Callaghan Jane, Young Bridget, Pace Francis, Vostanis Panos
Division of Child and Adolescent Psychiatry, University of Leicester, UK.
Health Soc Care Community. 2003 Jan;11(1):55-63. doi: 10.1046/j.1365-2524.2003.00400.x.
The objective of the present study was to examine the views of professionals working in youth offending teams (YOTs) on a new model for providing mental health service support within the context of an interagency setting. Focus groups were used and data were analysed according to the constant comparative method. The setting consisted of two YOTs, one in an inner-city area and the other in a rural/semi-urban area, where primary mental health workers operate at the interface between YOTs and the specialist child and adolescent mental health services. Seventeen YOT professionals participated in four focus groups. Four themes were identified: previous experiences of specialist mental health services; issues of interagency working; the role of the primary mental health worker within the YOT; and recommendations for the future. Overall, the clinical component of the role (assessment and intervention), and the accessibility and responsiveness of the mental health staff were consistently valued, while there were mixed responses on role definitions within the team, consultation and training. It is concluded that mental health service provision through primary mental health workers is a useful model for interagency partnerships for high-risk client groups with multiple and complex mental health needs.
本研究的目的是考察青少年犯罪问题处理小组(YOTs)中的专业人员对于在跨部门环境下提供心理健康服务支持的新模式的看法。研究采用了焦点小组的方式,并依据持续比较法对数据进行了分析。研究背景包括两个青少年犯罪问题处理小组,一个位于市中心城区,另一个位于农村/半城区,在那里,基层心理健康工作者在青少年犯罪问题处理小组与专业儿童及青少年心理健康服务机构之间的界面开展工作。17名青少年犯罪问题处理小组的专业人员参与了4个焦点小组。研究确定了4个主题:专业心理健康服务的既往经历;跨部门合作问题;基层心理健康工作者在青少年犯罪问题处理小组中的角色;以及对未来的建议。总体而言,该角色的临床部分(评估和干预)以及心理健康工作人员的可及性和响应性一直受到重视,而对于团队内部的角色定义、咨询和培训则存在不同的看法。研究得出结论,通过基层心理健康工作者提供心理健康服务,对于有多重和复杂心理健康需求的高危客户群体的跨部门伙伴关系而言是一种有用的模式。