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首页> 外文期刊>International Journal of Mental Health Systems >A crisis resolution and home treatment team in Norway: a longitudinal survey study Part 3. Changes in morbidity and clinical problems from admission to discharge
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A crisis resolution and home treatment team in Norway: a longitudinal survey study Part 3. Changes in morbidity and clinical problems from admission to discharge

机译：挪威的危机解决和家庭治疗团队：一项纵向调查研究，第3部分。从入院到出院的发病率和临床问题的变化

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Background Crisis resolution and home treatment (CRHT) is an emerging mode of delivering acute mental health care in the community. There is a paucity of knowledge regarding the workings of CRHT in the literature. This is the third paper in a series of three from the longitudinal survey of patients of a CRHT team in Norway, which was aimed at describing the characteristics of patients served, professional services provided, and clinical outcomes. This report focuses on the changes in morbidity and clinical problems from admission to discharge and the length of service. Methods The study was a descriptive, quantitative study based on the patient data from a longitudinal survey of one CRHT team in Norway. The participants of the survey, a total of 363 patients, were the complete registration of patients of this team in the period from February 2008 to July 2009. Results The findings indicate that the patients′ mental health status improved from admission to discharge, although many patients were discharged with the same mental health symptoms as those present at admission. However, one third of the patients were discharged with no clinically significant mental health problems. The majority of the patients of the CRHT team on the other hand seemed to be those with long-standing mental health problems, who were likely to be in need of continuing mental health care even after the resolution of mental health crises. There is a need for a coordinated system of community-based mental health services for patients with long-standing mental health problems, within which CRHT teams can play a pivotal role in making connections between the crisis-care and the recovery-oriented care. The mean length of service was around 15?days with variations by the clinical problem types, with the patients in the psychosis group having the shortest duration and the patients in the depression group having the longest duration.
机译：背景危机解决和家庭治疗（CRHT）是在社区中提供急性精神保健服务的一种新兴模式。文献中关于CRHT运作的知识很少。这是来自挪威CRHT小组患者纵向调查的三篇系列文章中的第三篇，其目的是描述所服务患者的特征，所提供的专业服务和临床结果。本报告重点关注发病率和临床问题从入院到出院以及服务时间的变化。方法该研究是一项描述性，定量研究，基于对挪威一个CRHT小组进行纵向调查的患者数据。该调查的参与者共363名患者，是该团队在2008年2月至2009年7月期间的完整注册。结果表明，尽管入院到出院，患者的心理健康状况有所改善。患者出院时的精神健康症状与入院时相同。但是，三分之一的患者出院时没有临床上明显的精神健康问题。另一方面，CRHT团队的大多数患者似乎是患有长期精神健康问题的患者，即使在解决精神健康危机之后，他们仍可能需要继续进行精神健康护理。需要为长期存在心理健康问题的患者提供基于社区的心理健康服务协调系统，CRHT团队可以在其中建立关键角色，将危机护理与面向康复的护理联系起来。平均服务时间约为15天，因临床问题类型而异，精神病组患者的病程最短，抑郁症组患者的病程最长。

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