对精神分裂症患者实施英国国家卫生与临床优化研究所（NICE）推荐的认知行为疗法（CBT）干预措施的调查。
An investigation of the implementation of NICE-recommended CBT interventions for people with schizophrenia.
作者信息
Haddock Gillian, Eisner Emily, Boone Candice, Davies Gabriel, Coogan Catherine, Barrowclough Christine
机构信息
School of Psychological Sciences and.
出版信息
J Ment Health. 2014 Aug;23(4):162-5. doi: 10.3109/09638237.2013.869571. Epub 2014 Jan 16.
BACKGROUND
The National Institute for Clinical Excellence (NICE) guidelines recommend that individual cognitive-behaviour therapy (CBT) is offered to all people with a diagnosis of schizophrenia. In addition, the guidelines recommend that family intervention (FI) should be offered to all families of people with schizophrenia who are in close contact with the service user. However, implementation into routine services is poor.
AIMS
To survey mental health services to investigate how many people with a diagnosis of schizophrenia and their families are offered and receive CBT or FI.
METHODS
A comprehensive audit of a random sample of 187 service users receiving care from one, large mental health care trust in North West England was conducted over a 12-month period.
RESULTS
The audit recorded that only 13 (6.9%) of services users were offered and 10 (5.3%) received individual CBT, while 3 (1.6%) services users were offered and 2 (1.1%) received FIs within the 12-month audit period.
CONCLUSIONS
Implementation of CBT and FI is poor, particularly for FI. Reasons for poor implementation and service implications are discussed.
背景
英国国家临床优化研究所（NICE）指南建议，应为所有被诊断为精神分裂症的患者提供个体认知行为疗法（CBT）。此外，该指南还建议，应为所有与精神分裂症患者密切接触且与服务使用者有密切联系的家庭提供家庭干预（FI）。然而，在常规服务中的实施情况不佳。
目的
对心理健康服务进行调查，以了解有多少被诊断为精神分裂症的患者及其家庭接受了CBT或FI。
方法
在12个月的时间里，对来自英格兰西北部一个大型心理健康护理信托机构的187名接受护理的服务使用者的随机样本进行了全面审计。
结果
审计记录显示，在12个月的审计期内，只有13名（6.9%）服务使用者接受了个体CBT，10名（5.3%）实际接受了该治疗；而有3名（1.6%）服务使用者接受了FI，2名（1.1%）实际接受了该干预。
结论
CBT和FI的实施情况不佳，尤其是FI。文中讨论了实施不佳的原因及对服务的影响。
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