗 (ACT) 是一种针对严重精神疾病的多学科方法.
- 在全球范围内,ACT课程适应了患者与工作人员的比例,服务提供和接触频率的变化.
研究的目的:
- 审查关于修改严重精神障碍的ACT程序的文献.
- 评估这些修改ACT方法的有效性.
主要方法:
- 在多个数据库中搜索了关于修改ACT方法的研究.
- 采用快速评估方法,专注于英语文章.
- 评估研究质量和ACT可信度,如有.
主要成果:
- 审查了关于修改ACT的23份报告 (10项RCT,13项非控制) .
- 修改包括患者与工作人员的比例,团队组成,服务时间和干预措施.
- 在低收入/中等收入国家的修改ACT减少了住院治疗和改善了遵守,与高收入国家不一致的结果不同.
结论:
- ACT计划的修改旨在适应特定的子群体,资源和环境.
- 修改ACT的结果是异质的.
- 来自低收入和中等收入国家的研究结果表明,修改ACT的结果很有希望.
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