目的探讨对肇事肇祸精神病人社区综合干预监管的效果。方法将406例有肇事肇祸的精神病患者和家属分10批次集中,由专业技术人员就家庭干预的内容进行团体培训,每2个月对家庭随访督导,用精神疾病患者随访信息表评定一次;由专业技术人员给予针对性具体指导,进行认知与行为治疗干预,每3个月社区随访1次,同时用肇事肇祸危险性评估表进行评估。结果进行综合康复措施干预后与干预前比较(P<0.01),患者危险等级下降,差异有统计学意义。结论通过家庭干预,能及早发现患者逐步升级的情绪变化,尽快采取应急预案,降低肇事肇祸等级。
ObjectiveTo investigate the effects of comprehensive intervention of supervising troublemaking psychotics in community.Methods406 psychotic patients and their families,who were trained in group by skilled personnel with family intervention,were grouped in 10 equal lots.Every 2 months,patients and their families were followed up and assessed with a mental illness follow-up information sheet.Skilled personnel gave specific instructions and the cognitive-behavior therapy to the families,and every 3 months community follow-up was carried out once.At the same time the risk evaluation sheet for troublemaking was filled in.ResultsPatient risk Levels decreased before and after comprehensive rehabilitation measures intervention, and the difference was statistically significant (P<0.01).ConclusionEscalating emotional changes of patient can be found early,emergency plan can be carried out as quickly as possible, and accident levels can be lower by family intervention.