Minneapolis VA Health Care System.
Psychol Serv. 2013 Nov;10(4):420-7. doi: 10.1037/a0031159. Epub 2013 Feb 11.
Research on psychosocial rehabilitation (PSR) interventions generally indicates that these approaches are effective in facilitating improved functioning for persons with serious mental illness (SMI; schizophrenia, schizoaffective disorder, bipolar disorder, and other psychotic disorders). In this quasi-experimental study, we assessed the effectiveness of PSR interventions through a records review of 311 veterans who received outpatient services for SMI. From 2002 to 2008, a midwestern VA Medical Center implemented a number of PSR interventions. By 2008, veterans who used PSR interventions demonstrated reductions in their use of inpatient psychiatric care, whereas veterans who did not access PSR interventions showed no change in inpatient psychiatric care use. Analyses revealed that the provision of PSR services to veterans with SMI who had been hospitalized was associated with decreased duration of hospitalizations and costs savings of $17,739 per veteran per year in total mental health care. Findings are consistent with implementation of PSR programs within VA Medical Centers yielding the greatest cost savings through creation of effective outpatient services that reduce inpatient service needs for veterans with SMI.
研究表明，心理社会康复（PSR）干预措施对于促进严重精神疾病（SMI；精神分裂症、分裂情感障碍、双相情感障碍和其他精神病性障碍）患者的功能改善是有效的。在这项准实验研究中，我们通过对 311 名接受 SMI 门诊服务的退伍军人的记录审查来评估 PSR 干预措施的有效性。2002 年至 2008 年，中西部地区的一家退伍军人事务部医疗中心实施了多项 PSR 干预措施。到 2008 年，使用 PSR 干预措施的退伍军人减少了他们对住院精神科护理的使用，而没有使用 PSR 干预措施的退伍军人对住院精神科护理的使用没有变化。分析表明，为曾住院的 SMI 退伍军人提供 PSR 服务与住院时间缩短以及退伍军人每年的总精神保健费用节省 17739 美元有关。这些发现与退伍军人事务部医疗中心实施 PSR 计划的情况一致，通过创建有效的门诊服务来减少退伍军人的住院服务需求，从而实现最大的成本节约。
