Ny tilnærming for vurdering og planlegging av behandling i poliklinisk psykisk helsevern

Katrine Høyer Holgersen, Ingvild Rønneberg Holte, Eva Gluppe, Øyvind Watne, Wenche Kojan Meisingset, Maja Rostad, Marianne Arentz, A. Rosenlund, Heidi Brattland
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Abstract

Background: Mental health care services are facing challenges due to the increasing number of referrals of patients with multifaceted problems. This study aims to describe the Early Assessment Team (EAT), a novel method of organizing intake assessments for the outpatient mental health service in a community mental health center (CMHC). Method: During the first two years of EAT, 1,034 cases were included in a descriptive quality assurance study. Patient population, method of work, re-referrals and patient satisfaction were evaluated. Results: After contact with EAT, two-thirds of patients were assessed as not in need of further treatment in the outpatient clinic. The assessment was performed during one to three sessions in 90% of cases. Fewer than 20% of cases that were screened out by EAT were re-referred to the CMHC within six months. Patients expressed satisfaction with the service. Implications: The results indicate that intake assessment by an early assessment team may be an alternative in clinical practice, though further controlled studies are needed.
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背景:精神卫生保健服务正面临着挑战,由于越来越多的病人转诊与多方面的问题。本研究旨在描述早期评估小组(Early Assessment Team, EAT),一种针对社区心理健康中心门诊心理健康服务组织摄入评估的新方法。方法:在EAT的前两年,1034例病例被纳入描述性质量保证研究。评估患者人数、工作方法、转诊和患者满意度。结果:接触EAT后,三分之二的患者被评估为不需要在门诊进一步治疗。在90%的病例中,评估在一到三个疗程中进行。通过EAT筛查出来的病例中,不到20%在6个月内被重新转介到CMHC。病人对这项服务表示满意。启示:结果表明,早期评估小组的摄入评估可能是临床实践中的一种替代方法,尽管需要进一步的对照研究。
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