个案管理员发声：应对社区长期护理中的抑郁症
Case managers speak out: responding to depression in community long-term care.
作者信息
Munson Michelle, Proctor Enola, Morrow-Howell Nancy, Fedoravicius Nicole, Ware Norma
机构信息
Mandel School of Applied Social Sciences, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106-7164, USA.
出版信息
Psychiatr Serv. 2007 Aug;58(8):1124-7. doi: 10.1176/ps.2007.58.8.1124.
OBJECTIVE
This study sought to understand how case managers in one publicly funded health and social service system, community long-term care, understand and address depression among their clients.
METHODS
Four focus groups with a total of 18 case managers were conducted. Case managers were asked a series of questions about their perspectives on the recognition and treatment of depression, including subthreshold depression, in community long-term care.
RESULTS
Case managers perceived addressing depression as complex because of competing demands. Furthermore, case managers perceived conflict between their current role and what it would take to expand their role to include addressing depression.
CONCLUSIONS
Case managers suggested that in order to successfully improve the detection and treatment of depression in community long-term care, systemic changes, such as increased support and training, may be necessary, along with a shift in the professional role of case managers.
目的
本研究旨在了解在一个公共资助的健康与社会服务系统——社区长期护理中，个案管理员如何理解并处理其客户的抑郁症问题。
方法
开展了四个焦点小组，共有18名个案管理员参与。向个案管理员询问了一系列关于他们对社区长期护理中抑郁症（包括亚阈值抑郁症）的识别和治疗的看法的问题。
结果
由于需求相互竞争，个案管理员认为处理抑郁症很复杂。此外，个案管理员察觉到他们目前的角色与将角色扩展至包括处理抑郁症所需的工作之间存在冲突。
结论
个案管理员建议，为了在社区长期护理中成功改善抑郁症的检测和治疗，可能需要进行系统性变革，如增加支持和培训，同时个案管理员的专业角色也需转变。
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