占用床位天数是一种多余的指标？对青少年精神病患者综合护理模式头十年的评估。
Occupied bed days a redundant currency? An evaluation of the first 10 years of an integrated model of care for mentally ill adolescents.
作者信息
Adrian Nicolette, Smith Jared G
机构信息
Springfield University Hospital, South West London and St George's Mental Health NHS Trust, UK
Division of Population Health Sciences and Education, St George's, University of London, UK.
出版信息
Clin Child Psychol Psychiatry. 2015 Jul;20(3):458-71. doi: 10.1177/1359104514527298. Epub 2014 Apr 1.
BACKGROUND
We report on clinical outcomes from the first 10 years of operation of an Adolescent Assertive Outreach Team (AAOT) which forms part of an integrated Tier 4 service offering inpatient, day-patient and intensive community treatment.
METHOD
Prospective data were recorded at pre- and post-treatment for patients accepted for treatment by the AAOT over a 10-year period.
RESULTS
A total of 393 adolescents were treated by the AAOT, and 135 received some hospital care as part of their treatment. Contact periods with the team were significantly shorter for those treated wholly in the community. Outcome measures indicated severe pathology at onset with substantial improvement in function regardless of whether treatment involved hospital care or community support only.
CONCLUSIONS
Adolescent Outreach is a viable and sustainable alternative to inpatient care for some young people referred for admission, reducing but not eliminating the need for acute beds.
背景
我们报告了青少年主动外展团队（AAOT）运营头10年的临床结果，该团队是提供住院、日间住院和强化社区治疗的综合四级服务的一部分。
方法
对AAOT在10年期间接受治疗的患者在治疗前和治疗后记录前瞻性数据。
结果
AAOT共治疗了393名青少年，其中135名接受了一些住院治疗作为其治疗的一部分。完全在社区接受治疗的患者与该团队的接触时间明显更短。结果指标显示，无论治疗仅涉及住院治疗还是社区支持，发病时均存在严重病变，但功能有显著改善。
结论
对于一些被转诊入院的年轻人来说，青少年外展服务是住院治疗的一种可行且可持续的替代方案，减少但并未消除对急症床位的需求。
Zotero 插件