测量坚定社区治疗的康复取向。
Measuring the recovery orientation of assertive community treatment.
机构信息
Indiana University Purdue University Indianapolis, Indianapolis, IN 46202, USA.
出版信息
J Am Psychiatr Nurses Assoc. 2013 May-Jun;19(3):117-28. doi: 10.1177/1078390313489570. Epub 2013 May 20.
BACKGROUND
Approaches to measuring recovery orientation are needed, particularly for programs that may struggle with implementing recovery-oriented treatment.
OBJECTIVE
A mixed-methods comparative study was conducted to explore effective approaches to measuring recovery orientation of assertive community treatment (ACT) teams.
DESIGN
Two ACT teams exhibiting high and low recovery orientation were compared using surveys, treatment plan ratings, diaries of treatment visits, and team leader-reported treatment control mechanisms.
RESULTS
The recovery-oriented team differed on one survey measure (higher expectations for consumer recovery), treatment planning (greater consumer involvement and goal-directed content), and use of control mechanisms (less use of representative payee, agency-held lease, daily medication delivery, and family involvement). Staff and consumer diaries showed the most consistent differences (e.g., conveying hope and choice) and were the least susceptible to observer bias but had the lowest response rates.
CONCLUSIONS
Several practices differentiate recovery orientation on ACT teams, and a mixed-methods assessment approach is feasible.
背景
需要有衡量康复取向的方法，特别是对于那些在实施以康复为导向的治疗方面可能存在困难的项目。
目的
采用混合方法比较研究，探讨评估积极社区治疗（ACT）团队康复取向的有效方法。
设计
使用问卷调查、治疗计划评分、治疗访问日记和团队领导报告的治疗控制机制，对表现出高康复取向和低康复取向的两个 ACT 团队进行比较。
结果
康复取向的团队在一项调查测量（对消费者康复的更高期望）、治疗计划（更大的消费者参与和目标导向内容）和控制机制的使用（更少使用代理支付人、机构租赁、日常药物配送和家庭参与）方面存在差异。员工和消费者的日记显示出最一致的差异（例如，传达希望和选择），并且最不容易受到观察者偏见的影响，但回复率最低。
结论
ACT 团队的几个实践区分了康复取向，并且混合方法评估方法是可行的。
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