在国家早期精神病干预计划网络中,释放的原因
Peter L Phalen1, William R Smith2, Nev Jones3
1Department of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Schizophrenia bulletin
|July 20, 2024
概括
早期精神病干预计划的完成程度有很大的不同. 年龄,症状严重程度和保险等因素影响结果,而脱离仍然是所有计划中的一个挑战.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 早期精神病干预 (EPI) 的出院是治疗的关键时刻.
- 了解出院原因对于优化患者护理和计划有效性至关重要.
- 早期精神病干预网络 (EPINET) 包括100多个美国项目在8个学术中心.
研究的目的:
- 描述EPI计划的参与者中核准的原因.
- 为了确定不同类型的排放的人口,临床和功能预测因素.
- 探索排放结果的程序和枢纽级别变化.
主要方法:
- 分析了EPINET网络内的EPI程序中的1787次排放.
- 专注于程序完成,客户/家庭发起的终止和丢失的联系.
- 多层次的物流回归用于识别放电原因和可变性的预测因素.
主要成果:
- 据估计,20%-30%的参与者完成了EPI课程.
- 与年龄较大,消极症状较少,更多的教育/就业/培训和私人保险相关的更高的完成率.
- 项目更有可能与男性,黑人和没有保险的参与者失去联系.
- 排放结果在计划层面的显著变化和完成率在枢纽层面的变化.
- 种族在各个项目中不同地影响了课程完成.
结论:
- 由于社会文化因素的影响,EPI的退学发生了各种原因.
- 客户脱离是影响所有参与中心的一个普遍问题.
- 需要量身定制的干预措施和计划调整,以提高保留和完成率.
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