对患有严重精神疾病的养老院居民出院的障碍
Charity M Hoffman1, Hannah C Ratliff1, Sarah L Krein2,3,4
1Department of Psychiatry, University of Michigan, Ann Arbor.
JAMA network open
|September 30, 2025
概括
养老院是为患有严重精神疾病 (SMI) 的成年人提供最大的机构环境. 个人,关系和结构层面的障碍阻碍了SMI居民的社区退院,导致不适当的长期停留.
科学领域:
- 老年学是指老年学的学科.
- 精神病学是一个精神病学.
- 医疗保健管理的管理
背景情况:
- 养老院为越来越多的严重精神疾病 (SMI) 的成年人提供服务.
- 这些居民经常长期留在养老院,即使功能障碍较小.
- 对于SMI个体来说,从养老院到社区的排放面临着重大挑战.
研究的目的:
- 识别SMI的养老院居民社区出院的障碍.
- 从前线工作人员和行政领导人的角度了解这些障碍.
主要方法:
- 使用半结构面试对养老院工作人员进行定性研究.
- 通过电话和视频会议在美国各地进行的采访.
- 采访笔记和成绩单的快速定性分析,以确定排放障碍.
主要成果:
- 来自8个养老院的15名工作人员参加了这次活动.
- 在个人 (行为问题,服药),关系 (缺乏家庭支持) 和结构 (保险限制,治疗机会) 层面上发现的障碍.
- 这些交叉的障碍物大大限制了SMI居民的社区排放通道.
结论:
- 多重,相互关联的障碍阻碍了SMI的养老院居民向社区出院.
- 这可能导致临床上不合适的长期护理.
- 需要解决个人,关系和结构因素的协作策略,以促进成功的社区重返社会.
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