PDF(Pubmed)
Abstract：
UNASSIGNED: This study aimed to clarify the association between treatment status (untreated or treated) at the start of community mental health outreach services and service intensity.
UNASSIGNED: This retrospective cohort study was conducted using the Tokorozawa City mental health outreach service users\' data. Treatment status at the start of service (exposure variable) and the service intensity (outcome variables) were taken from clinical records. Poisson regression and linear regression analyses were conducted. The frequency of medical or social service use 12 months after service initiation was also calculated. This study was approved by the Research Ethics Committee at the National Center of Neurology and Psychiatry (No. A2020-081).
UNASSIGNED: Of 89 people, 37 (42%) were untreated. Family members in the untreated group were more likely to be targets or recipients of services than in the treated group (b = 0.707, p < 0.001, Bonferroni-adjusted p < 0.001). Compared to the treated group, the untreated group received fewer services themselves (b = -0.290, p = 0.005), and also fewer services by telephone (b = -0.252, p = 0.012); by contrast, they received more services at the health center (b = 0.478, p = 0.031) and for family support (b = 0.720, p = 0.024), but these significant differences disappeared after Bonferroni adjustment. At least 11% of people in the untreated group were hospitalized and 35% were outpatients 12 months after service initiation.
UNASSIGNED: Family involvement may be a key service component for untreated people. The service intensity with and without treatment may vary by service location.
UNASSIGNED: This retrospective cohort study was conducted using the Tokorozawa City mental health outreach service users\' data. Treatment status at the start of service (exposure variable) and the service intensity (outcome variables) were taken from clinical records. Poisson regression and linear regression analyses were conducted. The frequency of medical or social service use 12 months after service initiation was also calculated. This study was approved by the Research Ethics Committee at the National Center of Neurology and Psychiatry (No. A2020-081).
UNASSIGNED: Of 89 people, 37 (42%) were untreated. Family members in the untreated group were more likely to be targets or recipients of services than in the treated group (b = 0.707, p < 0.001, Bonferroni-adjusted p < 0.001). Compared to the treated group, the untreated group received fewer services themselves (b = -0.290, p = 0.005), and also fewer services by telephone (b = -0.252, p = 0.012); by contrast, they received more services at the health center (b = 0.478, p = 0.031) and for family support (b = 0.720, p = 0.024), but these significant differences disappeared after Bonferroni adjustment. At least 11% of people in the untreated group were hospitalized and 35% were outpatients 12 months after service initiation.
UNASSIGNED: Family involvement may be a key service component for untreated people. The service intensity with and without treatment may vary by service location.
摘要：
■本研究旨在阐明社区心理健康外展服务开始时的治疗状态（未经治疗或已治疗）与服务强度之间的关联。
这项回顾性队列研究是使用Tokorozawa市心理健康外展服务用户的数据进行的。服务开始时的治疗状态（暴露变量）和服务强度（结果变量）取自临床记录。进行泊松回归和线性回归分析。还计算了服务开始后12个月的医疗或社会服务使用频率。这项研究得到了国家神经病学和精神病学中心研究伦理委员会的批准（编号：A2020-081）。
■89人中,37（42%）未处理。与治疗组相比,未治疗组的家庭成员更可能成为服务的目标或接受者(b=0.707,p<0.001,Bonferroni-adjustedp<0.001)。与治疗组相比，未经治疗的组自己接受的服务较少(b=-0.290，p=0.005)，电话服务也较少(b=-0.252，p=0.012)；相比之下，他们在健康中心接受了更多的服务(b=0.478，p=0.031)和家庭支持(b=0.720，p=0.024)，但这些显著差异在Bonferroni调整后消失。未治疗组中至少有11％的人在开始服务后12个月住院，35％的人门诊病人。
■家庭参与可能是未经治疗的人的关键服务组成部分。使用和不使用治疗的服务强度可能因服务位置而异。
这项回顾性队列研究是使用Tokorozawa市心理健康外展服务用户的数据进行的。服务开始时的治疗状态（暴露变量）和服务强度（结果变量）取自临床记录。进行泊松回归和线性回归分析。还计算了服务开始后12个月的医疗或社会服务使用频率。这项研究得到了国家神经病学和精神病学中心研究伦理委员会的批准（编号：A2020-081）。
■89人中,37（42%）未处理。与治疗组相比,未治疗组的家庭成员更可能成为服务的目标或接受者(b=0.707,p<0.001,Bonferroni-adjustedp<0.001)。与治疗组相比，未经治疗的组自己接受的服务较少(b=-0.290，p=0.005)，电话服务也较少(b=-0.252，p=0.012)；相比之下，他们在健康中心接受了更多的服务(b=0.478，p=0.031)和家庭支持(b=0.720，p=0.024)，但这些显著差异在Bonferroni调整后消失。未治疗组中至少有11％的人在开始服务后12个月住院，35％的人门诊病人。
■家庭参与可能是未经治疗的人的关键服务组成部分。使用和不使用治疗的服务强度可能因服务位置而异。
