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通过 COVID-19 及以后:在首发精神病中开发多学科远程医疗家庭干预。

Through COVID-19 and beyond: developing a multidisciplinary telehealth family intervention in first episode psychosis.

机构信息

DETECT Early Intervention in Psychosis Service, Blackrock, Dublin, Ireland.

Cluain Mhuire Community Mental Health Services, Blackrock, Dublin, Ireland.

出版信息

Ir J Psychol Med. 2023 Sep;40(3):503-507. doi: 10.1017/ipm.2021.79. Epub 2021 Dec 1.

Abstract

The COVID-19 pandemic presents unique challenges to high quality, safe Early Intervention in Psychosis (EIP) service provision. Due to the necessity to ensure EIP continues despite this, we developed a multidisciplinary, blended, telehealth intervention, incorporating psychoeducation and peer support, for family members of first episode psychosis service users: PERCEPTION. This perspective article aims to: describe PERCEPTION; offer reflections on our experience of delivering it; make recommendations for future research; and synthesise key learning to assist the integration of similar interventions in other EIP services. We provide a descriptive account of PERCEPTION's development and implementation, with reflections from the clinicians involved, on supporting families using this approach. We experienced telehealth as patient-focused, safe, and efficient and believe the intervention's blended nature augmented families' engagement. The approach adopted can assist service providers to attain balance between protecting public health and offering a meaningful, therapeutic intervention to support families in the current epoch.

摘要

新冠疫情大流行给高质量、安全的精神病早期干预(EIP)服务带来了独特的挑战。由于必须确保在此期间继续提供 EIP,我们开发了一种多学科、混合、远程医疗干预措施,为首次精神病发作服务使用者的家庭成员提供心理教育和同伴支持:感知。本文旨在:描述感知;反思我们提供服务的经验;为未来的研究提供建议;并综合关键学习,以协助将类似干预措施纳入其他 EIP 服务中。我们提供了感知的发展和实施的描述性说明,并从参与的临床医生的角度,对使用这种方法支持家庭的情况进行了反思。我们认为远程医疗以患者为中心、安全且高效,并相信干预措施的混合性质增强了家庭的参与度。所采用的方法可以帮助服务提供者在当前时期在保护公众健康和提供有意义的治疗干预措施以支持家庭之间取得平衡。

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