Hay Alistair, Majumder Pallab, Fosker Hannah, Karim Khalid, O'Reilly Michelle
University of Leicester, Leicester, UK.
East Midlands Healthcare Workforce Deanery, Leicester, UK.
Clin Child Psychol Psychiatry. 2015 Apr;20(2):289-303. doi: 10.1177/1359104513514068. Epub 2013 Dec 23.
Self-harm in young people is a common presentation to mental health services. There is little literature, however, on how professionals view their role and the role of others within the assessment of these young people, and the relative accountability. This study explored Child and Adolescent Mental Health Services (CAMHS) professionals' views of these roles utilising a qualitative framework. The interviews of 18 CAMHS professionals from different disciplines were analysed using a thematic approach. Findings showed participants to be clear regarding the remit of their own role and the purpose of the assessment process, but were less confident in the abilities of those outside their service. They commented on the ongoing problems of stigma in this area and the difficulties with multi-agency working. Findings suggested possible ways to ameliorate these problems; however, the current economic climate may not be conducive to this.
年轻人的自我伤害行为在心理健康服务中较为常见。然而，关于专业人员如何看待他们在评估这些年轻人时自身的角色以及他人的角色，以及相对的责任，相关文献却很少。本研究运用定性框架，探讨了儿童与青少年心理健康服务（CAMHS）专业人员对这些角色的看法。采用主题分析法对来自不同学科的18名CAMHS专业人员的访谈进行了分析。研究结果表明，参与者对自身角色的职责范围和评估过程的目的很明确，但对服务机构以外人员的能力信心不足。他们谈到了该领域持续存在的污名化问题以及多机构合作的困难。研究结果提出了改善这些问题的可能方法；然而，当前的经济形势可能不利于此。
