Department of Psychology, University of Portsmouth, King Henry Building, King Henry I Street, Portsmouth, Hampshire, UK.
Community Ment Health J. 2012 Oct;48(5):574-83. doi: 10.1007/s10597-011-9414-9. Epub 2011 May 10.
Research on engagement within community-based psychiatric services in the UK has mainly focussed on factors related to those 'at risk' of non-attendance or non-compliance, with the tacit assumption that those in regular attendance are largely content and hence not a priority. The present study systematically explored the experiences and views of 25 people with severe and enduring mental illness who had regularly attended out-patient settings for more than 5 years. Regular attendance at consultations was not synonymous with satisfaction-in fact it masked varying levels of unmet needs and 'de-humanisation'. In order to establish and maintain non-coercive community services that prioritise 'recovery' above illness and 'risk' containment, it is essential that the experiences of people in established and apparently 'less troublesome' therapeutic relationships are also taken into account and integrated into policy and practice.
英国社区精神卫生服务参与度的研究主要集中于与那些“有风险”不参与或不遵守规定的因素相关，隐含的假定是，那些定期参与的人基本上是满意的，因此不是优先考虑的对象。本研究系统地探讨了 25 名患有严重和持久精神疾病的人的经历和观点，这些人已经定期在门诊接受治疗超过 5 年。定期参加咨询并不等同于满意——事实上，它掩盖了不同程度的未满足需求和“去人性化”。为了建立和维持非强制性的社区服务，将“康复”置于疾病和“风险”控制之上，必须考虑到那些已经建立并明显“不那么麻烦”的治疗关系中的人的经历，并将其纳入政策和实践。
