Alisa K Lincoln, Atsushi Matsumoto, Kelsey A Johnson, Michelle Friedman-Yakoobian, Margaret Guyer-Deason
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引用次数: 0
摘要
获得解决早期精神病问题的循证计划是一个重大的公共健康问题。作者介绍了马萨诸塞州早期精神病战略计划(Massachusetts Strategic Plan for Early Psychosis)的制定过程,该计划由社区参与、数据驱动,旨在确定可操作的优先事项,以建立一个预防和护理系统,满足精神病患者及其照顾者的需求。我们采用了一种多阶段、混合方法来收集早期精神病患者及其照顾者的知识,包括与不同利益相关者举行两次座谈会。我们确定了六个总体目标,每个目标都有可能的行动步骤和减少耻辱感的策略:联系和支持经历过精神病的个人及其家庭,通过社区教育促进精神病的早期识别和干预,为关键社区成员提供专门支持,为医疗和行为健康护理专业人员提供专门支持,支持专门治疗团队提供循证护理,以及开发全州范围的精神病服务系统。马萨诸塞州精神病全州战略计划的下一步工作和实施将需要一种人口健康方法,通过跨部门和多部门战略让社区参与进来。
Developing a Statewide Strategic Plan for Prevention, Early Identification, and Treatment of Psychosis.
Access to evidence-based programs that address early psychosis is a substantial public health concern. The authors describe the community-engaged, data-driven process that informed the development of the Massachusetts Strategic Plan for Early Psychosis, an effort to identify actionable priorities to build a system of prevention and care that responds to the needs of individuals who experience psychosis and their caregivers. A multiphase, mixed-methods approach was used to gather knowledge from young adults experiencing early psychosis and their caregivers, including two symposia with diverse stakeholders. Six overarching goals were identified, each with possible action steps and stigma reduction strategies: connecting and supporting individuals who experience psychosis and their families, promoting early identification of and intervention for psychosis through community education, providing specialized support to key community members, providing specialized support to medical and behavioral health care professionals, supporting specialized treatment teams in the delivery of evidence-based care, and developing a statewide system of psychosis services. Next steps for and operationalization of the statewide strategic plan for psychosis in Massachusetts will require a population health approach that engages the community through intersectoral and multisectoral strategies.
期刊介绍:
Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.