Aagaard Jørgen, Freiesleben Michael, Foldager Leslie
Community Mental Health Centre, Tønder, Denmark.
Soc Psychiatry Psychiatr Epidemiol. 2008 May;43(5):403-9. doi: 10.1007/s00127-008-0311-7.
Inspired by the Crisis Home programme in Madison, we have adapted and evaluated the programme at the Community Mental Health (CMH) Centre in Tønder, Denmark.
Procedures and schedules from the Crisis Home programme were applied in this open trial. Questionnaire data concerning satisfaction with the stay and registration data concerning the admissions and bed days two years before and two years after the first stay were obtained.
During four years, 52 different patients had a total of 187 stays in a crisis home. Twenty (38.5%) of the patients were attached to the ACT team. The average duration of the stays was 4.0 days. The number of readmissions and bed days after the first stay showed a significant downward tendency for the subgroup of patients with a more severe mental disorder, but not for the whole group. The patients, the crisis homes families and the referrers were very satisfied with the programme and the treatment.
Crisis home stays represent a quality improvement in the treatment package, especially for patients with a more severe mental disorder. Further documentation will require a controlled study.
受麦迪逊危机之家项目的启发，我们在丹麦托恩德的社区心理健康中心对该项目进行了调整和评估。
本开放试验采用了危机之家项目的程序和时间表。获取了关于住院满意度的问卷数据以及首次住院前两年和后两年的入院和住院天数的登记数据。
在四年期间，52名不同患者在危机之家共住院187次。其中20名（38.5%）患者隶属于积极社区治疗团队。平均住院时长为4.0天。首次住院后，重度精神障碍亚组患者的再入院次数和住院天数呈显著下降趋势，但整个组未呈现此趋势。患者、危机之家的家属及转诊者对该项目及治疗非常满意。
危机之家住院治疗是治疗方案中的一项质量改进，尤其对于重度精神障碍患者。进一步的论证需要进行对照研究。
