乌克兰社区心理健康小组建立阶段的临床和功能结果:描述性分析
Alisa Ladyk-Bryzghalova1, Charles Zemp2, Marjolaine Rivest-Beauregard3,4
1WHO Country Office in Ukraine, Kyiv, Ukraine.
The Lancet regional health. Europe
|September 22, 2025
概括
乌克兰 乌克兰 乌克兰 乌克兰
科学领域:
- 心理健康服务研究 心理健康服务研究
- 全球心理健康全球心理健康
- 精神病学流行病学 精神病学流行病学
背景情况:
- 乌克兰的社区心理健康团队 (CMHTs) 计划是国家心理健康改革的核心.
- 没有先前的研究评估了乌克兰CMHT对服务用户的临床恢复影响.
- 本研究通过检查CMHT招生,服务和结果来解决这一差距.
研究的目的:
- 描述乌克兰CMHT注册的个人的人口统计资料和服务利用情况.
- 在六次CMHT访问后,评估服务用户的临床和功能改善.
- 确定CMHT服务用户中临床和功能恢复的预测因素.
主要方法:
- 利用了2021年4月至12月期间注册的947名CMHT服务用户的数据.
- 用临床全球改善量表 (CGI) 评估临床结果,用WHODAS 2.0.0评估功能结果.
- 采用了奇平方,威尔科克森签名等级测试和等级回归分析来评估变化并识别预测因素.
主要成果:
- 大多数使用者是男性,失业,并被诊断患有精神分裂症谱系障碍.
- 在大多数使用者中,残疾分数显著降低 (中位数:62.50至58.33),疾病严重程度稳定或改善.
- 临床稳定性的预测因素包括男性性别和接近CMHTs;与药物支持和非冲突地区相关的改善.
结论:
- 乌克兰CMHT的注册显示了服务用户的积极结果.
- 功能性改进与特定的服务提供和地理因素有关.
- 为未来的研究和CMHT程序增强提供了建议.
相关概念视频
Community Based Intervention
278
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...
278
Methods of Documentation VI: Case Management Model
861
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
861
Nursing Evaluation
4.2K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
4.2K
Elements Crucial for Effective Psychotherapy
336
Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
336
Specialized Care Centers and Settings-I
1.4K
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
1.4K
Psychological and Sociocultural Causes of Schizophrenia
481
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
481


