Treatment Adherence in Youth with First-Episode Psychosis: Impact of Family Support and Telehealth Delivery
Treatment Adherence in Youth with First-Episode Psychosis: Impact of Family Support and Telehealth Delivery
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DOI：
10.1080/01612840.2019.1630532
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发表时间：
2019-08-02
影响因子：
2.1
通讯作者：
Rochani, Haresh
中科院分区：
文献类型：
--
作者：
Alston, Marion;Bennett, Carole Frances;Rochani, Haresh
为首发精神分裂症的年轻人提供精神卫生保健是一个巨大的挑战，特别是在服务不足的地区。这份图表回顾揭示了家庭支持作为这一弱势群体服药和治疗依从性的预测因素的重要性。意外的脱落率高达47%。进一步发现，接受远程医疗护理是失去随访或治疗不依从性的重要预测因素。建议包括在最初的危机期间对家庭进行心理教育，在护理早期启动长效可注射抗精神病药物，与家庭药物输送相结合的混合远程保健干预，以及与教育和职业县机构合作提供就业支持。必须建立一个护理系统来支持患有这种严重疾病的年轻人，以获得最佳结果和保护长期认知功能。
Mental health-care delivery to young people with first-episode schizophrenia presents significant challenges especially in underserved areas. This chart review reveals the importance of family support as a predictor for medication and treatment adherence with this vulnerable group. An unexpected disengagement rate of 47% was discovered. It was further discovered that receiving care with telehealth delivery was a significant predictor of lost to follow-up or treatment nonadherence. Recommendations include psychoeducation for families during the initial crisis, initiation of long-acting injectable antipsychotics early in care, a hybrid telehealth intervention with in-home medication delivery, and collaboration with educational, vocational county agencies for employment support. A system of care must be developed to support young people with this severe illness for optimum outcome and protection of long-term cognitive functioning.