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[作为社区(健康)网络一部分的灵活积极社区治疗(FACT)]

[Flexible assertive community treatment (FACT) as part of a community (health) network].

作者信息

Westen K H, van Vugt M D, Bähler M, Mulder C L, Delespaul P H, Kroon H

出版信息

Tijdschr Psychiatr. 2020;62(4):298-303.

Abstract

Community-based care for people with severe mental illness increasingly requires far-reaching cooperation between different domains. This cooperation must always be unique and local, and at the same time provide an answer to generic and nationally set goals.
AIM: Offering new insights on collaboration within and between domains.
METHOD: Reflection on developments in the social domain and specialist mental healthcare using relevant literature and recent (inter)national experiences.
RESULTS: It seems possible to provide better integral care by allowing FACT-teams to network together with Social Support partners (e.g. by sharing financial and/or human resources). In this process, networks of care for people with serious mental illness (SMI), develop over various phases and realize new partnerships. The model fidelity scale for FACT-teams was adjusted to facilitate that process. CONCLUSIONS The new FACT model fidelity scale is ready to allow FACT-teams to explore flexible local solutions for partnerships to realize the much-needed multi-domain integrated community care for people with SMI.

摘要

为重度精神疾病患者提供基于社区的护理日益需要不同领域之间进行广泛合作。这种合作必须始终具有独特性且因地制宜,同时要回应通用的和国家设定的目标。

目标

就各领域内部及之间的合作提供新见解。

方法

利用相关文献和近期(国际)经验,对社会领域和专业精神卫生保健的发展进行反思。

结果

通过允许FACT团队与社会支持伙伴建立网络联系(例如通过共享财政和/或人力资源),似乎有可能提供更好的综合护理。在此过程中,针对重度精神疾病患者的护理网络会经历不同阶段发展,并实现新的伙伴关系。对FACT团队的模型保真度量表进行了调整以推动这一过程。

结论

新的FACT模型保真度量表已准备好让FACT团队探索灵活的本地伙伴关系解决方案,以实现为重度精神疾病患者提供急需的多领域综合社区护理。

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