Foley Ronan, Platzer Hazel
Department of Geography/National Institute of Regional & Spatial Analysis (NIRSA), NUI Maynooth, Maynooth, Co. Kildare, Ireland.
Soc Sci Med. 2007 Feb;64(3):617-32. doi: 10.1016/j.socscimed.2006.09.014. Epub 2006 Oct 30.
The National Health Service (NHS) Executive for London carried out an investigation in 2002 as part of their wider mental health strategy to establish whether existing mental health advocacy provision in the city was meeting need. The project took a two-part approach, with an emphasis on, (a) mapping the provision of advocacy services and, (b) cartographic mapping of service location and catchments. Data were collected through a detailed questionnaire with service providers in collaboration with the Greater London Mental Health Advocacy Network (GLMHAN) and additional health and government sources. The service mapping identified some key statistics on funding, caseloads and models of service provision with an additional emphasis on coverage, capacity, and funding stability. The questionnaire was augmented by interviews and focus groups with commissioners, service providers and service users and identified differing perspectives and problems, which informed the different perspectives of each of these groups. The cartographic mapping exercise demonstrated a spatially-even provision of mental health advocacy services across the city with each borough being served by at least one local service as well as by London wide specialist schemes. However, at local level, no one borough had the full range of specialist provision to match local demographic need. Ultimately the research assisted the Advisory Group in providing commissioning agencies with clear information on the current status of city-wide mental health advocacy services, and on gaps in existing advocacy provision alongside previously unconsidered geographical and service dimensions of that provision.
作为其更广泛的心理健康战略的一部分，伦敦国民保健服务（NHS）执行机构于2002年进行了一项调查，以确定该市现有的心理健康倡导服务是否满足需求。该项目采用了两部分的方法，重点在于：（a）绘制倡导服务的提供情况，以及（b）绘制服务地点和服务区域的地图。通过与大伦敦心理健康倡导网络（GLMHAN）以及其他卫生和政府部门合作，向服务提供者发放详细问卷来收集数据。服务情况调查确定了一些关于资金、工作量和服务提供模式的关键统计数据，同时还特别强调了覆盖范围、能力和资金稳定性。通过与专员、服务提供者和服务使用者进行访谈和焦点小组讨论，对问卷进行了补充，确定了不同的观点和问题，这些观点和问题反映了这些群体各自不同的视角。地图绘制工作表明，全市心理健康倡导服务在空间上分布均匀，每个行政区至少由一项本地服务以及伦敦范围内的专业计划提供服务。然而，在地方层面，没有一个行政区拥有能满足当地人口需求的全套专业服务。最终，该研究帮助咨询小组向委托机构提供了关于全市心理健康倡导服务现状的明确信息，以及现有倡导服务存在的差距，同时还提供了该服务之前未被考虑的地理和服务维度方面的信息。
