Lee M S, Ahn S R, Park J I, Chung Y C
Seoul Mental Health Center, Seoul, Korea.
East Asian Arch Psychiatry. 2012 Sep;22(3):105-9.
Providing intensive psychosocial intervention within the 5-year critical period following the first psychotic episode is important for both symptomatic and functional recovery. Recently, community mental health centres in Korea have begun to shift their main roles from care of those with chronic schizophrenia to early detection of and interventions for those with first-episode psychosis. This pioneering approach was initiated by the Seoul Mental Health Center, which established a community network, formed a clinical consortium with hospitals and clinics, and developed guidelines for early psychosis detection and management and for the Social Treatment for Early Psychosis (STEP) programme. The One-STEP programme, provided during hospitalisation, has been especially efficient in obtaining a high acceptance rate for community services. Several key issues are discussed with regard to the successful establishment of the close partnership between community mental health centres and hospitals / clinics.
在首次精神病发作后的5年关键期内提供强化心理社会干预，对于症状缓解和功能恢复都很重要。最近，韩国的社区心理健康中心已开始将其主要角色从照顾慢性精神分裂症患者，转变为对首次发作精神病患者的早期发现和干预。这种开创性的方法是由首尔心理健康中心发起的，该中心建立了社区网络，与医院和诊所组成了临床联盟，并制定了早期精神病检测和管理指南以及早期精神病社会治疗（STEP）计划。在住院期间提供的一步计划，在提高社区服务接受率方面特别有效。文中讨论了关于社区心理健康中心与医院/诊所成功建立紧密伙伴关系的几个关键问题。
