Evaluation of a mobile crisis program: Effectiveness, efficiency, and consumer satisfaction
Evaluation of a mobile crisis program: Effectiveness, efficiency, and consumer satisfaction
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DOI：
10.1176/appi.ps.51.9.1153
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发表时间：
2000-09-01
影响因子：
3.8
通讯作者：
Scott, RL
中科院分区：
文献类型：
--
作者：
Scott, RL
目的：我们评估了一个移动的危机处理程序在处理911电话时的有效性和效率，并评估了消费者和警察对该程序的满意度。研究方法：本研究回顾性地分析了1995年三个月内73个由移动的危机小组处理的精神病紧急情况和58个由警察常规干预处理的精神病紧急情况的受试者的人口学特征、住院率和逮捕率以及费用的差异。结果如下：在移动的危机小组处理的紧急情况中，55%的人在危机中没有精神病住院治疗，而在常规警察干预处理的紧急情况中，这一比例为28%，这是一个统计学上的显著差异。两组所处理人士的拘捕率并无统计上的显著差异。对于由移动的危机小组缝合的人来说，每个案例的平均成本降低了23%。消费者和警察都对移动的危机计划给予了积极评价。结论：移动的危机方案可以降低危机中人的住院率，并可以提供具有成本效益的精神病紧急服务，这受到消费者和警察的好评。
Objective: The effectiveness and efficiency of a mobile crisis program in handling 911 calls identified as psychiatric emergencies were evaluated, and the satisfaction of consumers and police officers with the program uas rated. Methods: The study retrospectively examined differences in subjects' demographic characteristics, hospitalization and arrest rates, and costs for 73 psychiatric emergency situations handled by a mobile crisis team and 58 psychiatric emergency situations handled by regular police intervention during three months in 1995, Consumers' and police officers' satisfaction with the mobile crisis program was evaluated through Likert-type scales. Results: Fifty-five percent of the emergencies handled by the mobile crisis team were managed without psychiatric hospitalization of the person in crisis, compared with 28 percent of the emergencies handled by regular police intervention, a statistically significant difference. The difference in arrest rates for persons handled by the two groups was not statistically significant. The average cost per case was 23 percent less for persons sewed by the mobile crisis team. Both consumers and police officers gave positive ratings to the mobile crisis program. Conclusions: Mobile crisis programs can decrease hospitalization rates for persons in crisis and can provide cost-effective psychiatric emergency services that are favorably perceived by consumers and police officers.