社会心理干虎预服务.pptVIP

Psychosocial Mental Health Aftercare Services John R. Bola, Ph.D. School of Social Work University of Southern California USA 美国南加州大学社会工作学院 包教授 Causal Models Biomedical disease? or Bio-psycho-social Stress-vulnerability model? 生理疾病？ 或 生理-心理-社会模式 还是 压力应对的模式？ Advantages of Biological Disease Model Simplicity Chemical imbalance Reduced responsibility and self-blame Stigma management 简单 由化学元素不平衡导致 责任及自我指责的减少 对歧视的处理 Limits of Biological Disease Model Environmental influences are peripheral Change occurs primarily through medication Reduces active participation in the recovery process 外围环境因素 单纯依靠药物治疗 减少康复过程中的积极参与 Over-Reliance on Medication Suppression of symptoms Not a cure Side-effects 只是抑制症状 不能治愈 副作用 Bio-Psycho-Social Model of Mental Illness Advantages: Multi directional causal influences Primary social and psychological interventions 益处 多方位考虑原因 以社会和心理干预为主 Stress-Vulnerability Model Reduce stress Increase support Comprehensive framework for intervention 减少压力 增加支持 全面的干预架构 Optimal Use of Medication Use lowest effective / necessary dose Minimize side-effects Part of integrated treatment 用最少的剂量达到最佳的效果 减少副作用 综合治疗方案的一部分 Continuum of Mental Health Services Least restrictive environment Maximize functional recovery Community-based 少受环境限制 增强功能恢复 以社区为依托 Evidence-Based Practice Using best available evidence More helpful to people More effective for society 利用现存最佳的科学证据 对患者和家人多提供有效的帮助 对社会更有效益 Developing Services Use best evidence Test Adapt services to local conditions and culture 使用最佳科研证据 测试其可行性 调整服务，使其适应本地实际情况 Evidence-Based Psychosocial Treatments for Schizophrenia Family psychoeducation Psychsocial skills training Cognitive-behavioral therapy Vocational rehabilitation 对家庭的心理教育 社会心理技巧培训 行为意识治疗 职业恢复 Psychosocial Treatments for Schizophrenia Family mutual support Client self-help Assertive Community Treatment (ACT) Supported Employment 家庭互助 患者互助 社区积极治疗 就业支持 Family Psychoeducation Reduces relapse, improves social functioning and reduces caregiver burden. Recogniz