UT Health San Antonio, Long Medical School, Department of Psychiatry, San Antonio, TX, USA.
Community Ment Health J. 2024 Nov;60(8):1589-1595. doi: 10.1007/s10597-024-01313-3. Epub 2024 Aug 6.
Traditional forms of psychiatric crisis treatment increasingly are being buttressed by services along the Psychiatric Crisis Continuum of Care, such as short-term crisis stabilization services and peer crisis services. The UT Health Living Room (LR) is an outpatient crisis counseling service that adds three promising elements to the Continuum: (1) it integrates outpatient treatment plans into crisis counseling, (2) provides care in a space and with staff who are familiar to patients, and (3) provides training in evidence-based crisis intervention. We examined two-year LR feasibility and outcome data. Mixed-method analyses used longitudinal clinic data and patient self-report measures. Results provide initial support for the feasibility, cost effectiveness and clinical effectiveness of the LR. Limitations include non-blinded ratings, limited experimental control, and simple cost-effectiveness methodology. The UT Living Room is feasible and offers novel elements to help patients in community clinics address emotional crises.
传统形式的精神科危机治疗方式正逐渐被精神科危机护理连续统服务所加强,例如短期危机稳定服务和同伴危机服务。UT 健康客厅 (LR) 是一种门诊危机咨询服务,它为连续统增加了三个有前途的元素:(1)它将门诊治疗计划整合到危机咨询中,(2)在患者熟悉的空间和人员中提供护理,以及(3)提供基于证据的危机干预培训。我们检查了 LR 两年的可行性和结果数据。混合方法分析使用了纵向诊所数据和患者自我报告措施。结果初步支持了 LR 的可行性、成本效益和临床效果。限制包括非盲评价、有限的实验控制和简单的成本效益方法。UT 客厅是可行的,并提供了新颖的元素,以帮助社区诊所的患者解决情绪危机。