Tomita Andrew, Herman Daniel B
*Department of Psychiatry, University of KwaZulu-Natal and Mailman School of Public Health, Columbia University; and †Silberman School of Social Work, Hunter College, New York, NY.
J Nerv Ment Dis. 2015 Jan;203(1):65-70. doi: 10.1097/NMD.0000000000000224.
We investigated the impact of critical time intervention (CTI) on self-reported indicators of quality of continuity of care (COC) after discharge from inpatient psychiatric treatment with data from a randomized controlled trial that assessed the effectiveness of the intervention in reducing recurrent homelessness. Postdischarge COC outcome measures among previously homeless persons with severe mental illness randomly assigned to receive usual services only (n = 73) or 9 months of CTI in addition to usual services (n = 77) were compared. Those assigned to CTI had greater perceived access to care than the usual services group did, with this impact extending beyond the point at which the intervention ended. A time-limited care coordination intervention provided immediately after hospital discharge may improve COC, but further studies are needed to substantiate an effect of CTI on long-term continuity outcomes.
我们利用一项随机对照试验的数据，调查了关键时间干预（CTI）对住院精神科治疗出院后自我报告的连续性护理质量（COC）指标的影响。该试验评估了该干预措施在减少反复无家可归现象方面的有效性。比较了随机分配仅接受常规服务（n = 73）或除常规服务外还接受9个月CTI（n = 77）的重度精神疾病既往无家可归者出院后的COC结局指标。与常规服务组相比，接受CTI的患者感觉获得护理的机会更多，这种影响在干预结束后仍持续存在。出院后立即提供的限时护理协调干预可能会改善COC，但需要进一步研究来证实CTI对长期连续性结局的影响。
