Lindgren Ingrid, Falk Hogstedt Margareta, Cullberg Johan
Neuropsychiatrical Assessment Team, University department of clinical psychiatry southwest, Stockholm County Council, Liljeholmstorget 7, SE-117 61 Stockholm, Sweden.
Nord J Psychiatry. 2006;60(5):405-9. doi: 10.1080/08039480600937686.
Three years experience of an outpatient unit for first-episode psychosis showed that most of the patients at some point became hospitalized in a psychiatric ward with discontinuity in care as a consequence. Adding "need-adapted" inpatient care in the form of a small and calm crisis home guaranteed continuity in approach and treatment, as the same caregivers staffed the inpatient and outpatient parts of Soteria. Information on early signs of psychosis was given to other units of the psychiatric clinic and to general practitioners. As the organization was considerably changed from that point of time, the patients could be divided into two separate groups. The aim of the present study was to follow the patients in the two groups for 5 years, comparing the outcome. The results showed that easily accessible need-adapted treatment with integrated overnight care might be advantageous for first-episode psychotic patients. The duration of untreated psychosis was shorter and the outcome better.
一家首发性精神病门诊三年的经验表明，大多数患者在某个阶段会因护理中断而住院接受精神科病房治疗。以小型安静的危机之家形式提供“按需调整”的住院护理，确保了治疗方法和治疗的连续性，因为索泰里亚的住院部和门诊部由相同的护理人员配备。有关精神病早期症状的信息已提供给精神科诊所的其他科室和全科医生。由于从那时起组织结构发生了很大变化，患者可分为两个独立的组。本研究的目的是对这两组患者进行5年的随访，比较结果。结果表明，易于获得的按需调整治疗与综合夜间护理可能对首发性精神病患者有利。未治疗精神病的持续时间更短，结果更好。
