Whitnash Lodge, Royal Leamington Spa Rehabilitation Hospital, Warwick, Warwickshire, UK.
J Psychiatr Ment Health Nurs. 2010 Feb;17(1):9-18. doi: 10.1111/j.1365-2850.2009.01479.x.
Discusses factors inhibiting open talk around a client's history of abuse including gender, age and diagnosis. * Evaluates the helpfulness of a training course designed to reduce and overcome these factors. * Aim of the evaluation is to help replicate the training nationally, following the positive impact found. Abstract Despite the high prevalence of sexual abuse among users of mental health services, it appears that mental health professionals are frequently unaware of clients' abuse histories. In order to address this, a Mental Health Trusts Collaboration Project of nine trusts was formed, which piloted delivering the Department of Health's Victims of Violence & Abuse Prevention Programme one-day education and training course regarding enquiring about histories of sexual abuse to various mental health practitioners. This hoped to educate practitioners in factors associated with victims and offenders, improve confidence and competence in asking about client's history of abuse and to increase awareness of the importance of asking. The purpose of this paper is to describe the impact of this course on mental health professionals' practice and attitudes in one of these nine trusts. It was found that since the delivery of the course, 44% (n= x) of professionals had been asking about abuse in 75-100% of cases. Gender, age and diagnosis of both the service users and the practitioners were all identified as factors potentially affecting practitioners' willingness to ask about abuse. Most importantly, 93% (n= x) of participants were found to feel they have the skills and knowledge to enquire about abuse and respond to disclosure in the appropriate way and 77% (n= x) of participants felt that this training had changed their clinical practice. The aim of this evaluation is to prove the effectiveness of the Department of Health's education and training course, which will help towards replicating the project nationally.
探讨了阻碍围绕客户虐待史进行开放对话的因素，包括性别、年龄和诊断。*评估了旨在减少和克服这些因素的培训课程的有效性。*评估的目的是帮助在全国范围内复制该培训，以应对发现的积极影响。
尽管在精神卫生服务使用者中，性虐待的发生率很高，但似乎精神卫生专业人员经常不知道客户的虐待史。为了解决这个问题，九个信托基金组成了一个心理健康信托基金合作项目，试点实施了卫生部关于向各种精神卫生从业人员询问性虐待史的《暴力和虐待受害者预防计划》为期一天的教育和培训课程。这有望在与受害者和罪犯有关的因素方面对从业人员进行教育，提高他们询问客户虐待史的信心和能力，并提高他们对询问重要性的认识。本文的目的是描述该课程对其中一个信托基金的精神卫生专业人员实践和态度的影响。结果发现，自该课程实施以来，44%（n=x）的专业人员在 75-100%的情况下询问了虐待情况。服务使用者和从业者的性别、年龄和诊断都被认为是潜在影响从业者询问虐待意愿的因素。最重要的是，93%（n=x）的参与者认为他们具备询问虐待问题和以适当方式回应披露的技能和知识，77%（n=x）的参与者认为这种培训改变了他们的临床实践。本次评估的目的是证明卫生部教育和培训课程的有效性，这将有助于在全国范围内复制该项目。
