社区心理健康服务频繁的急诊室用户:对项目客户和案例经理所感知的结果的定性研究
Jonathan Samosh1,2,3,4,5, Ayda Agha1,2,3,4,5, Donna Pettey1,2,3,4,5
1Jonathan Samosh, MSc, is a PhD candidate in Clinical Psychology at the University of Ottawa's School of Psychology and Centre for Research on Educational and Community Services. His research interests include community mental health and homelessness.
Professional case management
|December 1, 2023
概括
社区精神卫生服务将系统导航和密集病例管理结合起来,有效地减少了急诊室的使用量,并改善了客户的福祉. 积极的关系和实践技能是变革的关键机制.
科学领域:
- 心理健康服务研究研究 心理健康服务研究
- 药物成治疗 药物成治疗
- 医疗保健管理的管理
背景情况:
- 患有精神疾病或成的急诊室 (ED) 频繁使用者对医疗保健资源构成重大负担.
- 基于社区的干预措施对于管理复杂的患者需求和减少医院使用量至关重要.
研究的目的:
- 调查社区心理健康服务的感知结果和改变机制.
- 该服务集成的系统导航和密集的病例管理频繁的ED用户与精神疾病或成.
主要方法:
- 定性研究涉及15个项目客户和6个案例经理.
- 通过深入采访和重点小组收集的数据.
- 使用了实用性的定性主题分析.
主要成果:
- 患者报告ED使用量减少,精神疾病症状严重程度降低,生活质量改善.
- 与成相关的结果更为多样化.
- 积极的客户案例经理关系和实践技能发展被确定为变革的关键机制.
结论:
- 社区精神卫生服务,包括密集的病例管理,对于经常使用ED的精神疾病或成者来说是有效的.
- 这些服务可以满足客户的需求,并减少ED资源负担.
- 强调强大的治疗联盟和技能发展对于计划的成功至关重要.
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