Coordinated Technology-Delivered Treatment to Prevent Rehospitalization in Schizophrenia: A Novel Model of Care

被引:19
作者
Brunette, Mary F. [1 ,2 ]
Rotondi, Armando J. [3 ,4 ]
Ben-Zeev, Dror [1 ,2 ]
Gottlieb, Jennifer D. [5 ,6 ]
Mueser, Kim T. [5 ,6 ]
Robinson, Delbert G. [7 ,8 ]
Achtyes, Eric D. [9 ,10 ]
Gingerich, Susan
Marcy, Patricia [11 ,12 ]
Schooler, Nina R. [13 ,14 ]
Meyer-Kalos, Piper [15 ]
Kane, John M. [7 ,8 ]
机构
[1] Dartmouth Coll, Dept Psychiat, Geisel Sch Med, Hanover, NH 03755 USA
[2] Dartmouth Psychiat Res Ctr, Ctr Technol & Behav Hlth, Lebanon, NH 03756 USA
[3] Univ Pittsburgh, Dept Crit Care Med, Clin & Translat Sci Inst, Pittsburgh, PA USA
[4] Mental Illness Res Educ & Clin Ctr, Dept Vet Affairs Med Ctr, Pittsburgh, PA USA
[5] Boston Univ, Ctr Psychiat Rehabil, Boston, MA 02215 USA
[6] Boston Univ, Dept Occupat Therapy, Boston, MA 02215 USA
[7] Feinstein Inst Med Res, Manhasset, NY USA
[8] Hofstra North Shore LIJ Sch Med, Dept Psychiat & Mol Med, Hempstead, NY USA
[9] Michigan State Univ, Coll Human Med, Cherry St, Grand Rapids, MI USA
[10] Michigan State Univ, Div Psychiat & Behav Med, Grand Rapids, MI USA
[11] Northwell Hlth, Great Neck, NY USA
[12] Vanguard Res Grp, Glen Oaks, NY USA
[13] Suny Downstate Med Ctr, Dept Psychiat & Behav Sci, Brooklyn, NY 11203 USA
[14] Zucker Hillside Hosp, Glen Oaks, NY USA
[15] Minnesota Ctr Chem & Mental Hlth, Dept Social Work, St Paul, MN USA
关键词
COGNITIVE-BEHAVIORAL THERAPY; PSYCHOSIS; MANAGEMENT; FOCUS;
D O I
10.1176/appi.ps.201500257
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Despite advances in schizophrenia treatment, symptom relapses and rehospitalizations impede recovery for many people and are a principal driver of the high cost of care. Technology-delivered or technology-enhanced treatment may be a costeffective way to provide flexible, personalized evidence-based treatments directly to people in their homes and communities. However, evidence for the safety, acceptability, and efficacy of such interventions is only now being established. The authors of this Open Forum describe a novel, technology-based approach to prevent relapse after a hospitalization for psychosis, the Health Technology Program (HTP), which they developed. HTP provides in-person relapse prevention planning that directs use of tailored, technology-based treatment based on cognitive-behavioral therapy for psychosis, family psycho-education for schizophrenia, and prescriber decision support through a Web-based program that solicits information from clients at every visit. Technology-based treatments are delivered through smartphones and computers.
引用
收藏
页码:444 / 447
页数:4
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