为患有严重精神疾病的年轻成年人提供综合初级和社区精神健康护理：项目评估。

IF 2.1 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry Pub Date : 2024-07-30 DOI:10.1111/eip.13601

Gillian L. Sowden, Joelle C. Ferron, Sarah I. Pratt, Kerri R. Swenson, Julianne Carbin, Minda A. Gowarty, Alisa G. Tvorun Dunn, Todd A. MacKenzie, Mary F. Brunette

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引用次数: 0

摘要

目的：患有严重精神疾病（SMI）的年轻成年人身体健康状况较差，急诊室（ED）和医院使用率较高。将初级保健与社区精神卫生保健相结合可能是一种重要的早期干预方式：方法：对 83 名接受综合治疗的 SMI 年轻成人进行调整后的多变量回归，评估他们自我报告的年度初级保健、急诊室和医院使用率的变化：结果：参与者每人每年的平均使用率发生了如下显著变化：初级保健就诊次数从 1.8 次增加到 3.6 次，p 结论：接受综合护理的年轻 SMI 患者的年平均使用率发生了显著变化：接受综合护理的 SMI 年轻成人增加了初级保健，减少了急诊室和住院病人的使用。未来有必要开展对照研究，进一步评估针对患有 SMI 的年轻成年人的综合护理。

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Integrated primary and community mental health care for young adults with serious mental illness: A program evaluation

Aim

Young adults with serious mental illness (SMI) have poor physical health and high Emergency Department (ED) and hospital utilization. Integrating primary care into community mental health care may be an important form of early intervention.

Methods

Adjusted multivariable regressions assessed changes in self-reported annual primary care, ED and hospital utilization for 83 young adults with SMI enrolled in integrated care.

Results

Participants' mean annual per person utilization changed significantly as follows: primary care visits, from 1.8 to 3.6, p < .001; medical ED visits, from 1.0 to 0.6, p < .01; psychiatric ED visits from 0.6 to 0.2, p < .001; medical inpatient days, from 1.2 to 0.1, p < .001 and psychiatric inpatient days, from 6.3 to 2.6, p < .001.

Conclusions

Young adults with SMI receiving integrated care increased primary care and reduced ED and inpatient utilization. Future controlled research is warranted to further assess integrated care for young adults with SMI.

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来源期刊

Early Intervention in Psychiatry 医学-精神病学

CiteScore

4.80

自引率

5.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.