A randomized trial of a mental health consumer-managed alternative to civil commitment for acute psychiatric crisis
A randomized trial of a mental health consumer-managed alternative to civil commitment for acute psychiatric crisis
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DOI：
10.1007/s10464-008-9180-1
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发表时间：
2008-09-01
影响因子：
3.1
通讯作者：
Bond, Jason
中科院分区：
文献类型：
--
作者：
Greenfield, Thomas K.;Stoneking, Beth C.;Bond, Jason
该实验比较了未上锁的、由消费者管理的心理健康危机居住计划 (CRP) 与上锁的精神病住院机构 (LIPF) 的有效性，这些机构针对因民事原因而犯有严重精神问题的成年人。经过筛选和知情同意后，参与者 (n = 393) 被随机分配至 CRP 或 LIPF，并在基线以及入院后 30 天、6 个月和 1 年进行访谈。结果是成本、功能水平、精神症状、自尊、充实和服务满意度。使用分层线性模型比较治疗结果。与 LIPF 条件下的参与者相比，CRP 条件下的参与者在访谈者评分和自我报告的精神病理学方面经历了显着更大的改善； CRP 条件下的服务满意度显着提高。对于许多面临民事承诺的人来说，CRP 式的设施是精神病住院治疗的可行替代方案。
This experiment compared the effectiveness of an unlocked, mental health consumer-managed, crisis residential program (CRP) to a locked, inpatient psychiatric facility (LIPF) for adults civilly committed for severe psychiatric problems. Following screening and informed consent, participants (n = 393) were randomized to the CRP or the LIPF and interviewed at baseline and at 30-day, 6-month, and 1-year post admission. Outcomes were costs, level of functioning, psychiatric symptoms, self-esteem, enrichment, and service satisfaction. Treatment outcomes were compared using hierarchical linear models. Participants in the CRP experienced significantly greater improvement on interviewer-rated and self-reported psychopathology than did participants in the LIPF condition; service satisfaction was dramatically higher in the CRP condition. CRP-style facilities are a viable alternative to psychiatric hospitalization for many individuals facing civil commitment.