危机服务青少年强化社区治疗服务的服务评估和治疗途径:我们能学到什么?

Ana Pascual-Sanchez, Nidhita Singh, Clara Lee, Paulina Smoter, Amabel Dessain, Toby Zundel, Emma Baker, Dennis Ougrin
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引用次数: 0

摘要

背景:强化社区治疗服务正在成为住院和/或支持出院的替代方案。这项服务评估旨在评估治疗途径和与治疗持续时间和一般功能相关的因素。方法:利用2016年至2023年定期收集的社区强化治疗服务数据进行服务评估。结果:141名12 ~ 17岁青少年接受了8年的社区强化治疗。平均治疗时间为29.2周,明显长于最初提出的12周途径。那些治疗时间明显更长的人似乎表现出更复杂的心理健康需求。缺乏教育、属于少数民族或参与较多服务与较长的治疗时间显著相关(p < 0.05)。结论:社区重症监护需要较长的治疗路径,建议采用24周的治疗路径。在治疗过程中,一般功能也有所改善,89.4%的人出院回到当地社区团队。多种专家服务的参与和特定诊断(如自闭症)的存在值得考虑。未来的评估将阐明更有针对性的治疗途径是否更有效和高效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Service evaluation and treatment pathways in an intensive community treatment service for adolescents in crisis services: What can we learn?

Background: Intensive community treatment services are emerging as an alternative to admission and/or to support discharge from hospital. This service evaluation aims to assess treatment pathways and factors associated with treatment duration and general functioning. Methods: A service evaluation using routinely collected data from an intensive community treatment service between 2016 and 2023 was performed. Results: 141 adolescents aged 12 to 17 received intensive community treatment over 8 years. The average treatment duration was 29.2 weeks, significantly longer than the initial 12-week pathway proposed. Those treated for significantly longer seemed to present with more complex mental health needs. Lack of education provision, being part of an ethnic minority or having a higher number of services involved were significantly associated with higher treatment duration (p < .05). Conclusion: Results suggest that a longer treatment pathway might be necessary in intensive community care, so a 24-week treatment pathway was proposed. General functioning also improved over the course of treatment, and 89.4% were discharged back to their local community teams. The involvement of multiple specialist services and the presence of specific diagnoses (e.g., autism) deserve consideration. Future evaluations will clarify if more targeted treatment pathways are more effective and efficient.

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