Butt Mohsin Faysal, Walls David, Bhattacharya Rahul
Centre for Psychiatry, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, UK.
Look Ahead Housing and Care, UK.
BJPsych Bull. 2019 Jun;43(3):106-111. doi: 10.1192/bjb.2018.105. Epub 2019 Jan 29.
Aims and methodThe Tower Hamlets Crisis House (voluntary sector), in partnership with the local home treatment team, offers a brief residential alternative to psychiatric hospital admission. Here, we review clinician-reported (Health of the Nation Outcome Scales; HoNOS) and patient-reported (DIALOG) outcome scores collected from successive admissions between June 2015 and December 2016, to assess the effectiveness of the service model. We identified 153 successive admissions, and of these, 85 (55.6%) and 91 (59.5%) patients completed both admission and discharge DIALOG and HoNOS questionnaires, respectively. We analysed ten out of twelve HoNOS domains and eight patient-reported outcome measure DIALOG domains. RESULTS: We found a statistically significant improvement in nine out of ten domains of HoNOS and three out of eight domains of DIALOG.Clinical implicationsA partnership between a home treatment team and crisis house can result in positive outcomes for patients, as determined by both clinicians and patients.Declaration of interestNone.
目的与方法
塔哈姆雷特危机之家(志愿部门)与当地家庭治疗团队合作,提供一种短期住院替代方案,以避免患者入住精神病院。在此,我们回顾了从2015年6月至2016年12月连续入院患者中收集的临床医生报告的(国家健康结果量表;HoNOS)和患者报告的(DIALOG)结果评分,以评估该服务模式的有效性。我们确定了153例连续入院患者,其中85例(55.6%)和91例(59.5%)患者分别完成了入院和出院时的DIALOG和HoNOS问卷。我们分析了HoNOS的十二个领域中的十个以及患者报告的结果测量DIALOG的八个领域。结果:我们发现HoNOS的十个领域中有九个以及DIALOG的八个领域中有三个在统计学上有显著改善。
临床意义
家庭治疗团队与危机之家之间的合作可以为患者带来积极的结果,这一点由临床医生和患者共同确定。
利益声明
无。