Dunbar Lucy, Brandt Theo, Wheeler Amanda, Harrison Jeff
Clinical Research and Resource Centre, Mental Health and Addictions, Waitemata District Health Board, Auckland, New Zealand.
Australas Psychiatry. 2010 Aug;18(4):322-5. doi: 10.3109/10398561003692571.
The aim of this study is to understand the barriers and resulting solutions encountered by mental health service staff during the implementation of a metabolic risk assessment programme.
Semi-structured qualitative interviews were held with key programme staff. Thematic analysis was performed on the resulting data.
Barriers identified included an existing mindset that care of service users' physical health is not part of Mental Health Service 'core business'; the lack of processes that ensure consistent implementation of risk assessment; and lack of resources in terms of equipment and staff time/manpower. Solutions identified were categorized as: systems and process issues; staff training or education issues; issues requiring attention at an organizational level; and issues relating to service users, their family and communities.
A valuable programme that contributes to the improved physical health of service users has been developed and implemented. However, a number of barriers to wider adoption were identified. Solutions to a number of these barriers were identified during implementation.
本研究旨在了解心理健康服务人员在实施代谢风险评估计划过程中遇到的障碍及相应解决方案。
对项目关键工作人员进行了半结构化定性访谈。对所得数据进行了主题分析。
确定的障碍包括：现有的观念认为照顾服务对象的身体健康不属于心理健康服务的“核心业务”；缺乏确保风险评估一致实施的流程；在设备以及工作人员时间/人力方面缺乏资源。确定的解决方案分为：系统和流程问题；工作人员培训或教育问题；组织层面需要关注的问题；以及与服务对象及其家庭和社区相关的问题。
已制定并实施了一项有助于改善服务对象身体健康的重要计划。然而，发现了一些阻碍该计划更广泛采用的障碍。在实施过程中确定了其中一些障碍的解决方案。
