Werner S, Stawski M, Polakiewicz Y, Levav I
Paul Baerwald School of Social Work and Social Welfare, Hebrew University of Jerusalem, Jerusalem, IsraelSchneider Children's Medical Center in Israel, Petach Tikva, IsraelMental Health Center, Tirat Hacarmel, IsraelMinistry of Health, Jerusalem, Israel.
J Intellect Disabil Res. 2013 Aug;57(8):774-82. doi: 10.1111/j.1365-2788.2012.01604.x. Epub 2012 Sep 14.
Psychiatrists are responsible for providing proper care for people with intellectual disability who have psychiatric disorders. This study examined psychiatrists' perceptions of their own training, knowledge and therapeutic skills, as well as their attitudes towards this population.
Questionnaires were distributed to 679 psychiatrists working within the public sector in Israel.
Completed questionnaires were returned from 256 psychiatrists (38% response rate). Most (90%) participants reported having had limited training in the diagnosis and treatment of people with intellectual disabilities, while between 34% and 72% reported having inadequate knowledge in specific areas.
The findings of limited training and self-perceived inadequate knowledge are at least partially explained by the service model, wherein people with intellectual disabilities are cared for by general mental health services. The identified inadequacies could be overcome through the implementation of a model in which specially trained psychiatrists are deployed within generic services.
精神科医生负责为患有精神疾病的智力残疾者提供适当的护理。本研究调查了精神科医生对自身培训、知识和治疗技能的看法,以及他们对这一人群的态度。
向以色列公共部门工作的679名精神科医生发放问卷。
256名精神科医生返回了完整的问卷(回复率38%)。大多数(90%)参与者报告在智力残疾者的诊断和治疗方面接受的培训有限,而34%至72%的人报告在特定领域知识不足。
培训有限和自我感觉知识不足的结果至少部分可由服务模式来解释,在该模式中,智力残疾者由一般心理健康服务机构护理。通过实施一种在一般服务中部署经过专门培训的精神科医生的模式,可以克服已发现的不足之处。