Providing continuity of care for people with severe mental illness- a narrative review.
Social Psychiatry and Psychiatric Epidemiology(2004)
摘要
Service users and providers have stated that delivering
continuity of care to people with severe mental illness should
be a service priority. We reviewed literature on continuity of
care for people with severe mental illness (SMI) in order to
identify factors that promote and impede this process. A systematic search of electronic databases, sources of
grey literature and contact with experts in the field. Two
reviewers independently rated all papers for possible inclusion.
Data extracted from papers formed the basis of a narrative
review. We identified 435 papers on continuity of care, of which
60 addressed the study aims. Most did not define continuity of
care. Available evidence suggests that assertive community
treatment, case management, community mental health teams and
crisis intervention reduce the likelihood of patients dropping
out of contact with services. Evidence on which to base services that enhance continuity
of care for people with SMI is limited because previous research
has often failed to define continuity of care or consider the
patient’s perspective.
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