ORYGEN Youth Health, Parkville, Victoria, Australia.
Early Interv Psychiatry. 2008 Aug;2(3):195-200. doi: 10.1111/j.1751-7893.2008.00079.x.
Although intensive outreach (IO) models such as assertive community treatment and intensive case management have a strong evidence base in adult psychiatry, their effectiveness in the early intervention sector is unknown.
To explore client characteristics and treatment effects in a group of difficult to engage, 'high-risk' young people, seen by the Intensive Mobile Youth Outreach Service (IMYOS, ORYGEN Youth Heath) in Western Metropolitan Melbourne.
The clinical files of 47 clients were audited, targeting demographic and treatment outcome data prior to and during IMYOS involvement.
Clients typically presented with traumatic childhoods, disrupted education, repeated treatment dropout, poor mental health and 'high-risk' behaviours. Results showed a significant reduction in risk to self and others between referral and discharge, and significantly lower admissions rates and inpatient days compared with the 9 months prior to referral.
IO might be an effective early intervention strategy to minimize risk of harm and decrease hospitalization in young people. However, conclusions are provisional as there was no control group included in this study. Further study is required, perhaps with a waiting list control.
尽管强化外展（IO）模式，如积极社区治疗和强化病例管理，在成人精神病学中有坚实的证据基础，但它们在早期干预领域的效果尚不清楚。
探索在密集移动青年外展服务（IMYOS，ORYGEN 青年健康）中接触到的一组难以接触的“高风险”年轻人的客户特征和治疗效果，该服务位于墨尔本西部大都市。
对 47 名客户的临床档案进行了审核，目标是在 IMYOS 参与之前和期间的人口统计学和治疗结果数据。
客户通常具有创伤性的童年、教育中断、反复治疗中断、心理健康不佳和“高风险”行为。结果表明，在转介和出院之间，对自己和他人的风险显著降低，与转介前 9 个月相比，入院率和住院天数明显降低。
IO 可能是一种有效的早期干预策略，可以最大限度地减少年轻人伤害的风险并减少住院治疗。然而，由于本研究没有包括对照组，因此结论是暂定的。需要进一步的研究，也许可以采用等待名单对照。
