START 项目对心理健康结果和护理服务体验的改善。
Improvement in Mental Health Outcomes and Caregiver Service Experiences Associated With the START Program.
机构信息
Luther G. Kalb, Assistant Professor, Center for Autism and Related Disorders, Department of Neuropsychology, Kennedy Krieger Institute, Baltimore, MD; Joan Beasley, Director of the Center for START Services, Institute on Disability and National Center for START Services, University of New Hampshire; Andrea Caoilli, Director of Quality Assurance, Institute on Disability and National Center for START Services, University of New Hampshire; and Ann Klein, SIRS Database Manager, Institute on Disability and National Center for START Services, University of New Hampshire.
出版信息
Am J Intellect Dev Disabil. 2019 Jan;124(1):25-34. doi: 10.1352/1944-7558-124.1.25.
This study examined outcomes from the Systemic, Therapeutic, Assessment, Resources, and Treatment (START) program, a community-based tertiary care model for individuals with intellectual and developmental disabilities and mental health needs. The sample included 111 START service users and their family caregivers, who were receiving START Clinical Team services, located in the Northeast and Southwest regions of the United States. Results from the analyses found a significant 1-year pre-post improvement in caregiver service experiences and mental health symptoms of the service user. A significant decrease in psychiatric hospitalizations and emergency department visits was also found (all p < .01). These data suggest that START holds promise in improving outcomes, for both the caregiver and service user, while reducing dependence on costly and restrictive hospital-based services.
本研究考察了基于社区的三级护理模式——系统性治疗评估资源与治疗（START）项目的成果，该模式为有智力和发育障碍及精神健康需求的个人提供服务。该样本包括 111 名 START 服务使用者及其家庭照顾者，他们正在接受位于美国东北部和西南部的 START 临床团队服务。分析结果发现，照顾者服务体验和服务使用者精神健康症状在 1 年的治疗前后有显著改善。还发现精神科住院和急诊就诊次数显著减少（均 p<.01）。这些数据表明，START 有望改善照顾者和服务使用者的治疗结果，同时减少对昂贵且限制较多的医院服务的依赖。
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