对因严重精神健康问题到医院就诊的年轻人进行快速反应、简短、多学科小组(MDT)干预的评估。

IF 1.2 4区 医学 Q4 PSYCHIATRY
Kannan Kallapiran, Leanne Payne, Linda Leatherbarrow, Judith Piccone, Meenakshi Sundaram Shanmugam, Stephen Stathis
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引用次数: 0

摘要

背景在2019冠状病毒病大流行期间,在澳大利亚布里斯班成立了自信社区服务响应小组(ASCR小组),为出现严重心理健康问题的年轻人(18岁及以下)提供快速响应,为期8周的MDT干预。方法分析参与ACSR团队的年轻人的数据(从2021年6月到2022年6月),以评估临床前和临床后评估结果测量的差异。经历可靠变化的年轻人比例(定义为1.96可靠变化指数(RCI);估计RCI = x2-x1/标准差),并探讨预测因素。结果在79名参加ACSR的消费者中,在症状、功能和风险评分方面有统计学上显著的改善。超过30%和40%的患者分别经历了症状和功能的可靠改变。尽管有所改善,但近80%的人经历了持续的情感困难,60%的人报告了家庭关系困难。结论虽然ACSR短期MDT干预对于有急性心理健康问题的年轻人是可行和可接受的,并且有很大比例的人经历了有意义的临床改善,但未来的对照设计研究应该探讨这些改善是否可以归因于短暂的干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.

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来源期刊
Australasian Psychiatry
Australasian Psychiatry 医学-精神病学
CiteScore
2.80
自引率
5.60%
发文量
159
审稿时长
6-12 weeks
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.
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