Department of Clinical Psychology, Gartnavel Hospital, University of Glasgow, Glasgow, Scotland, UK.
Dykebar Hospital, NHS Greater Glasgow & Clyde, Grahamston Road, Glasgow, Scotland, UK.
Community Ment Health J. 2024 May;60(4):691-698. doi: 10.1007/s10597-023-01220-z. Epub 2024 Feb 16.
This audit aimed to evaluate the utility of the Initial Assessment Tool (IAT) in documenting routine sensitive enquiry of adult interpersonal trauma within three Community Mental Health Teams (CMHTs) in North-East Glasgow. In addition, it sought to evaluate if disclosures informed patient risk assessments and if patients were signposted to additional support services. 57% of 90 IATs had evidence of routine sensitive enquiry. Of 51 casefiles with evidence of routine sensitive enquiry, 61% had evidence of the information informing their risk assessments and 14% had documented recommendations of support organisations. The IAT appeared able to assist clinicians with routine sensitive enquiry in adulthood. However, there may be advantage in supporting staff understanding of how to ask questions to specific populations and to use this information to inform treatment planning. Given the prevalence of adult interpersonal trauma experienced by patients presenting to CMHTs, trauma-informed approaches to care should be implemented.
本次审计旨在评估初始评估工具(IAT)在记录东北格拉斯哥三个社区心理健康团队(CMHT)中成人人际创伤常规敏感询问方面的效用。此外,它还试图评估披露信息是否会影响患者的风险评估,以及患者是否被转介到其他支持服务。90 份 IAT 中有 57%有常规敏感询问的证据。在有常规敏感询问证据的 51 份病例档案中,61%有证据表明信息有助于他们的风险评估,14%有记录建议的支持组织。IAT 似乎能够帮助临床医生对成年人进行常规敏感询问。然而,在支持工作人员理解如何向特定人群提问以及如何利用这些信息来指导治疗计划方面,可能会有优势。鉴于向 CMHT 就诊的患者中普遍存在成人人际创伤,应实施以创伤为中心的护理方法。