挪威的危机解决和家庭治疗小组：一项纵向调查研究第三部分。从入院到出院的发病率和临床问题的变化。

A crisis resolution and home treatment team in Norway: a longitudinal survey study Part 3. Changes in morbidity and clinical problems from admission to discharge.

机构信息

Faculty of Health Sciences, Buskerud University College, Box 7053, Drammen 3007, Norway.

出版信息

Int J Ment Health Syst. 2012 Sep 11;6(1):17. doi: 10.1186/1752-4458-6-17.

DOI:10.1186/1752-4458-6-17

PMID:22967433

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3459812/

Abstract

BACKGROUND

Crisis resolution and home treatment (CRHT) is an emerging mode of delivering acute mental health care in the community. There is a paucity of knowledge regarding the workings of CRHT in the literature. This is the third paper in a series of three from the longitudinal survey of patients of a CRHT team in Norway, which was aimed at describing the characteristics of patients served, professional services provided, and clinical outcomes. This report focuses on the changes in morbidity and clinical problems from admission to discharge and the length of service.

METHODS

The study was a descriptive, quantitative study based on the patient data from a longitudinal survey of one CRHT team in Norway. The participants of the survey, a total of 363 patients, were the complete registration of patients of this team in the period from February 2008 to July 2009.

RESULTS

The findings indicate that the patients´ mental health status improved from admission to discharge, although many patients were discharged with the same mental health symptoms as those present at admission. However, one third of the patients were discharged with no clinically significant mental health problems. The majority of the patients of the CRHT team on the other hand seemed to be those with long-standing mental health problems, who were likely to be in need of continuing mental health care even after the resolution of mental health crises. There is a need for a coordinated system of community-based mental health services for patients with long-standing mental health problems, within which CRHT teams can play a pivotal role in making connections between the crisis-care and the recovery-oriented care. The mean length of service was around 15 days with variations by the clinical problem types, with the patients in the psychosis group having the shortest duration and the patients in the depression group having the longest duration.

摘要

背景

危机解决和家庭治疗（CRHT）是社区提供急性心理健康护理的一种新兴模式。文献中对 CRHT 的运作方式知之甚少。这是挪威一个 CRHT 团队的纵向调查的第三篇系列论文中的第三篇，旨在描述所服务患者的特征、提供的专业服务以及临床结果。本报告重点介绍从入院到出院的发病率和临床问题变化以及服务时间长短。

方法

该研究是一项基于挪威一个 CRHT 团队的纵向调查的患者数据的描述性、定量研究。该调查的参与者，即总共 363 名患者，是该团队在 2008 年 2 月至 2009 年 7 月期间的完整登记患者。

结果

研究结果表明，尽管许多患者出院时仍存在与入院时相同的心理健康问题，但他们的心理健康状况从入院到出院有所改善。然而，三分之一的患者出院时没有明显的心理健康问题。另一方面，CRHT 团队的大多数患者似乎是那些患有长期心理健康问题的人，他们在精神健康危机解决后可能仍需要继续接受精神健康护理。需要为长期存在心理健康问题的患者建立一个基于社区的精神卫生服务协调系统，CRHT 团队可以在危机护理和以康复为导向的护理之间建立联系方面发挥关键作用。平均服务时间约为 15 天，不同临床问题类型的服务时间有所不同，精神病组患者的持续时间最短，抑郁组患者的持续时间最长。