对严重精神疾病成年人心理社会外展支持计划的受控评估
Melissa Savaglio1, Ash Vincent2, Marianne Bentley2
1Monash University School of Public Health and Preventive Medicine Health and Social Care Unit MelbourneVictoria Australia Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
概括
基金会计划改善了严重精神疾病 (SMI) 的成年人的心理社会功能. 虽然它没有减少医院再入院,但它显著缩短了住院时间,突出了社区支持的价值.
科学领域:
- 精神病学是一个精神病学.
- 社区心理健康社区精神健康
- 公共卫生 公共卫生
背景情况:
- 严重精神疾病 (SMI) 是全球残疾的主要原因之一.
- 澳大利亚SMI社区心理社会计划的证据有限.
- 基金会的项目提供长期的基于社区的心理社会外展支持.
研究的目的:
- 评估基金会计划在SMI成人的心理社会功能,临床症状和医院再入院方面的有效性.
- 为了比较接受基金会计划加标准护理的参与者和仅接受标准护理的参与者之间的结果.
- 评估计划在关闭后六个月的长期影响.
主要方法:
- 采用了纵向非随机对照试验设计.
- 招募了经历SMI的18-64岁的参与者.
- 数据在多个时间点收集,并使用线性混合建模进行分析.
主要成果:
- 与对照组相比,干预参与者表现出明显改善的心理社会功能.
- 在临床心理健康症状学或整体医院再入院率方面没有发现显著差异.
- 对干预参与者来说,观察到医院再入院停留时间的显著减少.
结论:
- 基于社区的,以康复为导向的心理社会推广支持补充了SMI成年人的临床护理.
- 基金会的计划证明了提高心理社会福祉的价值.
- 综合护理模式对于改善严重精神疾病的结果至关重要.
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