Benshoff D L, Draucker C B
Int J Partial Hosp. 1985 Mar;3(1):39-47.
Few would disagree that programs designed to assist deinstitutionalized mental-health patients have been seen as the step-children of community mental health. Many community mental-health programs were built quickly to rise to the challenge of the flood emerging from the hospitals. Unfortunately, this resulted in programs being poorly defined and reactive rather than responsive in nature. One of the issues that emerges as crucial is the status afforded to the aftercare clinician by other mental-health professionals. Personal experiences shared by community mental-health personnel suggest that clinicians who work with aftercare patients or who work in aftercare settings are attributed less prestige than their outpatient counterparts. The authors review the pertinent literature and reveal the results of a survey suggesting that aftercare clinicians view themselves as expert, but the rest of the system does not, leading to the inconsistent status profile. The problem then emerges that the aftercare clinician must "market" his or her expertise and specialized skills so that other clinicians recognize the unique therapeutic contribution of aftercare. The authors offer recommendations.
旨在帮助非住院心理健康患者的项目一直被视为社区心理健康的“继子”。许多社区心理健康项目迅速建立起来，以应对医院涌出的大量患者带来的挑战。不幸的是，这导致项目定义不明确，本质上是被动反应而非积极响应。一个至关重要的问题是，后续护理临床医生在其他心理健康专业人员眼中的地位。社区心理健康人员分享的个人经历表明，与后续护理患者合作或在后续护理环境中工作的临床医生，其威望不如门诊同行。作者回顾了相关文献，并揭示了一项调查结果，该调查表明后续护理临床医生认为自己是专家，但系统中的其他人却不这样认为，这导致了地位的不一致。于是问题出现了，后续护理临床医生必须“推销”他或她的专业知识和专门技能，以便其他临床医生认识到后续护理独特的治疗贡献。作者提出了建议。
