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首发精神病的治疗途径

Pathways to care in first episode psychosis.

作者信息

Etheridge K, Yarrow L, Peet M

机构信息

Rotherham Mental Health Services, and Rotherham Service User Monitoring Team, UK.

出版信息

J Psychiatr Ment Health Nurs. 2004 Apr;11(2):125-8. doi: 10.1111/j.1365-2850.2003.00673.x.

DOI:10.1111/j.1365-2850.2003.00673.x
PMID:15009486
Abstract

In order to inform the development of appropriate local services for early intervention in psychosis, a survey was conducted of the experiences of service users and their carers at the time when signs of psychosis were first noted. Eighteen service users and 12 carers were surveyed by questionnaire and interview. Both service users and carers recognized early signs of psychosis, but were often frustrated in their attempts to find help, particularly by lack of knowledge of whom to approach and unhelpful responses from professionals. The consistent themes that emerged included the young age of onset (mean age 17.2 years), poor recognition and lack of appropriate treatment at an early stage in primary care, delay in treatment because of associated substance misuse, and the inappropriateness of admission to a general adult psychiatric ward. This survey has given a local context to findings from national and international research studies. This will enable us to set up a local service which is responsive to the views and needs of service users and carers in Rotherham.

摘要

为了为早期干预精神病制定合适的当地服务,在首次发现精神病迹象时,对服务使用者及其照顾者的经历进行了一项调查。通过问卷调查和访谈对18名服务使用者和12名照顾者进行了调查。服务使用者和照顾者都认识到精神病的早期迹象,但在寻求帮助时往往感到沮丧,尤其是因为不知道该找谁以及专业人员的回应没有帮助。出现的一致主题包括发病年龄小(平均年龄17.2岁)、初级保健早期识别不佳和缺乏适当治疗、因相关物质滥用导致治疗延迟以及入住普通成人精神科病房不合适。这项调查为国家和国际研究的结果提供了当地背景。这将使我们能够建立一项能回应罗瑟勒姆服务使用者和照顾者的意见和需求的当地服务。

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