An investigation of the implementation of NICE-recommended CBT interventions for people with schizophrenia
An investigation of the implementation of NICE-recommended CBT interventions for people with schizophrenia
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DOI：
10.3109/09638237.2013.869571
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发表时间：
2014-08-01
影响因子：
3.3
通讯作者：
Barrowclough, Christine
中科院分区：
文献类型：
--
作者：
Haddock, Gillian;Eisner, Emily;Barrowclough, Christine
背景资料：国家临床卓越研究所（NICE）指南建议向所有诊断为精神分裂症的人提供个体认知行为治疗（CBT）。此外，指南建议应向所有与服务使用者密切接触的精神分裂症患者家庭提供家庭干预（FI）。然而，执行到常规services.Aims：调查精神卫生服务，调查有多少人诊断为精神分裂症和他们的家庭提供和接受CBT或FI.Methods：一个全面的审计随机抽样的187个服务用户接受照顾，从一个大的精神卫生保健信托在英格兰西北部进行了12个月的时间。审计记录显示，只有13（6.9%）的服务用户提供和10（5.3%）收到个人CBT，而3（1.6%）的服务用户提供和2（1.1%）收到金融机构在12个月的审计periods.Conclusions：CBT和金融机构的实施是穷人，特别是金融机构。执行不力的原因和服务的影响进行了讨论。
Background: The National Institute for Clinical Excellence (NICE) guidelines recommend that individual cognitive-behaviour therapy (CBT) is offered to all people with a diagnosis of schizophrenia. In addition, the guidelines recommend that family intervention (FI) should be offered to all families of people with schizophrenia who are in close contact with the service user. However, implementation into routine services is poor.Aims: To survey mental health services to investigate how many people with a diagnosis of schizophrenia and their families are offered and receive CBT or FI.Methods: A comprehensive audit of a random sample of 187 service users receiving care from one, large mental health care trust in North West England was conducted over a 12-month period.Results: The audit recorded that only 13 (6.9%) of services users were offered and 10 (5.3%) received individual CBT, while 3 (1.6%) services users were offered and 2 (1.1%) received FIs within the 12-month audit period.Conclusions: Implementation of CBT and FI is poor, particularly for FI. Reasons for poor implementation and service implications are discussed.