Thomas Kerry A, Rickwood Debra J
a Centre for Applied Psychology, Faculty of Health, University of Canberra , Canberra , Australia.
J Ment Health. 2016 Aug;25(4):343-349. doi: 10.3109/09638237.2016.1139066. Epub 2016 Feb 5.
Sub-acute residential mental health services provide care for people who are not acutely unwell but require more support than generally available when living in the community. Little is known about how these services facilitate recovery and whether these facilitators differ for clients entering from the community (step-up) or from inpatient settings (step-down).
To identify features of a sub-acute residential service that have assisted step-up and step-down clients in their recovery.
Semi-structured interviews were conducted with 16 step-up and 21 step-down clients. Interview transcripts were examined using an inductive, semantic content analysis approach.
Themes identified included the community context, personal support, the formal program offered and assistance in personal recovery processes, with the level of support for these themes differing for step-up and step-down clients.
Step-up and step-down clients have differing needs to be addressed in a sub-acute service. These services can better meet the needs of clients if they are aware of the setting the client has come from and tailor their services accordingly. Step-up clients prefer support in developing social skills and illness management techniques; step-down clients prefer a less structured environment with assistance in living skills and personal processes of recovery.
亚急性住院心理健康服务为那些并非病情严重急性发作，但在社区生活时需要比一般情况下更多支持的人群提供护理。对于这些服务如何促进康复，以及对于从社区进入（逐步升级）或从住院环境进入（逐步降级）的客户而言这些促进因素是否有所不同，人们了解甚少。
确定亚急性住院服务中有助于逐步升级和逐步降级客户康复的特征。
对16名逐步升级客户和21名逐步降级客户进行了半结构化访谈。使用归纳性语义内容分析方法对访谈记录进行了审查。
确定的主题包括社区背景、个人支持、提供的正式项目以及在个人康复过程中的协助，逐步升级和逐步降级客户在这些主题上获得的支持程度有所不同。
在亚急性服务中，逐步升级和逐步降级客户有不同的需求需要得到满足。如果这些服务机构了解客户来自的环境并相应地调整服务，就能更好地满足客户的需求。逐步升级客户在培养社交技能和疾病管理技巧方面更喜欢得到支持；逐步降级客户更喜欢结构较松散的环境，并在生活技能和个人康复过程方面获得协助。
