TAILORING TREATMENT FOR THE CHRONICALLY MENTALLY ILL

这项拟议中的研究迈出了定制治疗的第一步 满足年轻的慢性精神病患者的需求 客户在人际功能方面的差异， 将检查治疗的人际强度。 在 特别是，人际关系紧张的治疗，例如，情况 管理，预计将是最佳的个人谁是 舒适和安全的关系，但不是那些谁是 要么专注于人际关系，要么忽视 关系。 在这项纵向研究中，120名年轻人 慢性精神病成年人将被随机分配到病例 管理或“标准护理”。“社会支助网络，一般 生活质量，治疗的使用，在精神病院的时间， 身体和精神健康将在六点进行评估 每隔三个月。 个人安全 在这种情况下，人们期望关系会显示出更积极的结果， 病例管理比标准护理更好， 治疗时间、住院时间等。 的关系会呈现出相反的模式， 症状加重，治疗效果差， 管理 专注于人际关系的人 预计在两种治疗中会出现不同类型的问题。 三年后，小组和个人数据将用于 将不适当分配的受试者重新分配到适当的 治疗 重新分配后，适当分配的受试者 预计将在运作方面取得重大进展。

The proposed research takes a first step toward tailoring treatment to the needs of young adult chronically mentally ill clients. Client differences in interpersonal functioning which interact with the interpersonal intensity of treatment will be examined. In particular, interpersonally intense treatment, e.g., case management, is expected to be optimal for individuals who are comfortable and secure in relationships, but not for those who are either preoccupied with relationships or dismissing of relationships. In this longitudinal study, 120 young adult chronically mentally ill adults will be randomly assigned to case management or to "standard care." Social support networks, general quality of life, use of treatment, time in psychiatric hospitals, and physical and psychiatric symptomatology will be assessed at six month intervals for three years. Individuals secure in relationships are expected to show more positive outcomes when in case management than in standard care, as evidenced by better use of treatment, less time hospitalized, etc. Individuals dismissing of relationships are expected to show the opposite pattern, becoming more symptomatic and using treatment more poorly, in case management. Individuals preoccupied with relationships are expected to show different types of problems in the two treatments. After three years, group and individual data will be used to reassign subjects who are inappropriately assigned to appropriate treatment. Following reassignment, subjects appropriately assigned are expected to show significant gains in functioning.