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[物质使用障碍的居家治疗——成瘾医学居家住院治疗(HAAD)]

[Home treatment for substance use disorder - Hospitalisation addictologique à domicile (HAAD)].

作者信息

Bachmann Silke, Perraudin Nadia, Szczesniak Laurent, Penzenstadler Louise E

机构信息

Psychiatres, Service d'addictologie, Département de psychiatrie, Chemin du Petit Bel-Air 2, 1225 Chêne-Bourg.

Département de psychiatrie, psychothérapie et psychosomatique, Hôpitaux universitaires Halle, Ernst-Grube-Straße 40, 06120 Halle (Saale), Allemagne.

出版信息

Rev Med Suisse. 2023 Jun 7;19(830):1123-1126. doi: 10.53738/REVMED.2023.19.830.1123.

Abstract

In Switzerland, substance use disorders (SUD) are responsible for individual suffering and major economic costs. Especially the co-occurrence of SUD with other psychiatric disorders often leads to a revolving door effect and high emergency room attendance. For other severe psychiatric disorders outreach offers have been established, including home treatment (HT). Research has detected several advantages of HT, while noting that this form of treatment is not suitable for SUDs. We implemented an HT module especially for individuals suffering from SUD, called "Hospitalisation addictologique à domicile (HAAD)" which is carried out by a multidisciplinary team and realized in the same way and at the same frequency as in the hospital, but it takes place at home and aims at maintaining the patients in their daily activities and social contacts.

摘要

在瑞士,物质使用障碍(SUD)会给个人带来痛苦并造成重大经济成本。尤其是SUD与其他精神疾病同时出现时,常常会导致“旋转门”效应以及高急诊就诊率。针对其他严重精神疾病,已经建立了外展服务,包括居家治疗(HT)。研究发现了HT的几个优点,同时指出这种治疗形式不适用于SUD。我们专门为患有SUD的个体实施了一个HT模块,称为“居家成瘾治疗(HAAD)”,由一个多学科团队进行,其实施方式和频率与在医院相同,但在患者家中进行,旨在使患者维持日常活动和社会交往。

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