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基于社区的心理健康服务:强制手段是否必要?

Community-based mental health services: is coercion necessary?

作者信息

Sullivan W Patrick, Carpenter Jenneth

机构信息

School of Social Work, Indiana University, Indianapolis, Indiana 46202, USA.

出版信息

J Soc Work Disabil Rehabil. 2010;9(2):148-67. doi: 10.1080/1536710X.2010.493483.

DOI:10.1080/1536710X.2010.493483
PMID:20730673
Abstract

In community mental health, limitation of service recipient choice and freedom takes place through mechanisms ranging from subtle to blatant. The justification of coercion in these settings typically focuses on recipient deficits. We argue that this focus must shift to the service system itself, and that the most successful efforts to improve recipient engagement will be those that support respectful provider-recipient relationships and the delivery of services that help recipients achieve goals of their choosing.

摘要

在社区心理健康领域,服务对象选择和自由的受限通过从微妙到公然的各种机制发生。在这些情况下,强制手段的正当理由通常集中在服务对象的缺陷上。我们认为,这种关注点必须转向服务系统本身,而且,为提高服务对象参与度而做出的最成功努力将是那些支持建立尊重服务提供者与服务对象关系以及提供有助于服务对象实现其自主选择目标的服务的努力。

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