Fisk D, Rakfeldt J, Heffernan K, Rowe M
New Haven ACCESS, Connecticut Mental Health Center 06515, USA.
Psychiatr Q. 1999 Fall;70(3):231-46. doi: 10.1023/a:1022003226967.
Mental health professionals and researchers have emphasized the importance of conducting outreach to locate homeless persons with mental illness, and of creatively engaging these persons into a therapeutic relationship. These outreach and engagement activities raise challenging issues in the areas of client-staff boundaries, professional ethics, and staff safety. While several issues in each of these three key areas have received attention in the growing literature on homelessness, certain issues within each area remain unexplored. The authors draw from the street experiences of outreach staff in a federally funded homeless outreach project to further explore each of these areas, and suggest that experiences of outreach workers are essential in shaping and redefining work activities in these, and other important areas.
心理健康专业人士和研究人员强调了开展外展服务以找到患有精神疾病的无家可归者,以及创造性地促使这些人建立治疗关系的重要性。这些外展和参与活动在客户与工作人员界限、职业道德和工作人员安全等领域引发了具有挑战性的问题。虽然在日益增多的关于无家可归问题的文献中,这三个关键领域中的几个问题已受到关注,但每个领域内的某些问题仍未得到探讨。作者借鉴了一个由联邦资助的无家可归者外展项目中外展工作人员的街头经历,以进一步探讨这些领域中的每一个,并指出外展工作者的经历对于塑造和重新定义这些及其他重要领域的工作活动至关重要。