Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, USA.
Washington State Center for Excellence in Early Psychosis, Spokane, WA, USA.
J Behav Health Serv Res. 2023 Apr;50(2):228-235. doi: 10.1007/s11414-022-09791-7. Epub 2022 Mar 31.
Family members are integral to the care and support of individuals experiencing early psychosis, and while studies have brought to light the impact of family engagement, there is a dearth in the literature on the ways family engagement in services affects service user engagement. The present study examined the relationship between initial family engagement and service user engagement among 349 service users enrolled in New Journeys, a network of coordinated specialty care (CSC) programs. Service users whose family members were initially engaged in treatment in the first month were more likely to remain engaged and attend appointments during the first 7 months relative to service users whose family members were not initially engaged (χ=88.4; p < 0.001). Overall, for a one unit increase in total number of appointments attended by family members in the first 24 months, the odds of service users' engagement increased by 14% (OR: 1.14, CI: 1.12-1.16). Findings demonstrate the association between family engagement and the engagement of service users in CSC.
家庭成员是个体早期精神病治疗和支持的重要组成部分，尽管研究已经揭示了家庭参与的影响，但文献中关于家庭参与服务如何影响服务使用者参与的内容却很少。本研究调查了在新旅程中登记的 349 名服务使用者中，初始家庭参与与服务使用者参与之间的关系，新旅程是一个协调专业护理（CSC）计划的网络。与家庭成员最初未参与治疗的服务使用者相比，在第一个月内家庭成员最初参与治疗的服务使用者更有可能在头 7 个月保持参与并按时就诊（χ=88.4；p<0.001）。总体而言，在前 24 个月内家庭成员就诊次数每增加一个单位，服务使用者参与的几率就会增加 14%（OR：1.14，CI：1.12-1.16）。研究结果表明了家庭参与和服务使用者在 CSC 中的参与之间的关联。
