Adams Charlotte L, El-Mallakh Rif S
University of Louisville School of Nursing, Louisville, KY, USA.
J Behav Health Serv Res. 2009 Jul;36(3):396-9. doi: 10.1007/s11414-008-9141-3. Epub 2008 Sep 3.
Community-based residential treatment for acute psychiatric crisis has been proposed as an alternative to inpatient hospitalization, but there is a dearth of adequate outcome studies. We examined naturalistic symptomatic and treatment outcomes in patients admitted to a residential crisis treatment program. The 24-item Brief Psychiatric Rating Scale score dropped from moderately ill (40.5 +/- SD 8.25 points) on admission to mildly ill at discharge (28.7 +/- 11.37 points, t = 10.02, P < 0.0001). Beck's Depression Inventory also improved greatly, from a significant level of depression of 29.5 +/- 11.41 points on admission, to a nearly euthymic level of 10.1 +/- 8.60 points at discharge (a difference of 19.4 +/- 12.10 points, t = 12.5, P < 0.0001). The current study is limited by the lack of a matched comparison group of hospitalized patients. Nonetheless, community-based crisis stabilization units appear to be cost-effective alternatives to inpatient hospitalization for selected patients.
基于社区的急性精神危机住院治疗已被提议作为住院治疗的替代方案，但缺乏足够的疗效研究。我们研究了入住危机住院治疗项目的患者的自然症状和治疗结果。24项简明精神病评定量表评分从入院时的中度疾病（40.5±标准差8.25分）降至出院时的轻度疾病（28.7±11.37分，t = 10.02，P < 0.0001）。贝克抑郁量表也有显著改善，从入院时显著的抑郁水平29.5±11.41分降至出院时接近正常情绪水平的10.1±8.60分（差异为19.4±12.10分，t = 12.5，P < 0.0001）。本研究因缺乏住院患者的匹配对照组而受到限制。尽管如此，基于社区的危机稳定单元对于部分患者而言似乎是比住院治疗更具成本效益的替代方案。
