Pisinee Dangwung, Katherine Golden, Ashley Webb, Megan Fredrick, David L Roberts
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引用次数: 0
摘要
传统形式的精神危机治疗越来越多地得到精神危机持续护理服务的支持,如短期危机稳定服务和同伴危机服务。UT健康起居室(LR)是一种门诊危机咨询服务,它为危机持续护理增添了三个有前景的元素:(1)它将门诊治疗计划整合到危机咨询中;(2)在患者熟悉的空间和工作人员提供护理;(3)提供循证危机干预培训。我们研究了为期两年的 LR 可行性和结果数据。混合方法分析使用了纵向诊所数据和患者自我报告测量。结果初步证明了 LR 的可行性、成本效益和临床效果。不足之处包括非盲法评级、有限的实验控制和简单的成本效益方法。UT起居室是可行的,并为帮助社区诊所的患者解决情感危机提供了新的元素。
The UT Health Living Room: Expanding the Psychiatric Crisis Continuum of Care.
Traditional forms of psychiatric crisis treatment increasingly are being buttressed by services along the Psychiatric Crisis Continuum of Care, such as short-term crisis stabilization services and peer crisis services. The UT Health Living Room (LR) is an outpatient crisis counseling service that adds three promising elements to the Continuum: (1) it integrates outpatient treatment plans into crisis counseling, (2) provides care in a space and with staff who are familiar to patients, and (3) provides training in evidence-based crisis intervention. We examined two-year LR feasibility and outcome data. Mixed-method analyses used longitudinal clinic data and patient self-report measures. Results provide initial support for the feasibility, cost effectiveness and clinical effectiveness of the LR. Limitations include non-blinded ratings, limited experimental control, and simple cost-effectiveness methodology. The UT Living Room is feasible and offers novel elements to help patients in community clinics address emotional crises.
期刊介绍:
Community Mental Health Journal focuses on the needs of people experiencing serious forms of psychological distress, as well as the structures established to address those needs. Areas of particular interest include critical examination of current paradigms of diagnosis and treatment, socio-structural determinants of mental health, social hierarchies within the public mental health systems, and the intersection of public mental health programs and social/racial justice and health equity. While this is the journal of the American Association for Community Psychiatry, we welcome manuscripts reflecting research from a range of disciplines on recovery-oriented services, public health policy, clinical delivery systems, advocacy, and emerging and innovative practices.