在急性精神卫生部门最大限度地提高关系能力,尽量减少限制性做法:降级评估的安全步骤
Esario I V Daguman1, Jacqui Yoxall2, Richard Lakeman2
1Faculty of Health, Southern Cross University, Coffs Harbour, NSW, Australia.
Frontiers in psychiatry
|November 24, 2025
概括
结构化的治疗反应,如降级干预的安全步骤,可以减少心理健康部门的限制性做法. 这项研究提供了证据表明,降级策略可以尽量减少胁迫,而不会用一种形式替代另一种形式.
科学领域:
- 心理健康护理 心理健康护理
- 临床心理学 临床心理学
- 改善医疗保健 改善医疗保健
背景情况:
- 建议降低局势升级,以减少急性心理健康环境中的限制性做法.
- 有效实施缓和局势升级的高质量证据有限.
- "降级干预的安全步骤"是为了弥补这一差距而制定的.
研究的目的:
- 评估"降级安全步骤"干预措施对限制性做法的影响.
- 为结构化治疗反应产生经验支持,以减少隔离,身体限制和其他限制措施.
- 确定有效的降级组件和补充策略.
主要方法:
- 一个务实的,复杂度知情的混合并发控制研究.
- 参与了澳大利亚新南威尔士州的三个成年住院病房 (2023年3月至2025年4月).
- 利用混合效应模型来分析限制性实践事件和对降级策略的集群分析.
主要成果:
- 实施地点显示,总限制性做法事件发生率明显较低 (IRR = 0.65).
- 在实施地点观察到更低的隔离和按需要的肌肉内精神药物发病率比率.
- 确定了两个缓解升级反应群,但它们与结果的关联是微不足道的.
结论:
- 实施的结构化治疗响应,支持尽量减少限制性做法.
- 干预并没有导致一种形式的胁迫被另一种形式取代.
- 进一步的研究可能会探索优化降级策略及其组件.
更多相关视频
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
7.5K
08:05A Prediction Error-driven Retrieval Procedure for Destabilizing and Rewriting Maladaptive Reward Memories in Hazardous Drinkers
Published on: January 5, 2018
10.1K
相关概念视频
01:30Community Based Intervention
262
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...
262
01:30Ethical Dilemmas II
2.2K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.2K
01:30Specialized 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
01:28Drug Therapy
235
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
235
01:24Treatment Strategies for Psychological Disorders
672
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...
672
01:08Obedience
35.2K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
35.2K