Psychiatrische Praxis · 2012
[Implementation of joint-crisis plans--a study of health care users and professionals].
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Grätz Juliane, Brieger Peter
Аннотация
OBJECTIVE: To study effects of the implementation of joint-crisis plans (JCP) on health-care users and professionals.
METHODS: The first 3 years of the implementation of JCP were followed with structured interviews with health-care users and professionals. Legal and administrative complications were documented.
RESULTS: 36 of 44 subjects with JCP were assessed. Most of them had learned of JCP through other users or self-help. 55 % had prior experience with compulsory treatment. Better communication and self-determination were main goals of JCP. A relevant change in hospital treatment through JCP was not observed. Only few professionals had made direct experience with JCP. They valued JCP mildly positive. No legal and administrative complications were documented.
CONCLUSIONS: Only a small minority of users signed JCP. JCP were easily employed and improved communication and self-determination.
METHODS: The first 3 years of the implementation of JCP were followed with structured interviews with health-care users and professionals. Legal and administrative complications were documented.
RESULTS: 36 of 44 subjects with JCP were assessed. Most of them had learned of JCP through other users or self-help. 55 % had prior experience with compulsory treatment. Better communication and self-determination were main goals of JCP. A relevant change in hospital treatment through JCP was not observed. Only few professionals had made direct experience with JCP. They valued JCP mildly positive. No legal and administrative complications were documented.
CONCLUSIONS: Only a small minority of users signed JCP. JCP were easily employed and improved communication and self-determination.
Предметные рубрики MeSH
AdultCommitment of Persons with Psychiatric DisordersCommunity Mental Health ServicesCooperative BehaviorCrisis InterventionFemaleGermanyHealth Plan ImplementationHumansInterdisciplinary CommunicationMaleMiddle AgedMood DisordersNeurotic DisordersOutcome and Process Assessment, Health CarePatient Care TeamPatient ReadmissionPersonal AutonomyPersonality DisordersPhysician-Patient RelationsPsychotic DisordersSocial AdjustmentSocial Work, PsychiatricSuicideSuicide, AttemptedSuicide Prevention