开发一个简短的干预紧急部门的与会者提出自我伤害和同时发生的物质使用问题
Prianka Padmanathan1,2, Rachel Cohen1,3, David Gunnell4
1Population Health Sciences, Bristol Medical School, University of Bristol, England, UK.
Crisis
|November 17, 2023
概括
开发了一种新的简短的心理社会干预,用于自我伤害和物质使用问题的人. 这种干预包括每周打电话来解决问题,并将患者与社区服务联系起来.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
背景情况:
- 到急诊室报到自伤和同时出现物质使用障碍的人面临着获得有效护理的重大障碍.
- 这种人群经常经历复杂的需求,需要综合治疗方法.
- 及时和适当的干预对于改善结果和减少反复的自我伤害和物质滥用至关重要.
研究的目的:
- 为那些同时出现自我伤害和物质使用问题的人制定简短的心理社会干预措施.
- 在关键利益关方之间就此干预的核心组成部分达成共识.
- 创建一个适合未来随机对照试验评估的干预措施.
主要方法:
- 采用了经过修改的Delphi方法,涉及3轮在线调查.
- 两个专家小组,包括有生活经验 (PWLE) 和职业经验 (PWOE) 的个人,参与了会议.
- 共识被定义为双方小组的80%或更高的合并协议率,由文献审查和利益相关者讨论提供信息.
主要成果:
- 专家们就干预的22个基本组成部分达成共识.
- 最终完成的干预包括每周进行长达一个月的随访电话.
- 联络精神病学从业人员将提供干预,解决自我伤害和物质使用问题,并促进社区资源的获取.
结论:
- 这项研究成功地确定并同意了简短的心理社会干预的关键要素,用于同时出现自我伤害和物质使用问题的个人.
- 开发的干预措施旨在进行可行性测试和潜在的未来在临床环境中实施.
- 这项工作代表了为一个脆弱的患者群体提供可访问和有效的护理的重要一步.
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