McDonell Michael G, Short Robert A, Hazel Nicholas A, Berry Christopher M, Dyck Dennis G
Department of Psychiatry and Behavioral Sciences, University of Washington, School of Medicine, USA.
Fam Process. 2006 Sep;45(3):359-73. doi: 10.1111/j.1545-5300.2006.00176.x.
The impact of multiple-family group treatment (MFGT) on outpatient and inpatient mental health service utilization of 97 persons with schizophrenia was investigated. Participants were randomly assigned to standard care (n = 44) or standard care plus MFGT (n = 53). Service use for a year prior to randomization, the 2-year study period, and a 1-year follow-up were examined. Relative to standard care participants, the MFGT group had reduced community hospitalization during year 1 of the intervention and reduced state hospitalization at follow-up. During the intervention period, MFGT participants demonstrated a significant increase in outpatient utilization as a direct consequence of the intervention. However, when service use was summed across 3 years post-randomization, no group differences were observed. Results suggest that implementation of MFGT in a community mental health setting reduces inpatient service at specific time periods, without significantly increasing outpatient service utilization. These findings add to other outcomes from this study that demonstrate decreased psychiatric symptoms and caregiver distress.
研究了多家庭团体治疗（MFGT）对97名精神分裂症患者门诊和住院心理健康服务利用情况的影响。参与者被随机分配到标准护理组（n = 44）或标准护理加MFGT组（n = 53）。对随机分组前一年、为期2年的研究期以及1年随访期的服务使用情况进行了检查。与标准护理组参与者相比，MFGT组在干预的第1年社区住院次数减少，随访时州立医院住院次数减少。在干预期内，MFGT参与者的门诊利用率因干预而显著增加。然而，当汇总随机分组后3年的服务使用情况时，未观察到组间差异。结果表明，在社区心理健康环境中实施MFGT可在特定时间段减少住院服务，而不会显著增加门诊服务利用率。这些发现补充了本研究的其他结果，即精神症状和照顾者痛苦减少。
