TAILORING TREATMENT FOR THE CHRONICALLY MENTALLY ILL

这项拟议的研究向量身定制治疗迈出了第一步 满足青壮年慢性精神病患者的需求。 与客户互动的人际功能的差异 将对治疗的人际关系强度进行检查。在……里面 特殊的、个人间的激烈治疗，例如病例 管理，预计将是对以下个人的最佳选择 在关系中舒适和安全，但不适合那些 要么全神贯注于人际关系，要么对 两性关系。在这项纵向研究中，120名年轻人 患有慢性精神病的成年人将被随机分配到病例 管理或“标准护理”。社会支持网络，总则 生活质量，治疗的使用，精神病院的时间， 身体和精神症状将在6点进行评估 每隔三年按月计算。个人固定在 预计恋爱关系在以下方面会显示出更积极的结果 病例管理比标准护理更好地使用证明 接受治疗的时间减少，住院时间减少等。 的关系预计会呈现出相反的模式， 变得更有症状，使用更差的治疗，以防 管理层。专注于人际关系的个人 预计在两种治疗方法中会出现不同类型的问题。 三年后，集团和个人数据将用于 将被不适当分配的受试者重新分配到相应 治疗。重新分配后，适当分配的受试者 预计将在功能上显示出显著的进步。

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.