Bureau of Mental Health, New York City Department of Health and Mental Hygiene, New York (Anderson, Choden, Sandseth, Teoh, Harrison); Department of Psychiatry, Columbia University, New York (Essock).
Psychiatr Serv. 2019 Aug 1;70(8):644-649. doi: 10.1176/appi.ps.201800385. Epub 2019 May 14.
The New York City (NYC) Board of Health amended the city's health code to require hospitals to report to the Department of Health and Mental Hygiene when individuals ages 18-30 are hospitalized for first-episode psychosis (FEP). This study examined the implementation of NYC START, a program that meets patients hospitalized with FEP to offer a voluntary, 3-month critical time intervention provided by social workers and peer specialists to connect individuals to appropriate community mental health services after discharge.
Service logs completed by program staff were summarized to determine the mean number of contacts received per client per week, types of services provided by social workers and peer specialists, survival analyses of time to discharge from NYC START, and connection rates with community mental health services.
Of the 285 clients who accepted NYC START services in 2016, 87% attended an initial mental health appointment after hospital discharge and 78% completed at least 3 months of the program. Consistent with the program model, contacts were most frequent in clients' first week in NYC START, with a mean of 2.5±1.4 contacts, 1.9 of which were with social workers and 0.5 of which were with peer specialists. Social workers provided a mean of 17.3±4.4 client-specific activities per week, and peer specialists provided a mean of 8.5±3.5.
NYC START serves as a critical time intervention to connect people hospitalized with FEP to community mental health treatment.
纽约市卫生局修改了该市的卫生法规，要求医院在 18-30 岁的个体因首发精神病住院时向卫生与心理卫生部报告。本研究调查了 NYC START 项目的实施情况，该项目在个体因首发精神病住院时接触他们，为他们提供由社会工作者和同伴专家提供的为期 3 个月的关键时期干预，以在出院后将其与适当的社区精神卫生服务联系起来。
对项目工作人员完成的服务记录进行总结，以确定每位客户每周接受的平均联系次数、社会工作者和同伴专家提供的服务类型、从 NYC START 出院的时间生存分析，以及与社区精神卫生服务的联系率。
在 2016 年接受 NYC START 服务的 285 名客户中，87%的人在出院后参加了首次心理健康预约，78%的人完成了至少 3 个月的项目。与项目模式一致，客户在加入 NYC START 的第一周联系最为频繁，平均每周有 2.5±1.4 次联系，其中 1.9 次是与社会工作者，0.5 次是与同伴专家。社会工作者每周提供平均 17.3±4.4 项针对客户的活动，同伴专家提供平均 8.5±3.5 项。
NYC START 是一种关键时期干预措施，可将因首发精神病住院的人联系到社区精神卫生治疗中。
