通过“以人为本”的方法，为老年人重新找回心理健康护理和“康复”生物心理社会模式的精华。
Reclaiming the best of the biopsychosocial model of mental health care and 'recovery' for older people through a 'person-centred' approach.
作者信息
McKay Roderick, McDonald Regina, Lie David, McGowan Helen
机构信息
School of Psychiatry University of New South Wales, Sydney, NSW, Australia.
出版信息
Australas Psychiatry. 2012 Dec;20(6):492-5. doi: 10.1177/1039856212460286. Epub 2012 Oct 25.
AIM
The 'biopsychosocial', 'person-centred care' (PCC) and 'recovery' models of care can be seen as distinct and competing paradigms. This paper proposes an integration of these valuable perspectives and suggestions for effective implementation in health services for the elderly.
METHOD
An overview of PCC and recovery models, and their application for older people with mental health problems, is provided. Their overlap and contrast with the familiar 'biopsychosocial' model of mental health care is considered, together with obstacles to implementation.
RESULTS
Utilisation of PCC and recovery concepts allow clinicians to avoid narrow application of the biopsychosocial approach and encourages clinicians to focus on the person's right to autonomy, their values and life goals.
CONCLUSIONS
Service reform and development is required to embed these concepts into core clinical processes so as to improve outcomes and the quality of life for older people with mental health problems.
目的
“生物心理社会”、“以患者为中心的护理”（PCC）和“康复”护理模式可被视为不同且相互竞争的范式。本文提出整合这些有价值的观点，并就如何在老年健康服务中有效实施提出建议。
方法
概述PCC和康复模式及其在患有心理健康问题的老年人中的应用。考虑它们与人们熟悉的心理健康护理“生物心理社会”模式的重叠和对比，以及实施过程中的障碍。
结果
运用PCC和康复理念可使临床医生避免狭隘地应用生物心理社会方法，并鼓励临床医生关注患者的自主权、价值观和生活目标。
结论
需要进行服务改革和发展，将这些理念融入核心临床流程，以改善患有心理健康问题的老年人的治疗效果和生活质量。
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