进入计划:扩大协调专科护理超越早期精神病
Jamie Fried1, Hunter L McQuistion1, Jon Marrelli1
1Department of Psychiatry, NYU Grossman School of Medicine, New York, NY, USA.
Community mental health journal
|July 7, 2025
概括
加强治疗和恢复 (EnTRy) 计划显著减少了严重精神疾病 (SMI) 患者的精神病医院住院和急救服务的使用. 与标准护理相比,这种协调专业护理 (CSC) 计划也改善了长期治疗参与度.
科学领域:
- 精神病学和心理健康服务研究研究
- 临床心理学 临床心理学
- 医疗服务管理 医疗服务管理
背景情况:
- 严重的精神疾病 (SMI) 通常需要长期,协调的护理.
- 现有计划可能在诊断,年龄或治疗持续时间方面存在局限性.
- 增强治疗和恢复 (EnTRy) 计划提供协调专业护理 (CSC) 没有这些限制.
研究的目的:
- 评估SMI患者的新型EnTRy计划的质量和临床益处.
- 评估使用药物滥用和心理健康服务管理局 (SAMSHA) 国家结果指标 (NOM) 的康复结果.
- 为了将EnTRy队列的治疗参与与历史标准护理样本进行比较.
主要方法:
- 对EnTRy参与者的基线NOM与6个月和12个月随访数据进行了比较.
- 在30天内评估精神病医院住院和急救服务遭遇.
- 使用生存分析 (Mantel-Cox logrank) 来比较EnTRy和历史队列之间的治疗参与时间.
主要成果:
- 在6个月 (1%对19%) 和12个月 (1%对16%) 的30天精神病医院住院时间显著减少.
- 6个月 (1%对18%) 和12个月 (2%对16%) 的30天精神病急救服务遭遇显著减少.
- 与历史样本相比,EnTRy参与者表现出与护理的参与时间显著长 (logrank危险比2.0,p<0.0001).
结论:
- 该EnTRy计划在减少SMI患者急性精神病治疗利用率方面显示出显著的临床益处.
- 与EnTRy一样,不限年龄和诊断的CSC可能对最近从医院护理中出院的SMI患者特别有效.
- EnTRy模型在保持早期干预计划中过渡的个体的治疗收益方面显示出希望.
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