Improving access to specialized care for first-episode psychosis: an ecological model.
Improving access to specialized care for first-episode psychosis: an ecological model.
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DOI：
10.2147/rmhp.s131833
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发表时间：
2018
影响因子：
3.5
通讯作者：
Breitborde NJ
中科院分区：
文献类型：
--
作者：
Moe AM;Rubinstein EB;Gallagher CJ;Weiss DM;Stewart A;Breitborde NJ
精神病谱系障碍是严重的疾病，其症状会严重影响功能和生活质量。越来越多的文献表明，在症状出现后早期提供的专门治疗在控制症状和改善结果方面比在病程后期提供相同的治疗要有效得多。专业的、多成分的治疗方案尤为重要，其中包括在精神病发作后尽快提供的服务，目的是在单一护理环境中满足多种护理需求。随着专业项目在全球范围内不断发展，考虑如何增加获得此类专业服务的机会至关重要。在当前的综述中，我们利用生态模型来理解护理障碍，重点是了解首发精神病患者如何与影响寻求帮助行为和治疗参与的各种系统因素相互作用并受其影响。该领域的未来工作对于了解如何在精神障碍早期最有效地设计和实施针对个体的专门护理非常重要。
Psychotic spectrum disorders are serious illnesses with symptoms that significantly impact functioning and quality of life. An accumulating body of literature has demonstrated that specialized treatments that are offered early after symptom onset are disproportionately more effective in managing symptoms and improving outcomes than when these same treatments are provided later in the course of illness. Specialized, multicomponent treatment packages are of particular importance, which are comprised of services offered as soon as possible after the onset of psychosis with the goal of addressing multiple care needs within a single care setting. As specialized programs continue to develop worldwide, it is crucial to consider how to increase access to such specialized services. In the current review, we utilize an ecological model of understanding barriers to care, with emphasis on understanding how individuals with first-episode psychosis interact with and are influenced by a variety of systemic factors that impact help-seeking behaviors and engagement with treatment. Future work in this area will be important in understanding how to most effectively design and implement specialized care for individuals early in the course of a psychotic disorder.