Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, and New York State Psychiatric Institute, New York City. Benjamin G. Druss, M.D., M.P.H., and Gail Daumit, M.D., M.H.S., are editors of this column.
Psychiatr Serv. 2021 Jul 1;72(7):856-858. doi: 10.1176/appi.ps.202000286. Epub 2021 Apr 23.
Individuals with serious mental illnesses and poorly managed medical conditions known as serious medical-psychiatric illnesses (SMPIs) are vulnerable to disruptions in care, resulting in poor outcomes. Intensive integrated care management approaches are indicated when these individuals are hospitalized on medical-surgical inpatient units in order to ensure continuity of medical and psychiatric services. This column describes a manualized intervention for hospitalized individuals with SMPIs that was developed in a National Institute of Mental Health ALACRITY research center. The approach uses a critical time intervention model incorporating motivational interviewing and shared decision making to maximize engagement and continuity of care for individuals with SMPIs.
患有严重精神疾病和医疗状况管理不善的个体，被称为严重的精神-医疗共病（SMPIs），他们容易受到医疗服务中断的影响，导致治疗效果不佳。当这些个体因躯体疾病住院时，需要强化的综合护理管理方法，以确保医疗和精神科服务的连续性。本专栏介绍了一个在国立精神卫生研究所 ALACRITY 研究中心开发的针对 SMPIs 住院个体的手册化干预措施。该方法采用关键时间干预模型，结合动机访谈和共享决策，最大限度地提高 SMPIs 个体的参与度和护理连续性。
