脱离社区心理健康护理患者的结局：一项为期6年的多波随访研究。
Outcome of patients dropping out from community-based mental health care: a 6-year multiwave follow-up study.
作者信息
Ruggeri M, Salvi G, Bonetto C, Lasalvia A, Allevi L, Parabiaghi A, Bertani M, Tansella M
机构信息
Department of Medicine and Public Health, Section of Psychiatry and Clinical Psychology, University of Verona, Verona, Italy.
出版信息
Acta Psychiatr Scand Suppl. 2007(437):42-52. doi: 10.1111/j.1600-0447.2007.01092.x.
OBJECTIVE
To test three hypotheses: i) is dropping out of community mental health care due to dissatisfaction? ii) Do those who appropriately interrupt mental health care need any more help? iii) Do those who need treatment continue to receive it?
METHOD
A cohort from a Community Mental Health Service in Verona, Italy, was followed up for 6 years, interviewing patients at follow-up who are both in contact and not in contact with the service.
RESULTS
The main reason for dropping out was service dissatisfaction. Patients still in contact with the service were more often psychotic. Many patients no longer in contact had mild-to-moderate problems, especially anxiety and depression and some social disability. Patients out of contact rarely sought help from other agencies.
CONCLUSION
Comprehensive community mental health services seem to offer good continuity of mental health care to patients with psychosis, but dedicate less attention to patients with less severe problems. Some of these patients will go on experiencing a burden of symptoms and disability, over the years.
目的
检验三个假设：i）是否因不满而退出社区精神卫生保健？ii）那些适当中断精神卫生保健的人是否还需要更多帮助？iii）那些需要治疗的人是否继续接受治疗？
方法
对意大利维罗纳市社区精神卫生服务机构的一个队列进行了6年的随访，对随访时仍与该服务机构保持联系和未保持联系的患者进行访谈。
结果
退出的主要原因是对服务不满。仍与服务机构保持联系的患者更多是精神病患者。许多不再保持联系的患者有轻度至中度问题，尤其是焦虑和抑郁以及一些社会功能障碍。不再保持联系的患者很少向其他机构寻求帮助。
结论
综合社区精神卫生服务似乎为精神病患者提供了良好的精神卫生保健连续性，但对病情较轻的患者关注较少。这些患者中的一些人多年来将继续承受症状和残疾的负担。
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