The NAVIGATE Program for First-Episode Psychosis: Rationale, Overview, and Description of Psychosocial Components
The NAVIGATE Program for First-Episode Psychosis: Rationale, Overview, and Description of Psychosocial Components
复制标题
DOI：
10.1176/appi.ps.201400413
复制
发表时间：
2015-07-01
影响因子：
3.8
通讯作者：
Kane, John M.
中科院分区：
文献类型：
--
作者：
Mueser, Kim T.;Penn, David L.;Kane, John M.
针对首发精神病的综合协调专科护理计划已在其他国家广泛实施，但在美国尚未实施。美国国家精神卫生研究所（National Institute of Mental Health）的“精神分裂症初始发作后的恢复”（RAISE）计划专注于为美国医疗保健系统设计的首次发作治疗计划的开发和评估。本文介绍了背景，理由，和干预的性质开发的RAISE早期治疗计划项目，被称为NAVIGATE程序，特别关注其心理社会的组成部分。NAVIGATE是一个以团队为基础的多成分治疗计划，旨在在常规精神健康治疗环境中实施，旨在指导首次精神病发作的人（及其家人）实现心理和功能健康。NAVIGATE计划提供的核心服务包括家庭教育计划（FEP），个人弹性培训（IRT），支持就业和教育（SEE）以及个性化药物治疗。NAVIGATE采用共同决策的方法，注重优势和弹性，并与客户和家庭成员在治疗计划和审查方面进行合作。NAVIGATE计划有可能填补美国医疗保健系统的一个重要空白，提供专门设计的综合干预措施，以满足首次精神病发作康复者的独特治疗需求。最近完成了一项比较NAVIGATE与常规社区护理的群集随机对照试验。
Comprehensive coordinated specialty care programs for first-episode psychosis have been widely implemented in other countries but not in the United States. The National Institute of Mental Health's Recovery After an Initial Schizophrenia Episode (RAISE) initiative focused on the development and evaluation of first-episode treatment programs designed for the U.S. health care system. This article describes the background, rationale, and nature of the intervention developed by the RAISE Early Treatment Program project-known as the NAVIGATE program-with a particular focus on its psychosocial components. NAVIGATE is a team-based, multicomponent treatment program designed to be implemented in routine mental health treatment settings and aimed at guiding people with a first episode of psychosis (and their families) toward psychological and functional health. The core services provided in the NAVIGATE program include the family education program (FEP), individual resiliency training (IRT), supported employment and education (SEE), and individualized medication treatment. NAVIGATE embraces a shared decision-making approach with a focus on strengths and resiliency and on collaboration with clients and family members in treatment planning and reviews. The NAVIGATE program has the potential to fill an important gap in the U.S. health care system by providing a comprehensive intervention specially designed to meet the unique treatment needs of persons recovering from a first episode of psychosis. A clusterrandomized controlled trial comparing NAVIGATE with usual community care has recently been completed.