Pascual-Sanchez Ana, Singh Nidhita, Lee Clara, Smoter Paulina, Dessain Amabel, Zundel Toby, Baker Emma, Ougrin Dennis
CAMHS Enhanced Treatment Service, South London and Maudsley NHS Foundation Trust, London, UK.
Queen Mary's University of London, London, UK.
Clin Child Psychol Psychiatry. 2025 Jul;30(3):699-716. doi: 10.1177/13591045251343115. Epub 2025 May 25.
Intensive community treatment services are emerging as an alternative to admission and/or to support discharge from hospital. This service evaluation aims to assess treatment pathways and factors associated with treatment duration and general functioning. A service evaluation using routinely collected data from an intensive community treatment service between 2016 and 2023 was performed. 141 adolescents aged 12 to 17 received intensive community treatment over 8 years. The average treatment duration was 29.2 weeks, significantly longer than the initial 12-week pathway proposed. Those treated for significantly longer seemed to present with more complex mental health needs. Lack of education provision, being part of an ethnic minority or having a higher number of services involved were significantly associated with higher treatment duration ( < .05). Results suggest that a longer treatment pathway might be necessary in intensive community care, so a 24-week treatment pathway was proposed. General functioning also improved over the course of treatment, and 89.4% were discharged back to their local community teams. The involvement of multiple specialist services and the presence of specific diagnoses (e.g., autism) deserve consideration. Future evaluations will clarify if more targeted treatment pathways are more effective and efficient.
强化社区治疗服务正在成为住院治疗的替代方案和/或支持患者出院的方式。这项服务评估旨在评估治疗途径以及与治疗时长和总体功能相关的因素。我们利用2016年至2023年期间从一项强化社区治疗服务中常规收集的数据进行了一项服务评估。141名年龄在12至17岁的青少年在8年期间接受了强化社区治疗。平均治疗时长为29.2周，显著长于最初提议的12周疗程。接受治疗时间显著更长的患者似乎有着更复杂的心理健康需求。缺乏教育服务、属于少数族裔或涉及更多服务与更长的治疗时长显著相关（P<0.05）。结果表明，在强化社区护理中可能需要更长的治疗疗程，因此提出了一个24周的治疗疗程。总体功能在治疗过程中也有所改善，89.4%的患者被转回当地社区团队。多个专科服务的参与以及特定诊断（如自闭症）的存在值得考虑。未来的评估将阐明更具针对性的治疗途径是否更有效和高效。
