Song Li-Yu
Graduate Institute of Social Work, National Chengchi University, Taipei.
Int J Soc Psychiatry. 2022 Nov;68(7):1516-1524. doi: 10.1177/00207640211036170. Epub 2021 Jul 29.
The use community psychiatric rehabilitation (CPR) service could facilitate community tenure, autonomy, and recovery among persons with psychiatric disabilities. Nevertheless, based on existing scientific evidence, the conformance rate with the treatment recommendations was modest and the existing services are underutilized in Taiwan.
This study examined the correlates of CPR service utilization based on the Behavioral Model of Health Service Utilization. Especially, the effects of enabling factors were explored.
Five hundred and ninety-two participants from 32 community psychiatric rehabilitation centers in Taiwan completed the questionnaire. There were three groups of independent variables: predisposing, enabling, and need factors. Multiple regression analysis with a hierarchical method of entry was performed.
The hypothesized model was significant. Eight independent variables in the model explained 29.3% of the variances in the service utilization. Three enabling factors were significant after controlling for the effects of other factors. The most important correlate was professional relationships followed by family support and welfare subsidy.
The findings support that factors associated with CPR service utilization need to be examined separately from general mental health service. CPR program design and service delivery should consider the three most important enabling factors and the extent of service utilization could be enhanced.
使用社区精神康复（CPR）服务可促进精神残疾者在社区中的居住、自主及康复。然而，基于现有科学证据，在台湾，治疗建议的符合率不高，现有服务未得到充分利用。
本研究基于卫生服务利用行为模型，探讨了CPR服务利用的相关因素。特别是，探究了促成因素的影响。
来自台湾32个社区精神康复中心的592名参与者完成了问卷调查。有三组自变量：易患因素、促成因素和需求因素。采用分层进入法进行多元回归分析。
假设模型具有显著性。模型中的8个自变量解释了服务利用方差的29.3%。在控制其他因素的影响后，三个促成因素具有显著性。最重要的相关因素是专业关系，其次是家庭支持和福利补贴。
研究结果支持，与CPR服务利用相关的因素需要与一般心理健康服务分开研究。CPR项目设计和服务提供应考虑这三个最重要的促成因素，从而提高服务利用程度。
