家庭参与 RAISE 连接计划中首发精神病患者的临床护理。
Family Involvement in the Clinical Care of Clients With First-Episode Psychosis in the RAISE Connection Program.
机构信息
Dr. Drapalski is with the U.S. Department of Veterans Affairs (VA) Capital (VISN 5) Health Care Network, VA Maryland Health Care System, Baltimore. She is also with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore, where Dr. Medoff is affiliated. Ms. Piscitelli and Dr. Dixon are with the New York State Psychiatric Institute, and Dr. Dixon is also with the Department of Psychiatry, Columbia University College of Physicians and Surgeons, both in New York. Ms. Lee is with the Hunter College Lois V. and Samuel J. Silberman School of Social Work, New York.
出版信息
Psychiatr Serv. 2018 Mar 1;69(3):358-361. doi: 10.1176/appi.ps.201700080. Epub 2017 Nov 1.
OBJECTIVE
This study described how families were involved in the RAISE Connection Program for clients with first-episode psychosis (FEP) and examined factors that predicted family involvement.
METHODS
Presence of family members at clinical visits for 65 clients with FEP was described. Multiple regressions were conducted to determine whether demographic characteristics, clinical factors, or client-provider discussions regarding family predicted family involvement during the first six months of the program.
RESULTS
Most participants (95%) had at least one family member attend a clinical visit during program involvement. Age of the client with FEP, psychiatric symptoms, and substance use predicted the number of days family members attended visits during the first six months of program participation; client-provider discussions about family did not.
CONCLUSIONS
Family involvement in the ongoing care of clients with FEP is common when efforts are made to engage clients with FEP and their families.
目的
本研究描述了家庭如何参与首发精神病患者（FEP）的 RAISE 连接计划，并探讨了预测家庭参与的因素。
方法
描述了 65 名 FEP 患者在临床就诊时家属的参与情况。采用多元回归分析确定人口统计学特征、临床因素或患者与提供者关于家庭的讨论是否能预测计划实施前 6 个月的家庭参与度。
结果
大多数参与者（95%）在项目参与期间至少有一名家庭成员参加了一次临床就诊。FEP 患者的年龄、精神症状和物质使用情况预测了在项目参与的前 6 个月内家庭成员参加就诊的天数；患者与提供者关于家庭的讨论并没有预测到这一点。
结论
当努力使 FEP 患者及其家属参与进来时，FEP 患者的持续护理中常见家庭参与。
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