Centre for Psychiatric Nursing, The University of Melbourne and Latrobe Regional Hospital, Carlton, VIC 3844, Australia.
Int J Ment Health Nurs. 2013 Oct;22(5):437-43. doi: 10.1111/inm.12003. Epub 2013 Jan 29.
The participation of service users in all aspects of mental health service delivery including policy development, service planning and evaluation is increasingly an expectation of contemporary mental health care. Although there are a growing number of publications reporting service-user perspectives in the evaluation of mental health services, little attention has been paid to the views of service users about mental health triage services. The purpose of the study reported here was to examine service-users' (consumers and informal carers) experiences of a telephone-based mental health triage service. Using a framework developed from the World Health Organisation's elements of responsiveness, we conducted structured telephone interviews with service users who had contacted a telephone-based mental health triage service in regional Victoria, Australia. The main findings of the study were that consumers experienced more difficulty than carers in accessing the service and that, although most participants were satisfied, only a minority reported being involved in decision-making. Further work is needed to improve accessibility of mental health triage services and to investigate barriers to consumer self-referral. Professional development and practice support systems should be established to support mental health triage nurses in the development of collaborative, consumer-focused care.
服务使用者全面参与精神卫生服务的提供,包括政策制定、服务规划和评估,这日益成为当代精神卫生保健的一项期望。尽管越来越多的出版物报告了在精神卫生服务评估中服务使用者的观点,但很少关注服务使用者对精神卫生分诊服务的看法。本报告中所研究的目的是审查服务使用者(消费者和非正式照顾者)对基于电话的精神卫生分诊服务的体验。我们使用世界卫生组织回应要素制定的框架,对澳大利亚维多利亚州地区使用基于电话的精神卫生分诊服务的服务使用者进行了结构化电话访谈。研究的主要发现是,与照顾者相比,消费者在获得服务方面遇到了更多的困难,尽管大多数参与者感到满意,但只有少数人报告参与了决策。需要进一步努力来提高精神卫生分诊服务的可及性,并调查消费者自我转介的障碍。应建立专业发展和实践支持系统,以支持精神卫生分诊护士制定以消费者为中心的协作护理。