Gippsland Medical School, Monash University School of Rural and Indigenous Health, Monash, Vic., Australia.
J Psychiatr Ment Health Nurs. 2009 Nov;16(9):784-91. doi: 10.1111/j.1365-2850.2009.01456.x.
Many consumers of psychiatric services are parents, making these services the opportunistic point for supporting consumers' children. While evidence suggests that assisting such children improves their mental health, there is a large gulf between what psychiatric services should (or could) provide and what they do in practice. This paper summarizes the constraining barriers and issues for the psychiatric workforce according to: (1) policy and management; (2) interagency collaboration; (3) worker attitude,skill and knowledge; (4) the parent-consumer; and (5) the consumer's family, including children. Potential solutions are presented, with a particular focus on the hierarchical nature of these barriers. Recommendations are made, including organizational audits to identify the most pressing barriers that impede family sensitive practice.
许多精神科服务的消费者是父母，这使得这些服务成为支持消费者子女的机会点。虽然有证据表明，帮助这些孩子可以改善他们的心理健康，但精神科服务应该（或能够）提供的服务与他们在实践中所做的服务之间存在很大差距。本文根据以下几个方面总结了限制精神科劳动力的障碍和问题：（1）政策和管理；（2）机构间合作；（3）工作者态度、技能和知识；（4）父母-消费者；以及（5）消费者的家庭，包括孩子。本文提出了一些潜在的解决方案，特别关注这些障碍的层次性质。还提出了一些建议，包括进行组织审计，以确定阻碍家庭敏感实践的最紧迫障碍。
