Fleury Marie-Josée, Bamvita Jean-Marie, Grenier Guy, Schmitz Norbert, Piat Myra, Tremblay Jacques
Department of Psychiatry, McGill University, Douglas Mental Health University Institute Research Centre, 6875 LaSalle Blvd., Montreal, QC, H4H 1R3, Canada.
Douglas Mental Health University Institute Research Centre, Montreal, QC, H4H 1R3, Canada.
Adm Policy Ment Health. 2016 Sep;43(5):799-812. doi: 10.1007/s10488-015-0695-0.
This study assessed predictors and changes in adequacy of help received (AHR), as perceived by 204 individuals with severe mental disorders (SMDs) transferred from a mental health institution to the community following a key healthcare reform. Adjusted perceived AHR remained stable after 2 years (T1), but decreased at 5-year follow-up (T2). Predictors of higher adjusted perceived AHR are age, severity of needs, help received from services and relatives, and number of health professionals consulted. Community mental health services need to address the two major predictors of adjusted perceived AHR: severity of needs among individuals with SMDs and level of help from services.
本研究评估了204名患有严重精神障碍（SMD）的患者在一项关键医疗改革后从精神卫生机构转入社区后所接受帮助的充分性（AHR）的预测因素及其变化情况。调整后的感知AHR在2年随访期（T1）时保持稳定，但在5年随访期（T2）时有所下降。调整后感知AHR较高的预测因素包括年龄、需求严重程度、从服务机构和亲属处获得的帮助，以及咨询过的卫生专业人员数量。社区精神卫生服务需要解决调整后感知AHR的两个主要预测因素：患有严重精神障碍个体的需求严重程度和服务机构提供的帮助水平。
