Fraser Elizabeth R, Silva Garcia Karina, Oluwoye Oladunni
Department of Community and Behavioral Health, Elson S. Floyd College of Medicine, Washington State University, Spokane.
Psychiatr Serv. 2025 Jul 1;76(7):635-641. doi: 10.1176/appi.ps.20240199. Epub 2025 Apr 23.
This study aimed to describe the goals of service users with first-episode psychosis who enrolled in coordinated specialty care (CSC), along with the goals their family members have for them, and to understand service users' and family members' perceived needs for recovery after discharge from the program.
The authors conducted 32 in-depth interviews in English or Spanish with service users and their family members recruited between September 2021 and December 2022. Transcripts were analyzed to determine the common concerns and expectations of service users and family members.
Most service users described wanting financial and social independence from their families of origin, including an education that would allow them to obtain well-paid, stable employment; transportation; and an independent residence. Service users described hoping to replace some of the support they received from CSC with friends they would make in the future; some family members hoped their loved one would be able to develop and sustain romantic relationships. Most family members described not feeling ready to leave CSC at the 2-year mark, whereas service users expressed mixed opinions about their readiness to exit the program.
Although service users were excited about the prospect of discharge, they, along with their family members, agreed that ongoing support was needed after CSC. On the basis of the findings, the authors delineate supports that service users and family members believe are necessary for a successful step-down.
本研究旨在描述参加综合专科护理（CSC）的首发精神病患者的服务目标，以及他们家庭成员对他们的目标，并了解服务使用者及其家庭成员对该项目出院后康复的感知需求。
作者在2021年9月至2022年12月期间，用英语或西班牙语对招募的服务使用者及其家庭成员进行了32次深入访谈。对访谈记录进行分析，以确定服务使用者和家庭成员的共同关注点和期望。
大多数服务使用者表示希望在经济和社会方面从原生家庭中独立出来，包括接受教育以便能够获得高薪、稳定的工作；拥有交通工具；以及独立居住。服务使用者表示希望用未来结交的朋友取代他们从CSC获得的一些支持；一些家庭成员希望他们所爱的人能够发展并维持恋爱关系。大多数家庭成员表示在两年时还没有准备好离开CSC，而服务使用者对他们退出该项目的准备情况看法不一。
尽管服务使用者对出院前景感到兴奋，但他们和他们的家庭成员都认为，在CSC之后仍需要持续的支持。基于这些发现，作者阐述了服务使用者和家庭成员认为成功过渡所需的支持。
