Lakeman R
School of Nursing, Dublin City University, Glasnevin, Dublin, Ireland.
J Psychiatr Ment Health Nurs. 2008 Apr;15(3):203-11. doi: 10.1111/j.1365-2850.2007.01213.x.
It is widely accepted that family and carer participation in adult mental health care is desirable. However, rarely is service development informed by representative opinions of both carers and service users. This study took place in the context of a larger project to introduce and evaluate practice standards relating to family participation. The aim of this paper is to explore the perceptions of service users and carers to carer participation in adult mental health services. One hundred and twenty-nine service users and 86 family members recruited via hospital and community settings completed a survey which addressed obstacles to family participation, perceived benefits of participation and areas for improvement. Many service users and family were entirely satisfied with existing levels of family participation. Different needs for information, support and the nature of participation in mental health care are highlighted in acute hospital and community settings. Across settings, the provision of support and accessing services were identified as the most useful aspects of family participation. Meaningful carer and family participation in mental health care should proceed from respectful connection with carers and be informed by need which will vary depending on setting and circumstances.
人们普遍认为，家庭和照料者参与成人心理健康护理是可取的。然而，服务发展很少以照料者和服务使用者的代表性意见为依据。本研究是在一个更大的项目背景下进行的，该项目旨在引入和评估与家庭参与相关的实践标准。本文的目的是探讨服务使用者和照料者对照料者参与成人心理健康服务的看法。通过医院和社区环境招募的129名服务使用者和86名家庭成员完成了一项调查，该调查涉及家庭参与的障碍、参与的感知益处以及改进领域。许多服务使用者和家庭对现有的家庭参与水平完全满意。急症医院和社区环境中突出了对心理健康护理信息、支持和参与性质的不同需求。在所有环境中，提供支持和获得服务被确定为家庭参与最有用的方面。照料者和家庭有意义地参与心理健康护理应源于与照料者的尊重性联系，并根据需求情况而定，需求会因环境和情况而异。
