van Bouwel L
Tijdschr Psychiatr. 2020;62(1):54-61.
Thanks to the development in recent decades of mobile teams in the Netherlands and Belgium, ambulatory approaches have been created to offer effective treatment to patients with a first psychotic episode. If the support-network can no longer provide care, the person in crisis is referred to a hospital. The break with normal life and the associated stigma are often experienced as very radical by the patient himself, but also by his family.
AIM: To explore the extent to which a Soteria House can have a place in current care for patients with an acute psychotic episode.
METHOD: Description of the method of a Soteria House and reflection on the basis of the literature.
RESULTS: A Soteria House offers a low threshold setting for people in a psychotic crisis, thanks to a destigmatizing approach. However, so far there is no scientific evidence of its effectiveness. In any case, the Soteria approach leads to greater satisfaction among patients and their family members.
CONCLUSION: A Soteria House can offer a meaningful alternative to the hospital for the relief of an acute psychotic crisis. Also, from the Soteria model a number of elements can be included that benefit both out- and inpatient treatment of a psychotic episode. However, this model requires more thorough research before implementation in regular care is possible.
得益于荷兰和比利时近几十年来流动团队的发展，已经形成了非住院治疗方法，为首次出现精神病发作的患者提供有效治疗。如果支持网络无法再提供护理，处于危机中的人会被转诊至医院。与正常生活的决裂以及随之而来的耻辱感，患者本人以及其家人通常都深感其极端。
探讨索泰里亚之家（Soteria House）在当前对急性精神病发作患者的护理中能占据何种地位。
描述索泰里亚之家的方法，并基于文献进行思考。
由于采用了消除污名化的方法，索泰里亚之家为处于精神病危机中的人们提供了一个低门槛的环境。然而，目前尚无其有效性的科学证据。无论如何，索泰里亚方法能使患者及其家属获得更高的满意度。
索泰里亚之家可以为缓解急性精神病危机提供一种有意义的替代医院的选择。此外，从索泰里亚模式中可以纳入一些对精神病发作的门诊和住院治疗都有益的要素。然而，在常规护理中实施此模式之前，需要进行更深入的研究。
