Bourke Cate, Sanders Bronwyn, Allchin Becca, Lentin Primrose, Lang Shannon
Eastern Health Mental Health Program, Box Hill, Victoria, Australia.
Eastern Health FaPMI, East Ringwood, Victoria, Australia.
Aust Occup Ther J. 2015 Oct;62(5):299-305. doi: 10.1111/1440-1630.12235. Epub 2015 Sep 22.
BACKGROUND/AIM: Current policy frameworks call for the participation of consumers and carers in all levels of mental health service delivery in Australia. Such inclusion leads to better outcomes for all, however, it is recognised that carers have needs and occupations beyond their carer role. The aim of this article is to describe an innovative carer peer support program developed by a group of occupational therapists. The article describes the rationale, phases of development and the role that occupational therapists played in developing and sustaining the model. This is followed by an exploration of the occupational therapy attitudes, knowledge and skills that contributed to the conceptualisation and implementation of the model.
Five occupational therapists engaged in a review process involving documentation, literature review, evaluation, reflection and discussion. Four of the occupational therapists had either coordinated or managed the service described. The fifth author facilitated the process.
Review of the model indicates it equips carers to perform their caring occupation and helps carers recognise the need for occupations beyond caring, for their health and wellbeing. Employing carers as paid workers values their 'real life' experience in their caring occupation. Findings also illustrate that the attitudes, knowledge, skills and competency standards of occupational therapists are well suited in enabling this emerging area of service delivery.
Although this model has been developed in a clinical mental health setting, the key principles could be applied with carers or consumers across a variety of settings in which occupational therapists are employed.
背景/目的:当前的政策框架要求消费者和护理人员参与澳大利亚各级心理健康服务的提供。这种参与能为所有人带来更好的结果,然而,人们认识到护理人员除了护理角色之外还有自身的需求和活动。本文的目的是描述一组职业治疗师开发的一项创新型护理人员同伴支持计划。文章阐述了该计划的基本原理、发展阶段以及职业治疗师在开发和维持该模式中所扮演的角色。接下来探讨了有助于该模式概念化和实施的职业治疗态度、知识和技能。
五位职业治疗师参与了一个包括文件记录、文献综述、评估、反思和讨论的审查过程。其中四位职业治疗师曾协调或管理过所描述的服务。第五位作者推动了这一过程。
对该模式的审查表明,它使护理人员能够履行其护理职责,并帮助护理人员认识到除了护理之外,为了自身健康和幸福还需要参与其他活动。雇佣护理人员作为有偿工作者重视他们在护理工作中的“现实生活”经验。研究结果还表明,职业治疗师的态度、知识、技能和能力标准非常适合推动这一新兴的服务提供领域。
尽管该模式是在临床心理健康环境中开发的,但关键原则可应用于职业治疗师受雇的各种环境中的护理人员或消费者。