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2017-11-27 - Colloque/Présentation - poster - Anglais - 1 page(s)

Denis Jennifer , Maisin Antoine, pecher antoine, Hendrick Stéphan , "A Model of Home-Based Crisis Intervention : a preliminary follow-up study" in 26th European Congress of Psychiatry (EPA), Nice, France, 2018

  • Codes CREF : Psychopathologie (DI3513), Psychiatrie (DI3521), Psychologie clinique (DI3524)
  • Unités de recherche UMONS : Psychologie clinique systémique et psychodynamique (P351)
  • Instituts UMONS : Institut des Sciences et Technologies de la Santé (Santé)
  • Centres UMONS : Mind & Health (CREMH)

Abstract(s) :

(Anglais) Introduction : Home-based crisis intervention (HBCI) is an intensive clinically service designed to immediately (max. 24 hours) assist patient in crisis in his real life environment. Our mobile psychiatric team also integrates families in the treatment. We offer care delivery based on the needs of people with mental health problems and relational or emotional disorder. Objectives : The present preliminary study examines the effect of our HBCI model on health-related quality of life, symptom distress (depression, anxiety), interpersonal relationships (conflict with others), suicidal ideation or behavior and continuity of care in patient in crisis. Methods : Thirty patients experiencing an acute crisis, aged between 19 and 71 years, were assessed before and after our home-based treatment. The Nottingham Health Profile (NHP), the Hospital Anxiety and Depression scale (HAD), the Outcome questionnaire (OQ-45), the Scale for Suicide Ideation (SSI), and the Alberta Continuity of Services Scale for Mental Health (ACSS-MH) were used in a 9-month preliminary follow-up study. Results : Our results showed a significant decrease in distress symptoms and suicidal ideation after between three to 6 weeks of treatment with a large effect size. The dimensions related to the quality of life assessment also improved during the intervention. A the end of treatment, a majority of patients had a total OQ-45 score below clinical significance. Discussion : Our mobile treatement allows to avoid hospitalization, reduces the impact of mental health emergencies through immediate response to crisis situations, prevents the crisis from having aggravating side effects and guides the beneficiaries towards the mental health care network Conclusion : This study suggests that our home-based crisis intervention may benefit for patient in crisis with improvement on several outcomes measure. However, the lack of comparison group entails caution when drawing conclusion.