Early tailored assertive community case management for hard-to-engage adolescents suffering from psychiatric disorders: an exploratory pilot study

被引:13
作者
Baier, Vanessa [1 ]
Favrod, Jerome [2 ,4 ]
Ferrari, Pascale [2 ,4 ]
Koch, Nathalie [3 ]
Holzer, Laurent [1 ]
机构
[1] Univ Hosp Ctr Lausanne, Children & Adolescents Unit, Dept Psychiat, Lausanne, Switzerland
[2] Univ Hosp Ctr Lausanne, Commun Psychiat Serv, Lausanne, Switzerland
[3] Univ Hosp Ctr Lausanne, Clin Governance Unit, Dept Psychiat, Lausanne, Switzerland
[4] Univ Appl Sci Western Switzerland, Lausanne, Switzerland
关键词
adolescence; assertive community treatment; home treatment; HoNOSCA; mobile team; NATION OUTCOME SCALE; MENTAL-HEALTH; DIFFICULT; SERVICES; OUTREACH; CHILDREN; HONOSCA; ROUTINE;
D O I
10.1111/j.1751-7893.2012.00380.x
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Aim The study aims to evaluate the effects of assertive community treatment (ACT) on the mental health and overall functioning of adolescents suffering from severe psychiatric disorders and who refuse any traditional child psychiatric care. There are a few studies evaluating the effects of ACT on a population of adolescents with psychiatric disorders. This short report highlights the impact of an ACT programme tailored to the needs of these patients, not only as an alternative to hospitalization, but also as a new form of intervention for patients that are difficult to engage. Methods The effect of ACT on 35 adolescents using the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) as a measuring tool in pre- and post-intervention was evaluated. Results The results show that the intervention was associated with a significant improvement on the HoNOSCA overall score, with the following items showing significant amelioration: hyperactivity/focus problems, non-organic somatic symptoms, emotional symptoms, scholastic/language skills, peer relationships, family relationships and school attendance. Conclusion ACT appears as a feasible intervention for hard-to-engage adolescents suffering from psychiatric disorders. The intervention seems to improve their mental health and functioning. This pilot study may serve as a basis to prepare a controlled study that will also take the costs of the intervention into account.
引用
收藏
页码:94 / 99
页数:6
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