Addictions Unit, Clinical Institute of Neuroscience (ICN), Hospital Clinic, Barcelona, Spain.
Fundació Sanitària Mollet, Barcelona, Spain.
Community Ment Health J. 2021 May;57(4):746-752. doi: 10.1007/s10597-020-00716-2. Epub 2020 Sep 29.
Severe mental illness entails multiple hospital admissions and a large use of public resources. The Reflecting Team (RT), together with other dialogue strategies, place in a single therapeutic space, the patient, his family and a team of professionals to find together a solution to a situation of stagnation. The aim of this study was to evaluate feasibility and cost-effectiveness of a RT intervention in psychiatric inpatients in a public hospital. Six RT were performed, and clinical variables were collected retrospectively for six months pre-RT and post-RT. Both number of hospital admissions and total time spent in the psychiatric acute unit show a significant decrease. All computed cost showed statistically significant reduction. The results suggest RT might be a good strategy to introduce a positive change in the treatment of those psychiatric cases in which the patient and family find themselves caught in a system that seems to offer stale and ineffective help to problems that have become chronic.
严重的精神疾病需要多次住院治疗，并大量使用公共资源。反映团队（RT）与其他对话策略一起，将患者、他的家人和一个专业团队放在一个单一的治疗空间中，共同寻找解决停滞局面的方法。本研究旨在评估 RT 干预措施在公立医院精神科住院患者中的可行性和成本效益。共进行了 6 次 RT，并对 RT 前后 6 个月的临床变量进行了回顾性收集。住院次数和在精神科急症病房的总时间都有显著减少。所有计算出的成本都有统计学意义的降低。结果表明，RT 可能是一种很好的策略，可以为那些患者和家属发现自己陷入一个似乎提供陈旧和无效帮助的系统的精神科病例带来积极的改变，这些问题已经变得慢性化。
