Department of Health Sciences, Buskerud University College, Kongsberg, Norway.
J Ment Health. 2010 Feb;19(1):75-87. doi: 10.3109/09638230903469178.
Services for crisis resolution provided by home treatment teams are recent developments in the mental health care scene. There is a lack of systematized reviews in the service users' responses to these services.
To systematize the existing knowledge regarding the service users' experiences with crisis resolution and home treatment (CR/HT) teams in order to explore ways to develop this form of service further.
A systematic review of the periodical literature and research reports on CR/HT was carried out for the period from January 1995 to January 2009.
A total of 13 papers, one RCT review and two reports were identified, including both qualitative and quantitative studies. Although these studies provided few in-depth details, three major themes as the characteristics of CR/HT teams are extracted as: (a) access and availability, (b) being understood as "normal" human beings, and (c) dealing with crises in an everyday life context.
The findings suggest that the key positive characteristics of help in crisis situations are intrinsically tied to the values and principles undergirding CR/HT services. The commitment to community-based services, the philosophy of partnership, and user-empowerment seem to the base from which these three themes of positive experiences emerged.
家庭治疗团队提供的危机解决服务是精神卫生保健领域的最新发展。在服务使用者对这些服务的反应方面,缺乏系统的评价。
对危机解决和家庭治疗(CR/HT)团队的服务使用者的经验进行系统评价,以便探讨进一步发展这种服务形式的方法。
对 1995 年 1 月至 2009 年 1 月期间的 CR/HT 期刊文献和研究报告进行了系统评价。
共确定了 13 篇论文,1 篇 RCT 综述和 2 份报告,包括定性和定量研究。尽管这些研究没有提供深入的细节,但提取了 CR/HT 团队的三个主要特点:(a)可及性和可用性,(b)被理解为“正常”的人,以及(c)在日常生活环境中处理危机。
研究结果表明,危机情况下帮助的关键积极特点与 CR/HT 服务的价值观和原则内在联系。对基于社区的服务的承诺、伙伴关系的理念和用户赋权似乎是这三个积极体验主题出现的基础。