中埃塞克斯精神病早期干预小组早期心理干预诊所的评估

Q4 Psychology
Amy Wright, Morgan Smith, J. Attwood, S. Pennington
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引用次数: 0

摘要

NICE指南指出,经历首次精神病发作的成年人应在转诊两周内接受心理咨询(NICE, 2016)。在中埃塞克斯早期干预精神病小组,客户可以预约多达四次的评估和简短的干预,当第一次被转诊时,并准备好进入早期心理干预诊所(EPIC)。在此之后,如果客户想要或需要,可以转介他们进行进一步的心理干预。本服务评估旨在通过比较CORE-OM (Evans et al., 2009)在EPIC之前和之后的结果测量,以及使用带有开放式问题的结构化访谈收集定性反馈,来评估EPIC会议的有效性。结果显示,45%的患者的临床症状有了显著改善。配对t检验显示,总体临床评分和CORE的所有亚部分在统计学上有显著改善,这表明EPIC会议在改善健康、功能、症状和降低风险方面是有效的。此外,质性反馈显示,完成EPIC的客户往往有良好的体验和心理上的工作动机。服务评估的结果表明,EPIC课程对客户有益,有助于改善整体健康状况,产生临床和统计上显著的结果。客户也表示这是一次有益的经历。因此,EPIC为该服务提供了有利的结果,这表明它应该继续提供给客户。讨论了服务改进的局限性和思路。
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 the Early Psychological Intervention Clinic within the Mid-Essex Early Intervention in Psychosis Team
NICE guidelines state that adults experiencing a first episode of psychosis should access psychological input within two weeks of referral (NICE, 2016). In the Mid-Essex Early Intervention Psychosis Team, clients can book up to four sessions of assessment and brief intervention when first referred and feel ready to access the Early Psychological Intervention Clinic (EPIC). Following this, clients can be referred for further psychological intervention should they want or require this. This service evaluation aimed to evaluate the effectiveness of EPIC sessions by comparing the CORE-OM (Evans et al., 2009) outcome measure pre- and post-EPIC and collecting qualitative feedback using a structured interview with open-ended questions. The results showed clinically significant improvements for 45 per cent of clients. Paired T-Tests revealed statistically significant improvement in the overall clinical score and all subsections of the CORE, suggesting EPIC sessions are effective in improving wellbeing, functioning, symptoms and reducing risk. Furthermore, qualitative feedback showed that clients who completed EPIC tended to have good experiences and be motivated to work psychologically. The results of the service evaluation suggest EPIC sessions are beneficial to clients and help improve overall wellbeing, producing clinically and statistically significant outcomes. Clients also reported them being a helpful experience. Therefore, EPIC provides favourable outcomes to the service which suggests it should continue to be offered to clients. Limitations and ideas for service improvement are discussed.
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来源期刊
Clinical Psychology Forum
Clinical Psychology Forum Psychology-Clinical Psychology
CiteScore
0.30
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