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首发精神病干预的创新:“强化早期精神疾病治疗与干预服务(RAISE)升级版”方法的理由。

Innovations in first episode psychosis interventions: The case for a "RAISE-Plus" approach.

作者信息

Kline Emily, Keshavan Matcheri

机构信息

Beth Israele Deaconess Medical Center, Massachusetts Mental Health Center, Harvard Medical School, United States.

Beth Israele Deaconess Medical Center, Massachusetts Mental Health Center, Harvard Medical School, United States.

出版信息

Schizophr Res. 2017 Apr;182:2-3. doi: 10.1016/j.schres.2017.03.035. Epub 2017 Mar 17.

DOI:10.1016/j.schres.2017.03.035
PMID:28318837
Abstract

Several papers in the current issue of Schizophrenia Research show evidence supporting interventions that are not yet grouped with standard care practices in FEP. Taken together, these studies make the case for a more inclusive approach for early psychosis care than what is embodied in RAISE. Although providing all interventions to all patients, however, will be impractical and expensive, a personalized approach to such interventions, whereby the appropriate interventions are implemented in a phase specific and individually tailored manner after a careful assessment of each person's core deficits within a coordinated specialty care model, is likely to improve lives and be cost-effective.

摘要

《精神分裂症研究》本期的几篇论文显示,有证据支持一些干预措施,这些干预措施尚未被纳入首发精神病(FEP)的标准护理实践中。综合来看,这些研究表明,与早期严重精神病性障碍干预与服务提升计划(RAISE)所体现的方法相比,早期精神病护理需要一种更具包容性的方法。然而,虽然为所有患者提供所有干预措施既不切实际又成本高昂,但采用个性化的干预方法,即在协调的专科护理模式下,在仔细评估每个人的核心缺陷后,以阶段特定且个性化定制的方式实施适当的干预措施,可能会改善患者生活并具有成本效益。

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Innovations in first episode psychosis interventions: The case for a "RAISE-Plus" approach.首发精神病干预的创新:“强化早期精神疾病治疗与干预服务(RAISE)升级版”方法的理由。
Schizophr Res. 2017 Apr;182:2-3. doi: 10.1016/j.schres.2017.03.035. Epub 2017 Mar 17.
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[Early detection and early intervention in first episode psychosis].[首发精神病的早期检测与早期干预]
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The NAVIGATE Program for First-Episode Psychosis: Rationale, Overview, and Description of Psychosocial Components.首发精神病的导航计划:基本原理、概述及社会心理组成部分的描述
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[Efforts toward comprehensive early intervention at Early Psychosis Unit "II Bosco"].[在“II 博斯科”早期精神病治疗单元开展全面早期干预的努力]
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Early intervention in first episode psychosis: hope for a better future.首发精神病的早期干预:对美好未来的希望。
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First-episode psychosis, early intervention, and outcome: what have we learned?首发精神病、早期干预与结局:我们学到了什么?
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Baby or bathwater? Referrals of "non-cases" in a targeted early identification intervention for psychosis.弃婴还是洗澡水?精神病有针对性的早期识别干预中“非病例”的转诊。
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Learn Health Syst. 2024 Nov 17;9(2):e10471. doi: 10.1002/lrh2.10471. eCollection 2025 Apr.
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Forging a learning health system for early psychosis: Insights from the academic community EPINET.为早期精神病打造学习型健康系统:来自学术团体EPINET的见解
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Affective Dysregulation Precedes Emergence of Psychosis-Like Experiences in a Community Sample of Young Adults.
情感失调先于精神病样体验在青年人群体中的出现。
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The History of Coordinated Specialty Care for Early Intervention in Psychosis in the United States: A Review of Effectiveness, Implementation, and Fidelity.美国精神病早期干预协作专科护理的历史:有效性、实施和保真度回顾。
Community Ment Health J. 2022 Jul;58(5):835-846. doi: 10.1007/s10597-021-00891-w. Epub 2021 Sep 14.
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Cost Utility of cognition-enhancing interventions for individuals with first-episode psychosis: a naturalistic evaluation.首发精神病患者认知增强干预措施的成本效用:一项自然主义评估。
Cost Eff Resour Alloc. 2021 Jul 1;19(1):36. doi: 10.1186/s12962-021-00292-6.