Outcome of patients dropping out from community-based mental health care: A 6-year multiwave follow-up study
Outcome of patients dropping out from community-based mental health care: A 6-year multiwave follow-up study
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DOI：
10.1111/j.1600-0447.2007.01092.x
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发表时间：
2007-01-01
影响因子：
6.7
通讯作者：
Tansella, M.
中科院分区：
文献类型：
--
作者：
Ruggeri, M.;Salvi, G.;Tansella, M.
目的：检验三个假设：i)退出社区精神卫生保健是由于不满？ii)那些适当中断精神卫生保健的人是否需要更多的帮助？iii)需要治疗的人是否继续接受治疗？方法：对意大利维罗纳社区精神卫生服务中心的一组患者进行了为期6年的随访，随访时采访了与该服务中心有联系和没有联系的患者。结果：离职的主要原因是服务不满意。仍然与该服务有联系的患者往往是精神病患者。许多不再联系的患者有轻度到中度的问题，尤其是焦虑和抑郁，以及一些社交障碍。失去联系的患者很少向其他机构寻求帮助。结论：综合社区精神卫生服务为精神病患者提供了良好的连续性精神卫生服务，但对病情较轻患者的关注较少。这些患者中的一些人多年来将继续经历症状和残疾的负担。
Objective: To test three hypotheses: i) is dropping out of community mental health care due to dissatisfaction? ii) Do those who appropriately interrupt mental health care need any more help? iii) Do those who need treatment continue to receive it?Method: A cohort from a Community Mental Health Service in Verona, Italy, was followed up for 6 years, interviewing patients at follow-up who are both in contact and not in contact with the service.Results: The main reason for dropping out was service dissatisfaction. Patients still in contact with the service were more often psychotic. Many patients no longer in contact had mild-to-moderate problems, especially anxiety and depression and some social disability. Patients out of contact rarely sought help from other agencies.Conclusion: Comprehensive community mental health services seem to offer good continuity of mental health care to patients with psychosis, but dedicate less attention to patients with less severe problems. Some of these patients will go on experiencing a burden of symptoms and disability, over the years.