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心理健康服务使用者对接受以康复为重点的服务的看法。

Mental health consumers' perceptions of receiving recovery-focused services.

作者信息

Marshall Sarah L, Oades Lindsay G, Crowe Trevor P

机构信息

Illawarra Institute for Mental Health, University of Wollongong, Wollongong, New South Wales, Australia.

出版信息

J Eval Clin Pract. 2009 Aug;15(4):654-9. doi: 10.1111/j.1365-2753.2008.01070.x.

Abstract

RATIONALE, AIMS AND OBJECTIVES: This study examines the experiences of mental health service consumers engaged in various recovery-focused support practices as well as examining consumer valuing of these activities.

METHOD

A self-report questionnaire was developed drawing on key aspects of the Collaborative Recovery Model (CRM) (responsibility, collaboration, autonomy, motivation, needs, goals, homework). Ninety-two adult consumers from metropolitan, regional and rural non-government organizations and public mental health services in eastern Australian states completed the questionnaire.

RESULTS

Consumers using services provided by CRM-trained workers identified significant changes to service delivery in relation to frequency with which they were encouraged to take responsibility for their recovery, degree to which they collaborated with staff and the extent to which they were encouraged to complete homework activities to assist them to achieve their goals, when compared with consumers using traditional services. The key aspects of the CRM were valued by consumers. No differences were found in terms of overall ratings of clinician helpfulness in assisting recovery between the two groups.

CONCLUSIONS

Consumers are able to perceive recovery-focused service changes. Although preliminary, this is a significant step towards assessing the operationalization of recovery principles from the consumer's perspective.

摘要

原理、目的和目标:本研究考察了参与各种以康复为重点的支持性实践的心理健康服务消费者的经历,同时也考察了消费者对这些活动的重视程度。

方法

基于协作康复模型(CRM)的关键方面(责任、协作、自主性、动机、需求、目标、家庭作业)编制了一份自填式问卷。来自澳大利亚东部各州大都市、地区和农村的非政府组织及公共心理健康服务机构的92名成年消费者完成了该问卷。

结果

与使用传统服务的消费者相比,使用由接受过CRM培训的工作人员提供服务的消费者在服务提供方面有显著变化,具体体现在他们被鼓励为自身康复承担责任的频率、与工作人员协作的程度以及被鼓励完成有助于实现目标的家庭作业活动的程度。消费者重视CRM的关键方面。两组在临床医生协助康复的总体评分方面未发现差异。

结论

消费者能够察觉到以康复为重点的服务变化。尽管这只是初步的,但这是从消费者角度评估康复原则实施情况的重要一步。

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