Integrated psychological care services within seizure settings: Key components and implementation factors among example services in four ILAE regions: A report by the ILAE Psychiatry Commission.
Integrated psychological care services within seizure settings: Key components and implementation factors among example services in four ILAE regions: A report by the ILAE Psychiatry Commission.
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癫痫发作环境中的综合心理护理服务：四个 ILAE 地区示例服务的关键组成部分和实施因素：ILAE 精神病学委员会的报告。
作者：
Gandy,Milena;Michaelis,Rosa;Acraman,Jayne;Donald,KirstenA;Fitzpatrick,Michael;LaFranceJr,WCurt;Margolis,SethA;Modi,AvaniC;Reuber,Markus;Tang,Venus;Thayer,Zoe;Verity,Kirsten;Wagner,JanelleL;Wilmshurst,Jo;Whittaker,Sarah;
精神健康合并症在癫痫患者中很普遍，也是有问题的，但往往处理不佳。为了解决护理方面的常见差距，国际抗癫痫联盟(ILAE)精神病学委员会的综合精神健康护理路径工作队的任务是提供关于将精神健康管理(如筛查、转介、治疗)纳入常规癫痫护理的教育和指导。本报告旨在描述这一领域的各种既定服务，并特别侧重于心理护理模式。服务是由ILAE精神病学委员会成员和癫痫心理干预试验的作者确定的。共有8项服务符合纳入标准并同意展示。它们包括分布在四个不同的ILAE区域(欧洲、北美洲、非洲、亚洲和大洋洲)的三个儿科服务和五个成人服务。报告描述了这些服务的核心业务、已知成果和实施因素(即障碍和促进者)。报告最后提出了一系列在癫痫发作环境下建立成功的心理护理服务的实用技巧，包括拥有当地冠军企业的重要性，明确界定服务范围，以及建立可持续的筹资模式。样本的广度展示了如何实现适合当地环境和资源的模型。这份报告是传播有关癫痫护理环境中综合精神卫生保健的信息的第一步。未来的工作需要系统地研究心理和药物护理模式，并进一步建立这一领域的证据基础，特别是关于临床影响和成本效益。
Mental health comorbidities are prevalent and problematic in patients with seizures but often suboptimally managed. To address common gaps in care, the Integrated Mental Health Care Pathways Task Force of the International League Against Epilepsy (ILAE) Psychiatry Commission was tasked with providing education and guidance on the integration of mental health management (e.g., screening, referral, treatment) into routine seizure care. This report aims to describe a variety of established services in this area, with a specific focus on psychological care models. Services were identified by members of the ILAE Psychiatry Commission and authors of psychological intervention trials in epilepsy. A total of eight services met inclusion criteria and agreed to be showcased. They include three pediatric and five adult services located across four distinct ILAE regions (Europe, North America, Africa, Asia Oceania). The report describes the core operations, known outcomes, and implementation factors (i.e., barriers and facilitators) of these services. The report concludes with a set of practical tips for building successful psychological care services within seizure settings, including the importance of having local champions, clearly defining the scope of the service, and establishing sustainable funding models. The breadth of exemplars demonstrates how models tailored to the local environment and resources can be implemented. This report is an initial step to disseminate information regarding integrated mental health care within seizure care settings. Future work is needed to systematically examine both psychological and pharmacological care models and to further establish the evidence base in this area, especially around clinical impact, and cost‐effectiveness.