282 A preventative psychosocial care approach (PPCA) for promoting psychological wellbeing for people with CF (PWCF) and their caregivers

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• 作者：H. Oxley^a ; M. Bryon^b ; P. Brewin^c
• 刊名：Journal of Cystic Fibrosis
• 出版年：2015
• 出版时间：June 2015
• 年：2015
• 卷：14
• 期：supp_S1
• 页码：S130
• 全文大小：62 K

文摘

People with chronic health conditions are at risk for psychological distress. Recent publication of TIDES studies has led to welcome debate about how to ensure psychological needs of PWCF & families are identified, and proposals to develop international guidance for screening & treatment of mental health problems in CF. However, preventative psychosocial care is cost-effective and responsive to the psychological issues occurring in those with chronic physical health issues.

Methods

The UKPPCF has developed a PPCA, refined over 2 decades, based on well-defined standards of care.

Results

Guidance has been produced by UKPPCF and will be described in detail. PPCA includes surveillance for a wide range of CF related emotional health difficulties & co-ordination of psychological care from within the CF team. The approach is preventative & promotes psychosocial wellbeing in contrast to more reactive models that screen for indicators of psychopathology. PPCA can be adapted in a stepped care approach for services that do not have a psychologist as part of the core CF team.

Conclusion

Models of psychological care for people with chronic health conditions indicate that the most cost-effective way of providing care is to intervene at the preventative tier rather than wait for clinical referral. Despite differences in international health funding systems, prevention is better than cure. The UK model & especially the annual surveillance & screening of PWCF & families is a key opportunity to offer a preventative assessment & deliver appropriate specialised interventions in a way that is integrated fully with CF medical care.