Hanson Laura A, Grypma Martha, Tee Karen A, MacEwan G William
Fraser South Early Psychosis Intervention Program, British Columbia, Canada.
J Eval Clin Pract. 2006 Feb;12(1):112-9. doi: 10.1111/j.1365-2753.2005.00627.x.
To implement a carepath for early psychosis across all community mental health centres through the Early Psychosis Intervention Programme in the Fraser South Area of British Columbia, Canada.
Prior to developing the carepath, chart reviews and interviews were performed to assess for adherence to published guidelines for early psychosis intervention. This assessment revealed the inadequacies of narrative recording and that core psychosocial interventions were inconsistently provided. The carepath developed included prompts for interventions and standardized assessments and ultimately replaced the charting system used in the mental health centres for early psychosis clients.
One-year evaluation revealed some improvements in clinical practice but also identified other areas that require further improvement. This project demonstrated that it is possible to successfully implement a carepath in community mental health and that doing so provides a standardized method for ongoing improvements in care.
通过加拿大不列颠哥伦比亚省弗雷泽南区的早期精神病干预项目，在所有社区心理健康中心实施早期精神病护理路径。
在制定护理路径之前，进行了病历审查和访谈，以评估对已发表的早期精神病干预指南的遵循情况。该评估揭示了叙事记录的不足之处，以及核心心理社会干预措施的提供不一致。制定的护理路径包括干预提示和标准化评估，最终取代了心理健康中心用于早期精神病患者的病历系统。
一年的评估显示临床实践有了一些改进，但也发现了其他需要进一步改进的领域。该项目表明，在社区心理健康中成功实施护理路径是可行的，并且这样做提供了一种持续改进护理的标准化方法。
