采用自信的社区治疗团队模式发展跨专业社区精神病学轮转:初步评估

Journal of Maine Medical Center Pub Date : 2023-01-01 Epub Date: 2023-07-12 DOI:10.46804/2641-2225.1143
Ruth Frydman
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引用次数: 0

摘要

简介:在社区环境中与严重精神疾病(SMI)和相关合并症患者一起工作的精神科医生培训不足。我们为精神科住院医师和其他学习者设计了创新的精神病学轮转和课程。方法:轮转包括与我们的自信社区治疗团队合作,包括家访,自信外展,以及在其他社区环境中的访问。它的目的是提高学习者对他们的理解和技能的信心,以便在跨专业(IP)团队中与社区中的重度精神障碍患者一起工作和治疗。该质量改进试点项目使用标准评估表(住院医师)和轮转后汇报(所有学习者和知识产权机构工作人员)评估精神病学住院医师对轮转的反应。结果:对评估表的初步回应表明,轮转提高了居民对其基本方法、心理健康的社会决定因素和社区资源的知识的信心。轮转还提高了他们与重度精神障碍患者、IP团队和严重药物使用障碍患者合作的技能。汇报会议显示,学员和知识产权工作人员对轮岗的评价很高。讨论:初步结果表明,轮换(1)受到了学习者和知识产权工作人员的欢迎,(2)增加了住院医生对知识产权团队社区精神病学工作的理解和技能的信心。结论:利用知识产权团队模式,这种轮转提供了一个机会,提高学习者对他们的专业知识和技能的信心,以及对如何与边缘化和难以参与的重度精神障碍和合并症患者合作的理解。
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Developing an Interprofessional Community Psychiatry Rotation Using an Assertive Community Treatment Team Model: A Preliminary Evaluation.

Introduction: There is a shortage of psychiatric providers trained to work in community settings with people with serious mental illness (SMI) and associated comorbidities. We designed an innovative psychiatry rotation and curriculum for psychiatry residents and other learners.

Methods: The rotation incorporates working with our Assertive Community Treatment team and includes home visits, assertive outreach, and visits in other community settings. It was designed to improve learners' confidence in their understanding and skill set for working with and treating people with SMI in the community on an interprofessional (IP) team. This pilot quality improvement project evaluated psychiatry resident responses to the rotation using a standard evaluation form (residents) and post-rotation debriefing (all learners and IP staff).

Results: Preliminary responses to the evaluation form indicated that the rotation improved residents' confidence in their knowledge of underlying approaches, social determinants of mental health, and community resources. The rotation also improved their skills in working collaboratively with people with SMI, IP teams, and people with serious substance use disorders. Debriefing sessions revealed that the rotation was rated highly by learners and IP staff.

Discussion: Preliminary results suggest that the rotation (1) was well received by learners and IP staff and (2) increased residents' confidence in their understanding and skill set for working in community psychiatry on an IP team.

Conclusions: Using an IP team model, this rotation provides an opportunity for improving learners' confidence in their expertise, skills, and understanding of how to work with patients with SMI and comorbidities who are marginalized and difficult to engage.

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