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整个早期干预过程中的经历，并寻求对患者和家人适当和有益的支持和服务，以创造和提供更好的早期精神护理和支持。此外，本研究还探讨了精神疾病患者及其家庭的关怀方向，这是精神疾病患者在社区内生活所必需的，也是提高患者和家庭的生活质量(QOL)的需要。更具体地说，访问了以精神分裂症为主的精神障碍患者的家属，以了解早期精神障碍的过程，并分析和调查精神健康和精神健康护理领域的早期护理框架和需求。患者被分为三个主要组：发病和治疗之间的时间段较短的组，发病和治疗之间的时间段较长的组，以及出现逃学等警示症状导致发病的组。在所有群体中，由于没有稳定的医疗服务，大多数护理仍然由家庭完成。家庭花费了大量的时间和精力寻求准确的诊断和治疗，但却受到医疗照顾者行为的伤害和/或误导。一些家庭成员提到，医疗护理员会牵着家人的鼻子，说一些话，如：“这不是医学问题”，或者“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".