针对患有严重精神疾病的成年人的社会心理外展支持计划的对照评估。

IF 3.6 1区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Psychosocial Intervention Pub Date : 2024-09-02 eCollection Date: 2024-09-01 DOI:10.5093/pi2024a12
Melissa Savaglio, Ash Vincent, Marianne Bentley, Jasmine Gaul, Stuart Poke, Nicole Watson, Helen Skouteris
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引用次数: 0

摘要

目的:严重精神疾病(SMI)仍然是导致全球残疾的主要原因。然而,澳大利亚有关以社区为基础的项目来提高患有严重精神疾病的成年人的社会心理健康水平的证据却很有限。Foundations 是一项在澳大利亚塔斯马尼亚州实施的长期社区社会心理外展支持项目。研究人员进行了一项纵向非随机对照试验,以考察 "Foundations "项目对成人社会心理功能、临床症状和再入院率的影响,并与标准护理进行比较。研究方法参与者为年龄在 18-64 岁之间、患有 SMI 的成年人。对照组参与者仅接受标准临床护理。干预参与者除接受标准护理外,还参加了基础项目。在项目开始、中期、结束和结束后六个月收集数据。采用线性混合模型来检验组间差异。结果显示与对照组相比,干预参与者在项目结束时和六个月的随访中获得了更好的社会心理功能。在临床心理健康症状或再入院率方面没有观察到明显差异。干预参与者的再入院时间明显缩短。结论研究结果凸显了以社区为基础、以康复为导向的社会心理外展支持,以及临床心理健康护理对提高经历 SMI 的成年人的社会心理健康的额外价值。
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A Controlled Evaluation of a Psychosocial Outreach Support Program for Adults with Severe Mental Illness.

Objective: Serious mental illness (SMI) remains a leading cause of disability worldwide. However, there is limited Australian evidence of community-based programs to enhance the psychosocial wellbeing of adults experiencing SMI. Foundations is a long-term community-based psychosocial outreach support program delivered in Tasmania, Australia. A longitudinal non-randomised controlled trial was conducted to examine the effectiveness of the Foundations program on adults' psychosocial functioning, clinical symptomology, and hospital readmissions, in comparison to standard care only. Method: Participants were adults aged 18-64 years experiencing SMI. Control participants received standard clinical care only. Intervention participants were engaged in the Foundations program in addition to standard care. Data were collected at program commencement, midpoint, closure, and six-months post-closure. Linear mixed modelling was used to examine differences between groups. Results: Intervention participants achieved better psychosocial functioning in comparison to the control group by program closure and at six-month follow-up. No significant differences were observed for clinical mental health symptomology or hospital readmission rates. Length of readmission stay was significantly shorter for intervention participants. Conclusions: The findings highlight the additional value of community-based, recovery-oriented, psychosocial outreach support alongside clinical mental health care to enhance the psychosocial wellbeing of adults experiencing SMI.

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来源期刊
Psychosocial Intervention
Psychosocial Intervention PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
8.00
自引率
8.30%
发文量
10
审稿时长
14 weeks
期刊介绍: Psychosocial Intervention is a peer-reviewed journal that publishes papers in all areas relevant to psychosocial intervention at the individual, family, social networks, organization, community, and population levels. The Journal emphasizes an evidence-based perspective and welcomes papers reporting original basic and applied research, program evaluation, and intervention results. The journal will also feature integrative reviews, and specialized papers on theoretical advances and methodological issues. Psychosocial Intervention is committed to advance knowledge, and to provide scientific evidence informing psychosocial interventions tackling social and community problems, and promoting social welfare and quality of life. Psychosocial Intervention welcomes contributions from all areas of psychology and allied disciplines, such as sociology, social work, social epidemiology, and public health. Psychosocial Intervention aims to be international in scope, and will publish papers both in Spanish and English.
期刊最新文献
Which Psychosocial Strengths Could Combat the Adolescent Suicide Spectrum? Dissecting the Covitality Model. A Controlled Evaluation of a Psychosocial Outreach Support Program for Adults with Severe Mental Illness. Care Competencies Training Enhances Adolescents' Well-being: A Randomized Controlled Trial. Integrated Motivational Strategies for Intimate Partner Violence Perpetrators with Substance Use: A Randomized Controlled Trial. Understanding the Effect of Loneliness on Quality of Life in Older Adults from Longitudinal Approaches.
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