Arana J D, Hastings B, Herron E
University of Maryland School of Medicine, Baltimore.
Hosp Community Psychiatry. 1991 May;42(5):503-7. doi: 10.1176/ps.42.5.503.
A continuous care team provides ongoing treatment for chronic mentally ill patients at a community mental health center in an inner-city area. The team, which consists of a nurse-social worker, a psychiatrist, four clinicians, and an addictions counselor, uses aggressive outreach and remains in charge of treatment while the patient is hospitalized. Preliminary outcomes for 32 of 39 patients treated during the first 15 months of the program included increased rates of treatment compliance, decreased frequency of crises, and decreased frequency and duration of hospitalization. However, substance abuse continued to be a problem and was negatively correlated with improvement.
一个持续护理团队在市中心区的社区心理健康中心为慢性精神病患者提供持续治疗。该团队由一名护士-社会工作者、一名精神科医生、四名临床医生和一名成瘾问题顾问组成,采用积极的外展服务,并在患者住院期间负责治疗。在该项目的前15个月接受治疗的39名患者中,32名患者的初步结果包括治疗依从率提高、危机频率降低以及住院频率和时长降低。然而,药物滥用仍然是一个问题,并且与康复呈负相关。