Kannan Kallapiran, Leanne Payne, Linda Leatherbarrow, Judith Piccone, Meenakshi Sundaram Shanmugam, Stephen Stathis
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Evaluation of a rapid response, brief, multi-disciplinary team (MDT) intervention, for young people who presented to hospitals with acute mental health concerns.
BackgroundDuring COVID-19 pandemic, the Assertive Community Service Response Team (ASCR team) was set up in Brisbane, Australia to provide a rapid response, 8-week MDT intervention to young people (aged 18 and below) who presented with acute mental health issues.MethodsData involving young people who attended the ACSR team (from June 2021-June 2022) was analysed to evaluate the differences in pre- and post-clinician-rated outcome measures. The proportion of young people who experienced Reliable Change (defined as 1.96 Reliable Change Index (RCI); RCI = x2-x1/Standard deviation) was estimated, and predictive factors were explored.ResultsAmong the 79 consumers who attended ACSR, there were statistically significant improvements in symptom, functioning, and risk scores. More than 30% and 40% experienced reliable changes in symptomatology and functioning, respectively. Despite improvement, nearly 80% experienced ongoing emotional difficulties, and 60% reported family relationship difficulties.ConclusionWhile the ACSR brief MDT intervention was feasible and acceptable for young people with acute mental health concerns and a significant proportion experienced meaningful clinical improvement, future studies with control designs should explore if the improvements could be attributed to the brief intervention.
期刊介绍:
Australasian Psychiatry is the bi-monthly journal of The Royal Australian and New Zealand College of Psychiatrists (RANZCP) that aims to promote the art of psychiatry and its maintenance of excellence in practice. The journal is peer-reviewed and accepts submissions, presented as original research; reviews; descriptions of innovative services; comments on policy, history, politics, economics, training, ethics and the Arts as they relate to mental health and mental health services; statements of opinion and letters. Book reviews are commissioned by the editor. A section of the journal provides information on RANZCP business and related matters.