Goulet Claudine, Rousseau Jacqueline, Fortier Pierre
Université de Montréal, Ecole de réadaptation (ergothérapie), Québec, Canada.
Can J Occup Ther. 2007 Jun;74(3):172-82.
This article presents a literature review based on the following question: According to service providers and clients, is the approach adopted by service providers in psychiatry, centred on client needs?
To compare the perceptions of clients and service providers regarding the use of a client-centred approach and the identification of the intervention needs in psychiatry.
Medline, PsycInfo and CINAHL databases were consulted; eight studies were selected.
Service providers and clients agree to the fact that the client-centred approach is not priorized in psychiatry. Different reasons are given by both parties. There is little agreement between clients and service providers regarding the intervention needs. Many clients needs seem to be unsatisfied (interpersonal relationships, independent life skills, productive activities, coping with illness, health care).
Occupational therapists must adopt a client-centred approach to their interventions by evaluating the global needs of the clients, by developing services to encourage clients to engage in social or productive activities and by consulting the clients and their families in order to evaluate the quality of the services.
本文基于以下问题进行文献综述：根据服务提供者和客户的反馈，精神科服务提供者所采用的方法是否以客户需求为中心？
比较客户和服务提供者对于精神科采用以客户为中心的方法以及确定干预需求的看法。
查阅了Medline、PsycInfo和CINAHL数据库；选取了八项研究。
服务提供者和客户都认同精神科并未优先采用以客户为中心的方法这一事实。双方给出了不同的原因。客户和服务提供者在干预需求方面几乎没有达成一致。许多客户的需求似乎未得到满足（人际关系、独立生活技能、生产活动、应对疾病、医疗保健）。
职业治疗师必须通过评估客户的整体需求、开发鼓励客户参与社交或生产活动的服务以及咨询客户及其家属以评估服务质量，从而在干预中采用以客户为中心的方法。
