De Clercq M, Dubois V
Crisis Unit of the Saint-Luc Clinics, Catholic Univeristy of Louvain, Brussels, Belgium.
Crisis. 2001;22(1):32-8. doi: 10.1027//0227-5910.22.1.32.
The article presents the crisis intervention model devised by Andreoli (Geneva) which is currently being developed in most crisis units and emergency services in the French-speaking countries of Europe. Two clinical examples are presented: the Short Therapy Centre (Geneva, Switzerland) and the crisis unit of the Saint-Luc Clinic (Brussels, Belgium). The following aspects of these approaches are discussed: (a) the need for crisis intervention rather than a simple answer to emergency, (b) the need for crisis intervention in all acute psychiatric disorders and not only in psychosocial problems, (c) the need to integrate psychiatric hospitalization into a coherent mental health policy, (d) the need for well-trained and round-the-clock teams, (e) the need for continuity of care.
本文介绍了由安德烈奥利(日内瓦)设计的危机干预模式,目前该模式正在欧洲法语国家的大多数危机处理部门和急救服务机构中得到应用。文中给出了两个临床实例:短期治疗中心(瑞士日内瓦)和圣吕克诊所的危机处理部门(比利时布鲁塞尔)。讨论了这些方法的以下几个方面:(a)危机干预的必要性,而非仅仅简单应对紧急情况;(b)在所有急性精神障碍中进行危机干预的必要性,而不仅仅局限于社会心理问题;(c)将精神科住院治疗纳入连贯的心理健康政策的必要性;(d)需要训练有素且全天候待命的团队;(e)持续护理的必要性。