van der Plas Annicka G M, Abdoelbasier Saoed, van Hemert Albert M
Parnassia Bavo Groep, team Openbare geestelijke gezondheidszorg, Den Haag, The Netherlands.
Ned Tijdschr Geneeskd. 2010;154:A1791.
Patients with serious mental illness who are difficult to engage in services often face multiple complex problems, like homelessness, debts, and poor hygiene and social skills. Critical Time Intervention (CTI) is a time-limited, manual-guided case management approach intended to enhance continuity of care for mentally ill patients. We present two patients who received intensive outpatient CTI care. A 42-year-old woman diagnosed with depression and addiction to alcohol and medication and a 38-year-old man diagnosed with autism were offered practical and emotional support while they became linked to a long term support system. CTI offers pro-active case management where the patient lives, taking into account the patient's strengths and informal support system. CTI is especially suited for patients relatively new to psychiatric care, who would not engage in services without support.
难以接受服务的严重精神疾病患者往往面临多种复杂问题，如无家可归、债务缠身、卫生习惯差以及社交技能欠缺。关键时期干预（CTI）是一种限时的、有手册指导的病例管理方法，旨在加强对精神病患者的连续性护理。我们介绍两位接受强化门诊CTI护理的患者。一名42岁被诊断患有抑郁症且酗酒和药物成瘾的女性以及一名38岁被诊断患有自闭症的男性，在他们与长期支持系统建立联系的过程中，获得了实际帮助和情感支持。CTI在患者居住的地方提供积极主动的病例管理，同时考虑到患者的优势和非正式支持系统。CTI特别适合刚开始接受精神科护理的患者，这些患者如果没有支持就不会接受服务。
