School of Health Sciences, City University London, UK.
Arch Psychiatr Nurs. 2012 Dec;26(6):448-56. doi: 10.1016/j.apnu.2012.02.005. Epub 2012 Apr 17.
Effective engagement with people who experience mental health care services, as research participants and as research leads, is presented. A group of volunteer mental health survivors, called INFORM, worked for 6 years to develop and complete a research project, exploring service user experience of a home treatment and crisis resolution service. Within the article, discussion is given to the significance of service continuity, alongside personal accounts of the impact and consequences of health care staff's interpersonal interactions. Two contrasting messages arise from this study: first, the articulation of what services users want from services, and how that relates to what they actually receive, continues to be a necessary debate and issue for consideration at a time of considerable health care reform. The second message is that such articulation, although necessary, is not sufficient in itself to ensure that services are responsive to service user needs and preferences. Findings from the evaluation are consistent with other service user-led research. However, what is also evident is that more work is required in enabling health care consumers to provide feedback that can then be used to inform practice and service delivery improvement.
本文介绍了与有心理健康护理服务体验的人(作为研究参与者和研究领导者)进行有效接触的情况。一个名为 INFORM 的志愿者心理健康幸存者团体,经过 6 年的努力,开发并完成了一个研究项目,探索服务使用者对家庭治疗和危机解决服务的体验。本文讨论了服务连续性的意义,以及医疗保健人员人际互动的影响和后果的个人描述。这项研究产生了两个截然不同的信息:首先,服务使用者对服务的期望,以及这与他们实际获得的服务之间的关系,仍然是在医疗保健改革的重要时期需要考虑的一个必要的争论和问题。第二个信息是,这种表达虽然是必要的,但本身并不能确保服务能够满足服务使用者的需求和偏好。评估结果与其他以服务使用者为主导的研究一致。然而,显然还需要做更多的工作,以使医疗保健消费者能够提供反馈,然后可以利用这些反馈来改进实践和服务提供。