The Impact of Critical Time Intervention in Reducing Psychiatric Rehospitalization After Hospital Discharge
The Impact of Critical Time Intervention in Reducing Psychiatric Rehospitalization After Hospital Discharge
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DOI：
10.1176/appi.ps.201100468
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发表时间：
2012-09-01
影响因子：
3.8
通讯作者：
Herman, Daniel B.
中科院分区：
文献类型：
--
作者：
Tomita, Andrew;Herman, Daniel B.
目的：本研究探讨了关键时间干预（CTI）对减少患有严重和持续性精神疾病的无家可归者住院精神病治疗出院后再次住院的影响。方法：CTI 是一项为期 9 个月的护理协调干预措施，旨在支持患有严重精神疾病的人从机构到社区生活的过渡。从住院精神病治疗出院后，150 名以前无家可归的男性和女性被随机分配接受仅常规服务或除常规服务外还接受 CTI。研究参与者在进入社区后的 18 个月内每六周接受一次评估。结果：在随访期结束时，与常规服务组相比，分配到 CTI 的组的精神科再住院率显着较低（比值比=.11，95% 置信区间=.01.96）。结论：这项研究表明，CTI 的主要目的是防止再次无家可归，也减少了出院后再次住院的发生率。 （精神病学服务 63:935-937，2012 年；doi：10.1176/appips.201100468）
Objectives: This study examined the impact of critical time intervention (CTI) in reducing rehospitalization among formerly homeless individuals with severe and persistent mental illness after discharge from inpatient psychiatric treatment. Methods: CTI is a nine-month care coordination intervention designed to support persons with severe mental illness in the transition from institutions to community living. After discharge from inpatient psychiatric treatment, 150 previously homeless men and women were randomly assigned to receive either usual services only or CTI in addition to usual services. Study participants were assessed every six weeks for 18 months after entering the community. Results: At the end of the follow-up period, psychiatric rehospitalization was significantly lower for the group assigned to CTI compared with the usual services group (odds ratio=.11, 95% confidence interval =.01.96). Conclusions: This study demonstrated that CTI, primarily designed to prevent recurrent homelessness, also reduced the occurrence of rehospitalization after discharge. (Psychiatric Services 63:935-937, 2012; doi: 10.1176/appips.201100468)