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精神病学与公民身份:利物浦黑人心理健康服务使用者的视角

Psychiatry and citizenship: the Liverpool black mental health service users' perspective.

作者信息

Pierre S A

出版信息

J Psychiatr Ment Health Nurs. 2000 Jun;7(3):249-57. doi: 10.1046/j.1365-2850.2000.00274.x.

DOI:10.1046/j.1365-2850.2000.00274.x
PMID:11249319
Abstract

This study investigates the appropriateness of statutory psychiatric services for the Black community in Liverpool by appraising the services through the views of Black British, Black African, and Black Caribbean service users residing in Liverpool. Semi-structured and unstructured interviews, which characterize methodological approaches used to harness and deploy services users' views to generate involvement in service decisions at local level, are utilized and analyzed by thematic content analytical procedures described in Burnard (1991), and demonstrated by Evans (1995). Interview transcripts are individually studied, manipulated, and aggregated to generate the main themes discussed during this process. The findings are discussed in the presentation of the data as supporting or disconfirming evidence of the researcher's understanding of the anomalies in the characteristics of psychiatric services in cross-cultural settings. The study shows that structures already exist in the Black Community for mental health service providers to action user involvement, a contemporary policy initiative in the British National Health Service (DoH 1997). This study demonstrates the process.

摘要

本研究通过评估居住在利物浦的英国黑人、非洲黑人及加勒比黑人服务使用者的观点,来调查利物浦法定精神科服务对黑人社区的适用性。采用半结构化和非结构化访谈,这是用于利用和运用服务使用者观点以促使其参与地方层面服务决策的方法,访谈由伯纳尔德(1991年)描述并经埃文斯(1995年)展示的主题内容分析程序进行分析。对访谈记录进行单独研究、处理和汇总,以生成在此过程中讨论的主要主题。在数据呈现中,对研究结果进行讨论,作为支持或反驳研究者对跨文化背景下精神科服务特征异常理解的证据。该研究表明,黑人社区中已存在相关结构,可供精神卫生服务提供者推动服务使用者参与,这是英国国民医疗服务体系(卫生部,1997年)的一项当代政策举措。本研究展示了这一过程。

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