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非临床病例管理如何能为社区中患有慢性精神疾病的人提供临床支持?

How can non-clinical case management complement clinical support for people with chronic mental illness residing in the community?

机构信息

School of Business, University of Western Sydney, Industry and Innovation Studies (InIS) Research Group, Penrith, Australia.

出版信息

Psychol Health Med. 2013;18(4):482-9. doi: 10.1080/13548506.2012.748207. Epub 2012 Dec 11.

Abstract

The recovery of people with chronic mental illness who reside in the community requires integrated support services. Yet evidence of poor collaboration in the mental health system abounds and there is little understanding of how non-clinical case managers can work effectively with clinical services. This article analyses an example from the mental health Housing and Accommodation Support Initiative in Australia. Using interviews (42 consumers, family members and mental health workers) and consumer care plans (20), the article explores how clinical and non-clinical case managers worked together in consumer care planning and examines the perceived influence of support. The research found they worked effectively in care planning when the planning was consumer-driven; there was active participation from consumers, non-clinical and clinical case managers; and when planning was treated as a process, with incremental goals, reflective practice, as well as shared understanding and commitment to the collaboration.

摘要

社区居住的慢性精神疾病患者需要综合支持服务才能康复。然而,精神卫生系统中存在着协作不力的大量证据,并且人们对非临床个案经理如何能与临床服务有效合作知之甚少。本文分析了澳大利亚精神卫生住房和住宿支持倡议中的一个例子。使用访谈(42 名消费者、家庭成员和精神卫生工作者)和消费者护理计划(20),本文探讨了临床和非临床个案经理如何在消费者护理计划中共同合作,并研究了支持的感知影响。研究发现,当计划以消费者为导向、消费者、非临床和临床个案经理积极参与、以及计划被视为一个渐进目标、反思实践、以及对协作的共同理解和承诺的过程时,他们在护理计划中能有效地合作。

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