一项针对精神疾病和无家可归的成年人社区住宿和心理社会支持计划的非随机对照试验
Melissa Savaglio1, Ash Vincent2, Nicholas Merklin2
1Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
The Australian and New Zealand journal of psychiatry
|August 17, 2024
概括
选择计划显著改善了心理社会功能,并减少了精神疾病和无家可归的成年人的住院再接收. 这种密集支持模式在提高放学后的福祉和康复方面表现出有效性.
科学领域:
- 心理健康服务 心理健康服务
- 社会工作 社会工作 社会工作
- 公共卫生 公共卫生
背景情况:
- 从住院心理健康护理过渡对于患有精神疾病和无家可归的成年人来说至关重要.
- 在这种过渡期间提供有效支持的证据不一致.
- 选择计划提供了密集的心理社会外展和危机住宿.
研究的目的:
- 评估"选择"计划的有效性.
- 为了比较心理社会功能,症状学和再录取与标准护理.
- 评估干预的长期结果.
主要方法:
- 精神疾病和无家可归的成年人 (18-64岁) 被招募为精神病医院后入院.
- 干预组 (n=124) 接受了选择;对照组 (n=122) 接受了标准护理.
- 测量结果:心理社会功能,症状,再接收率/停留时间;在基线,3个月和干预后3个月评估.
主要成果:
- 选择参与者在社会和整体心理社会功能方面表现出显著改善.
- 在干预组中观察到抑郁和焦虑症状的减少.
- 与对照组相比,选择组参与者的住院再接收时间较短.
结论:
- 选择计划有效地提高了与精神疾病和无家可归同时发生的成年人的心理社会功能.
- 调查结果支持继续使用这种密集,综合支持模型.
- 结合住宿和心理社会方法,有助于康复和福祉.
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