The Strategy of Early Intervention for Psychiatric Patients and Their Families

本研究的目的是了解精神病患者及其家人在早期干预导致医疗护理的整个过程中的经验，并寻求对患者和家人适当且有益的支持和服务，以创建和提供改善的早期精神病护理和支持。此外，本研究亦探讨精神病患与家属照护的方向，以使精神病患能在社区内生活，并改善病患与家属的生活品质。为了解早期精神障碍的发生过程，分析和调查精神卫生领域的早期护理框架和需求，对精神障碍（主要是精神分裂症）患者家属进行访谈，将患者分为三大组：第一组为精神病患者，第二组为精神病患者，第三组为精神病患者。在发病和治疗之间具有短时间段的组，在发病和治疗之间具有长时间段的组，以及具有导致发病的警告症状（例如逃学）的组。在所有这些群体中，由于没有稳定的医疗服务，大部分护理仍然由家庭承担。家庭花费了大量的时间和精力来寻求精确的诊断和治疗，但却被医疗照顾者的行为所伤害和/或误导。一些家庭成员提到，医护人员会牵着家庭的鼻子走，说“这不是医疗问题”或“这不是精神分裂症”。

The purpose of this study was to understand psychiatric patients and their families' experience throughout the process of early intervention leading to medical care, as well as seeking the kind of support and service that are appropriate and beneficial for the patients and families, in order to create and provide an improved early psychiatric care and support. In addition, this study also investigated the direction of the care for psychiatric patients and families, which is required for psychiatric patients to have life within a community, as well as to improve patients' and families' Quality Of Life (QOL). More specifically, families of patients with psychiatric disorder, mainly schizophrenia, were interviewed in order to understand the process of early psychiatric disorder, as well as to analyze and investigate the framework and needs of early care in the field of mental health and mental health nursing.The patients were divided into three main groups ; a group that had short time period between an onset and a treatment, a group that had a large time period between an onset and a treatment, and a group that had warning symptoms such as truancy, which resulted in onset. Within all the groups, majority of care are still done by the families, since stable medical service is unavailable. Families spent a lot of time and effort to seek precise diagnosis and treatment, yet were hurt and or misled by medical caregivers' behaviors. Some family members mentioned that medical caregivers would lead families by the nose by saying words such as "This is not a medical issue", or "This is not schizophrenia".