Kline Emily, Keshavan Matcheri
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.
Schizophr Res. 2017 Apr;182:2-3. doi: 10.1016/j.schres.2017.03.035. Epub 2017 Mar 17.
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.
《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。