实行基于测量的护理:对将常规客户反纳入早期精神病协调专业护理计划的好处进行多方法研究
Piper Meyer-Kalos1, Grace Owens2, Melissa Fisher2
1Department of Psychiatry & Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN, USA. psmeyer@umn.edu.
BMC psychiatry
|December 2, 2024
概括
在早期精神病治疗中,个性化反报告改善了共享决策和治疗参与度. 这种基于测量的护理方法验证了患者和临床医生的经验,增强了以康复为导向的治疗.
科学领域:
- 心理健康 心理健康
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 基于测量的护理 (MBC) 通过反循环增强基于证据的实践 (EBP).
- 很少有研究在以团队为基础的早期精神病护理中探索了MBC.
- 这项研究开发了一份针对MBC在早期精神病治疗中的个性化反报告.
研究的目的:
- 评估早期精神病协调专科护理 (CSC) 计划中个性化反报告的实施情况.
- 将收到反报告的客户的结果与通常的治疗 (TAU) 进行比较.
- 用反报告来探索客户和临床医生的经验.
主要方法:
- 一种多方法方法评估了5个CSC计划中的个性化反报告.
- 在6个月内,我们比较了58个收到反报告的客户和146个TAU客户.
- 使用了定量测量 (症状,治疗完成,共享决策) 和定性访谈.
主要成果:
- 反报告组在共享决策和治疗完成意图方面表现出显著的改善.
- 该小组还增加了对支持就业和教育 (SEE),案件管理和同行支持的参与.
- 定性数据表明,这些报告对患者和临床医生来说都是有价值和验证的.
结论:
- 将个性化的反报告整合到早期精神病护理中,显示出有希望的结果.
- 这种MBC方法可以增强共享决策,治疗坚持和心理社会干预出席率.
- 该过程支持以康复为导向的护理,动机和治疗联盟.
相关概念视频
01:26Psychosis: Goals of Pharmacotherapy
103
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
103
01:30Community Based Intervention
33
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
33
01:24Treatment Strategies for Psychological Disorders
93
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
93
01:30Specialized Care Centers and Settings-II
711
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
711
01:21Interdisciplinary Care: The Health Care Team-I
1.6K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
1.6K
01:18Interdisciplinary Care: The Health Care Team-II
1.4K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
1.4K