Drake Robert E, Bond Gary R, Essock Susan M
Dartmouth Psychiatric Research Center, Dartmouth Medical School, Lebanon, NH 03766, USA.
Schizophr Bull. 2009 Jul;35(4):704-13. doi: 10.1093/schbul/sbp041. Epub 2009 Jun 2.
Over the last decade, a consensus has emerged regarding a set of evidence-based practices for schizophrenia that address symptom management and psychosocial functioning. Yet, surveys suggest that the great majority of the population of individuals with schizophrenia do not receive evidence-based care. In this article, we review the empirical literature on implementation of evidence-based practices for schizophrenia patients. We first examine lessons learned from implementation studies in general medicine. We then summarize the implementation literature specific to schizophrenia, including medication practices, psychosocial interventions, information technology, and state- and federal-level interventions. We conclude with recommendations for future directions.
在过去十年中,针对一系列基于证据的精神分裂症治疗方法已达成共识,这些方法涉及症状管理和社会心理功能。然而,调查显示,绝大多数精神分裂症患者并未接受基于证据的治疗。在本文中,我们回顾了关于精神分裂症患者实施基于证据的治疗方法的实证文献。我们首先研究从普通医学实施研究中吸取的经验教训。然后总结精神分裂症特有的实施文献,包括药物治疗方法、社会心理干预、信息技术以及州和联邦层面的干预措施。最后我们给出了未来方向的建议。