危机解决家庭治疗小组的临床影响
S Crowley1,2, S McDonagh1,2, D Carolan2,3
1Department of Psychiatry, Acute Mental Health Unit, Cork University Hospital, Wilton, Cork, Ireland.
Irish journal of psychological medicine
|November 6, 2023
概括
危机解决家庭治疗小组 (CRHTT) 显著减少了住院患者入院率38.5%,并改善了患者的症状. 在急性精神疾病管理和预防住院治疗方面,CRHTT服务显示出前景.
科学领域:
- 心理健康服务研究研究 心理健康服务研究
- 精神病学危机干预干预精神病学危机干预
- 医疗保健管理的管理
背景情况:
- 危机解决家庭治疗小组 (CRHTT) 为住院精神病医疗提供了替代方案.
- 评估CRHTT的有效性对于优化心理健康服务提供至关重要.
- 了解与CRHTT使用相关的患者特征可以为服务开发提供信息.
研究的目的:
- 评估CRHTT对预防住院患者的影响.
- 评估CRHTT对服务用户症状和功能的影响.
- 为了衡量服务用户对CRHTT干预措施的满意度.
主要方法:
- 一项回顾性研究分析了2016年至2020年期间1041名接受CRHTT治疗的服务用户.
- 服务用户完成了简要的精神病评分表 (BPRS) 和国家健康结果表 (HoNOS) 治疗前后.
- 在CRHTT服务区和控制区之间使用双向ANOVA比较了入学率.
主要成果:
- 在拥有CRHTT服务的地区,住院患者入院率下降了38.5%.
- 观察到BPRS (32.01至24.64) 和HoNOS (13.6至9.1) 分数的显著降低 (p < .001).
- 一个高的满意度率 (中位数)
- 非常积极,非常积极,非常积极.
- ) 由17.3%的服务用户报告,他们返回了满意度调查问卷.
结论:
- 在预防住院精神病患者入院方面,CRHTT服务显示出潜在的有效性.
- 对于急性精神疾病和危机情况来说,CRHTT可能是一个可行的治疗选择.
- 需要进一步的研究来充分确定CRHTT的疗效.
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