Skubby David, Bonfine Natalie, Tracy Hattie, Knepp Kristen, Munetz Mark R
Department of Sociology and Anthropology, Hendrix College, 1600 Washington Ave., Conway, AR, 72032, USA.
Department of Psychiatry, Northeast Ohio Medical University, State Route 44, Rootstown, OH, 44272, USA.
Community Ment Health J. 2015 Nov;51(8):888-96. doi: 10.1007/s10597-015-9877-1. Epub 2015 Apr 17.
The objective was to understand the experiences of parents as they sought psychological and specialized medical services for a loved one having a first episode of psychosis. The research method was qualitative and the data gathering was done through semi-structured interviews. Eleven parents of eight adolescent or young adult children consented to be interviewed. Data from these interviews were coded and sorted. Parents reported that many of their encounters resulted in delays in accessing treatment. These encounters were characterized by misattributions of the child's behavior, poor advice, misdiagnosis, disbelief in the seriousness of the child's condition, and an unwillingness to share information. But parents also reported that encounters with other individuals were characterized by helpful advice, emotional support, and suggestions as to how to access early intervention services. Encounters with many professionals were generally not helpful to parents. These encounters served as roadblocks to accessing proper treatment for their child. More publicity, outreach, and education are recommended in the professional community.
目的是了解父母在为首次出现精神病发作的亲人寻求心理和专业医疗服务时的经历。研究方法为定性研究,数据收集通过半结构化访谈进行。八名青少年或年轻成年子女的十一位父母同意接受访谈。对这些访谈的数据进行了编码和分类。父母们报告说,他们的许多遭遇导致了获得治疗的延迟。这些遭遇的特点是对孩子行为的错误归因、糟糕的建议、误诊、不相信孩子病情的严重性以及不愿意分享信息。但父母们也报告说,与其他一些人的接触特点是提供了有用的建议、情感支持以及关于如何获得早期干预服务的建议。与许多专业人员的接触通常对父母没有帮助。这些接触成为了为孩子获得适当治疗的障碍。建议在专业社区进行更多的宣传、外展和教育。