开发服务参与的频谱模型,用于第一发精神病:超出了出席范围
M Ferrari1,2, K MacDonald1, J Sabetti1
1Douglas Research Centre, Douglas Mental Health University Institute, Montreal, QC, Canada.
Frontiers in psychiatry
|October 18, 2024
概括
了解服务提供者与用户之间的关系是改善对精神病早期干预服务 (EIS) 的参与的关键. 一个新的模型解释了治疗,症状和沟通等因素如何影响服务用户在EIS中的选择.
科学领域:
- 精神病学是一个精神病学.
- 心理健康服务研究 心理健康服务研究
- 质量健康研究 质量健康研究
背景情况:
- 早期干预服务 (EIS) 对第一次精神病发作是有效的,但面临着不同的保留率.
- 服务用户的退出/参与是一个鲜为人知的,动态的过程.
- 服务提供商和用户之间的互动显著影响了对EIS的参与.
研究的目的:
- 在精神病早期干预中批判性地评估和解释服务提供者-用户关系的动态相互作用.
- 了解影响服务用户参与和脱离EIS的因素.
主要方法:
- 从加拿大EIS计划中对40名参与者 (16名服务提供者,24名服务用户) 进行半结构面试.
- 使用接地理论方法进行定性分析.
- 开发一种新的参与模式的解释模型.
主要成果:
- 开发了一个参与的频谱模型,包括从临床参与到生活参与的八个领域.
- 中间领域包括药物/治疗,症状/疾病,心理健康,身体健康/健康,沟通和关系.
- 每个领域都独特地影响了参与度,突出了用户选择的复杂性.
结论:
- 服务用户和提供者的观点揭示了影响早期干预服务参与的复杂选择.
- 频谱模型领域内的动态相互作用对于理解放弃/参与至关重要.
- 这项研究提供了一个新的模型来解释精神病中的参与动态.
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