早期精神体验的查:精神病查在综合护理环境中的可行性
Kristen A Woodberry1, Elizabeth Bernier1, Katherine M Elacqua1
1Center for Clinical and Translational Science, MaineHealth Institute for Research, Portland (Woodberry, Bernier, Elacqua, Weiss); Department of Psychiatry, Tufts University School of Medicine, Boston (Woodberry); Department of Psychology, State University of New York, Binghamton, Binghamton (Elacqua); Behavioral Health Integration, MaineHealth Behavioral Health, Portland (Ouellette); MaineHealth Pediatrics and Young Adult Medicine, South Portland (Fanburg); MaineHealth Mid Coast Hospital, Brunswick (Hagler); MaineHealth Stephens Hospital, Norway, Maine (Herlihy); MaineHealth Primary Care-Family Medicine, MaineHealth Mid Coast Hospital, Brunswick (Hyman); Child Psychiatry, Maine Medical Center, Portland (Jaynes, Yerlig, Mayhew).
在综合护理环境中对早期精神病症状进行查是可行的和可以接受的. 这种模型成功地选了青少年和年轻人的精神病,促进了对护理的参与.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 整合初级保健的整合.
- 精神病 早期干预 早期干预
背景情况:
- 综合护理模式为早期发现心理健康状况提供了机会.
- 精神病通常在青春期和成年早期出现,需要及时查.
- 现有的查协议可能无法针对初级保健机构进行优化.
研究的目的:
- 评估一个模型的可行性和可接受性,用于选早期出现的心理经历 (精神病).
- 评估精神病查,分类和参与综合初级和精神卫生保健机构的实施情况.
- 确定选择性和普遍查方法对年轻人群中精神病的有用性.
主要方法:
- 在四个综合护理实践中实施了精神病查,分拣和参与模式.
- 训练有素的行为健康临床医生 (BHC) 和初级保健提供者 (PCP) 在精神病查协议上.
- 对转诊患者进行选择性查,对14至26岁患者在井检期间进行普遍查.
主要成果:
- BHC (100%) 和PCP (79%) 的培训出席率很高.
- 通过选择性查成功查了266名患者,通过通用查成功查了606名患者.
- 查活动在很大程度上是在可计费时间内完成的,有11%的查患者参与了与精神病相关的讨论.
结论:
- 在综合护理环境中,对精神病症状进行系统的评估,分类和参与是可行的.
- 查模型在患者和医疗保健提供者之间都表现出了可接受性.
- 综合护理为早期精神病检测和干预提供了一个可行的平台.
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