PDF(Pubmed)
Abstract：
In 2009, Massachusetts General Hospital and the Red Sox Foundation launched Home Base, a nonprofit dedicated to providing care to veterans, service members, and their loved ones who struggle with the invisible wounds of war free of charge. Significant needs exist for mental health services in each of these populations, and a need for innovative approaches to address shortcomings in existing treatment models. Three inventive components of our programming are highlighted herein: a Veteran Outreach Team, which helps to engage patients in care, programming, and services specifically for family members, and an intensive outpatient substance use treatment program. More than 4,000 patients, 3,031 veterans and service members, and 1,025 family members have engaged in treatment at Home Base. Patients were asked to complete post-treatment self-measures, including a satisfaction questionnaire via an electronic data collection system. The vast majority of individuals who engaged in our treatment model were satisfied with the care they received (>92%) and would refer their peers to the Home Base program (>75%). Data from 78 individuals who completed the dual diagnosis services demonstrated large effect sizes in reductions in alcohol use and comorbid mental health symptoms. These data suggest that novel components to the standard outpatient mental health model might provide substantive benefits for the patients served. While internal data is prone to a lack of generalizability, these additional offerings help ameliorate patients\' expressed shortcomings with existing models; present literature that describes the benefits that these additions provide is also reviewed. The lessons learned and limitations are discussed.
摘要：
2009年，马萨诸塞州总医院和红袜队基金会成立了家庭基地，致力于为退伍军人提供护理的非营利组织，服务会员,和他们的亲人免费与战争的无形伤口斗争。这些人群对精神卫生服务的需求很大，以及需要创新方法来解决现有治疗模式中的缺点。我们的节目的三个创造性的组成部分在这里强调：老将外展团队，这有助于让病人参与护理，编程，以及专门为家庭成员提供的服务，和强化门诊药物使用治疗计划。4000多名患者，3,031名退伍军人和服务人员，1025名家庭成员在家庭基地接受治疗。患者被要求完成治疗后的自我测量，包括通过电子数据收集系统的满意度问卷。从事我们的治疗模式的绝大多数人对他们所接受的护理感到满意（>92％），并将他们的同龄人推荐给家庭基地计划（>75％）。来自78名完成双重诊断服务的个人的数据显示，在减少饮酒和并发心理健康症状方面具有很大的效果。这些数据表明，标准门诊心理健康模型的新组成部分可能为所服务的患者提供实质性益处。虽然内部数据容易缺乏普遍性，这些额外的产品有助于改善患者在现有模型中所表达的缺陷;还回顾了描述这些添加提供的益处的现有文献。讨论了经验教训和局限性。
