Sowers Wesley E, Rohland Barbara
University of Pittsburgh Medical Center, 304 Wood Street, Fifth Floor, Pittsburgh, PA 15222, USA.
Psychiatr Serv. 2004 Nov;55(11):1271-5. doi: 10.1176/appi.ps.55.11.1271.
Continuous engagement in treatment and recovery services is one of the most important aspects of addressing acute episodes of severe behavioral health problems and the ongoing disabilities associated with them. Traditionally, fragmentation in systems of care has been common, and the transition from one provider, location, or intensity of service to another has not been prioritized in treatment planning. The authors describe a set of guidelines for maintaining continuity of care that was developed by the American Association of Community Psychiatrists. These guidelines embrace a progressive conceptualization of an integrated service system. For each element of the guidelines, a sample outcome indicator is presented that could be used to measure implementation. These guidelines can be used to help form transition plans, quality improvement initiatives, and program evaluations.
持续参与治疗和康复服务是应对严重行为健康问题的急性发作以及与之相关的持续性残疾的最重要方面之一。传统上，护理系统的碎片化很常见，并且在治疗计划中，从一个提供者、地点或服务强度过渡到另一个提供者、地点或服务强度并未得到优先考虑。作者描述了由美国社区精神科医生协会制定的一套保持护理连续性的指南。这些指南包含了对综合服务系统的渐进式概念化。对于指南的每个要素，都给出了一个可用于衡量实施情况的样本结果指标。这些指南可用于帮助制定过渡计划、质量改进举措和项目评估。
