Centre for Ageing and Mental Health, Faculty of Health and Sciences, Staffordshire University, Stoke-on-Trent, Staffordshire, UK.
Int Psychogeriatr. 2012 Feb;24(2):175-84. doi: 10.1017/S1041610211001864. Epub 2011 Oct 5.
Patient and carer participation in old age psychiatry is less developed than in other areas of mental health. What can we learn from the historical context about increasing participation and how can it be conceptualized?
The historical and policy context of patient and carer participation in the National Health Service is reviewed and related to the development of old age psychiatry in England and the parallel development of the mental health user movement.
Systemic theory is offered as a way of understanding how partnership between healthcare professionals, patients and carers might lead to service evolution by bringing a range of perspectives together in order to co-construct a mutually influenced outcome. It is further suggested that this might empower not only patients and carers but also healthcare staff at a time when they are under increasing pressures.
Old age psychiatry patients and carers struggle to be heard but have much to offer to services in partnership with healthcare professionals as partners and allies in service development.
患者和照顾者参与老年精神病学的程度不如其他心理健康领域。我们可以从历史背景中学到什么关于增加参与度的知识，以及如何将其概念化？
回顾了患者和照顾者在国民保健服务中参与的历史和政策背景，并将其与英格兰老年精神病学的发展以及心理健康用户运动的平行发展联系起来。
系统理论被提出作为一种理解医疗保健专业人员、患者和照顾者之间的伙伴关系如何通过将一系列观点结合在一起共同构建相互影响的结果来导致服务演变的方式。进一步建议，在医疗保健人员面临越来越大的压力时，这不仅可以增强患者和照顾者的权能，也可以增强医疗保健人员的权能。
老年精神病学患者和照顾者努力被倾听，但作为服务发展的合作伙伴和盟友，他们与医疗保健专业人员合作，可以为服务提供很多帮助。
