Seebohm Patience, Secker Jenny
Institute for Applied Health & Social Policy, King's College London, UK.
J Interprof Care. 2003 Aug;17(3):282-91. doi: 10.1080/1356182031000122906.
Despite increasing interest in the UK in enabling community mental health teams to support clients' vocational aspirations, surveys suggest that progress to date has been slow. This study aimed to identify factors that facilitate or create barriers to teams engaging in vocational work by exploring experiences and perceptions at three sites where progress had been made. Semi-structured interviews were carried out with on-site and off-site vocational specialists, care coordinators and other professionals identified locally as supportive of vocational work. Participants' accounts were compared with a framework derived from previous research into effective vocational services. The framework encompassed partnership working, attention to clients' needs, choices and mental health, and enabling clients to access and retain employment. Interprofessional partnership working emerged as particularly strong at one site and in turn was key to facilitating attention to the other elements of the framework. Conversely, at the other two sites less well-developed partnership working could create barriers to addressing these elements. Across all three sites access to expert welfare benefits advice was problematic, with evidence of widespread ignorance about the crucial issues involved.
尽管英国越来越关注让社区心理健康团队支持客户的职业抱负，但调查显示，迄今为止进展缓慢。本研究旨在通过探索三个已取得进展的地点的经验和看法，确定促进或阻碍团队从事职业工作的因素。对现场和非现场职业专家、护理协调员以及当地确定为支持职业工作的其他专业人员进行了半结构化访谈。将参与者的叙述与先前对有效职业服务的研究所得出的框架进行了比较。该框架包括合作共事、关注客户的需求、选择和心理健康，以及使客户能够获得并保住工作。跨专业合作共事在一个地点显得尤为突出，进而成为促进关注框架其他要素的关键。相反，在其他两个地点，合作共事发展欠佳可能会对处理这些要素造成障碍。在所有三个地点，获取专家福利津贴建议都存在问题，有证据表明对所涉关键问题普遍缺乏了解。
