解决住宅设施的挑战:促进人权和恢复,同时追求功能自主
Alessandra Martinelli1, Elisa Dal Corso2, Tecla Pozzan3
1IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli Brescia Italy.
Psychiatric research and clinical practice
|March 21, 2024
概括
意大利的住宿设施 (RFs) 促进严重精神障碍的人权. 虽然在人权方面表现出色,但俄罗斯联邦仍在努力以恢复为导向的做法和个性化干预措施.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 精神科康复 精神科康复
- 医疗保健中的人权.
背景情况:
- 意大利的住宿设施 (RF) 对患有严重精神障碍的人来说至关重要,旨在维护人权并促进康复.
- 根据强度和支持水平,RF被分为五种类型:RF1 (高强度康复),RF2 (中等强度康复),RF3.1 (中等级支持),RF3.2 (高级支持) 和RF3.3 (低级支持).
研究的目的:
- 评估意大利住宅设施 (RF) 在增强功能自主性的有效性.
- 评估RF与人权原则以及严重精神障碍患者的康复目标的协调程度.
主要方法:
- 采用了一项具有横截面设计的试点研究.
- 收集的数据包括社会人口统计数据,临床信息,患者和工作人员对功能自主性的评估,干预类型以及各个领域的射频表现.
- 进行了描述性和推断性的统计分析.
主要成果:
- 共有12名RF和113名患者参与,在RF类型中显示功能自主性和人口统计学方面的显著差异.
- RF3.3用户表现出最高的功能自主性,特别是在自我护理方面,而RF1患者是年龄最大的,自主性最低的.
- 设施在"人权"和"社会界面"方面表现良好,但在"基于恢复的实践"方面表现弱,RF1得分最低,RF3.3最高.
结论:
- 意大利的RF通常坚持他们的使命和人权标准.
- 在个性化干预和在RF环境中全面实施以恢复为导向的做法方面,仍然存在挑战.
- 需要进一步努力,以加强重点治愈的护理和重症精神障碍者住院设施的个性化支持.
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