Dath Sunil, Dong Christine Yang, Stewart Malcolm W, Sables Eileen
Te Rawhiti Community Mental Health Centre, 15 Aberfeldy Avenue, Highland Park, Auckland 2110, New Zealand.
N Z Med J. 2014 Mar 28;127(1391):62-73.
To evaluate the clinical outcomes and other impacts of brief therapy provided in a primary care setting by a clinical psychologist who was mainly employed in secondary mental health.
The outcomes of 23 primary care patients referred to a clinical psychologist were evaluated using the General Health Questionnaire (GHQ), the World Health Organisation Quality of Life (WHOQoL) scale, and the Beck Depression Inventory (BDI). A mixture of quantitative and qualitative data from patients and staff were analysed to identify other impacts of the intervention.
Large improvements in BDI, GHQ, and WHOQOL scores were found, with strong changes consistent with the targets of the intervention. Patients reported primary-based clinical psychology input was more convenient and many engaged who had resisted referral to secondary mental health services. Other benefits to the service, including improved primary-secondary service integration, improved primary management of mental health difficulties, and improved liaison with mental health specialists, were reported by primary health staff.
Brief psychological interventions by a visiting clinical psychologist in a general practice setting had substantial benefits for the patients and for the practice. This project indicates the value of integrated psychological input consistent with recent moves to better primary-secondary integration in mental health care.
评估主要受雇于二级心理健康机构的临床心理学家在基层医疗环境中提供的简短治疗的临床效果及其他影响。
使用一般健康问卷（GHQ）、世界卫生组织生活质量量表（WHOQoL）和贝克抑郁量表（BDI）对转介给临床心理学家的23名基层医疗患者的治疗效果进行评估。对来自患者和工作人员的定量和定性数据进行综合分析，以确定该干预措施的其他影响。
发现BDI、GHQ和WHOQOL分数有显著改善，变化显著且与干预目标一致。患者报告称，基层医疗环境下的临床心理学干预更为便捷，许多原本拒绝转介至二级心理健康服务机构的患者也参与了进来。基层医疗工作人员报告了该服务带来的其他益处，包括改善了基层与二级医疗服务的整合、改善了对心理健康问题的基层管理以及加强了与心理健康专家的联络。
来访临床心理学家在全科医疗环境中进行的简短心理干预对患者和医疗机构都有显著益处。该项目表明了与近期心理健康护理中更好地整合基层与二级医疗服务的举措相一致的综合心理干预的价值。
