Patient Outcome after Treatment in a Community-Based Crisis Stabilization Unit
Patient Outcome after Treatment in a Community-Based Crisis Stabilization Unit
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DOI：
10.1007/s11414-008-9141-3
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发表时间：
2009-07-01
影响因子：
1.9
通讯作者：
El-Mallakh, Rif S.
中科院分区：
文献类型：
--
作者：
Adams, Charlotte L.;El-Mallakh, Rif S.
有人提议将基于社区的急性精神危机住院治疗作为住院治疗的替代方案，但缺乏足够的结果研究。我们检查了接受住院危机治疗计划的患者的自然症状和治疗结果。 24 项简明精神病评定量表评分从入院时的中度病情（40.5 +/- SD 8.25 分）下降到出院时的轻度症状（28.7 +/- 11.37 分，t = 10.02，P < 0.0001）。 Beck 的抑郁量表也大幅改善，从入院时的显着抑郁水平 29.5 +/- 11.41 点，到出院时的近乎正常情绪水平 10.1 +/- 8.60 点（差异为 19.4 +/- 12.10 点，t = 12.5，P < 0.0001）。目前的研究因缺乏住院患者的匹配对照组而受到限制。尽管如此，对于选定的患者来说，基于社区的危机稳定单位似乎是住院治疗的具有成本效益的替代方案。
Community-based residential treatment for acute psychiatric crisis has been proposed as an alternative to inpatient hospitalization, but there is a dearth of adequate outcome studies. We examined naturalistic symptomatic and treatment outcomes in patients admitted to a residential crisis treatment program. The 24-item Brief Psychiatric Rating Scale score dropped from moderately ill (40.5 +/- SD 8.25 points) on admission to mildly ill at discharge (28.7 +/- 11.37 points, t = 10.02, P < 0.0001). Beck's Depression Inventory also improved greatly, from a significant level of depression of 29.5 +/- 11.41 points on admission, to a nearly euthymic level of 10.1 +/- 8.60 points at discharge (a difference of 19.4 +/- 12.10 points, t = 12.5, P < 0.0001). The current study is limited by the lack of a matched comparison group of hospitalized patients. Nonetheless, community-based crisis stabilization units appear to be cost-effective alternatives to inpatient hospitalization for selected patients.