UNASSIGNED: A cross-sectional study with an inpatient sample (age >18 years) with frequent (>5) or long (>4 weeks) psychiatric hospital admissions last year due to SH or SA recruited from 12 hospitals across health regions (N = 42). Evaluation included patient and clinician report.
UNASSIGNED: A minority of the patients (14%) were satisfied with HS before the current admission, 45% (patients) and 20% (clinicians) found the current admission helpful, and 46% (patients) and 14% (clinicians) worried about discharge. Treatment complaints were received in 38% of the cases. Outpatient mental HS were available after discharge for 68% and a majority of clinicians indicated satisfactory contact across HS. More intensive or specialized formats were unusual (structured outpatient treatment 35%, day treatment 21%, ambulatory services 32%, planned inpatient services 31%). Mutual problem understanding, aims, and confidence in therapists during the hospital stay were limited (patient-rated satisfactory mutual problem understanding: 39%, aims of stay: 50%, confidence: 50%). Patient and therapist alliance-ratings were in concordance for the majority.
UNASSIGNED: The study highlights poor HS satisfaction, poor patient-therapist coherence, limited treatment alliance and limited follow-up in structured treatments addressing SH or intermediary supportive ambulatory/day/inpatient services.
■一项横断面研究,其中包括住院患者样本(年龄>18岁),去年因SH或SA而频繁(>5)或长期(>4周)精神病医院入院。从健康地区的12家医院招募(N=42)。评估包括患者和临床医生报告。
■少数患者(14%)在入院前对HS感到满意,45%(患者)和20%(临床医生)认为目前的入院有帮助,46%(患者)和14%(临床医生)担心出院。38%的案件收到治疗投诉。出院后有68%的门诊精神性HS,大多数临床医生表示在整个HS之间有令人满意的联系。更密集或更专业的形式是不寻常的(结构化门诊治疗35%,日治疗21%,门诊服务32%,计划住院服务31%)。相互的问题理解,目标,并且在住院期间对治疗师的信心有限(患者评分满意的相互问题理解:39%,住宿目标:50%,置信度:50%)。大多数患者和治疗师联盟的评级是一致的。
■这项研究强调了HS满意度差,患者-治疗师的一致性差,有限的治疗联盟和有限的结构化治疗随访,解决SH或中间支持性门诊/日间/住院服务。