Donaghay-Spire Eloise G, McGowan John, Griffiths Kim, Barazzone Natalie
Department of Applied Psychology, Canterbury Christchurch University, David Salomons Campus at Tunbridge Wells, Kent, UK.
Woodlands Unit, Queen Mary's Hospital, Oxleas NHS Foundation Trust, London, UK.
Psychol Psychother. 2016 Dec;89(4):464-482. doi: 10.1111/papt.12081. Epub 2015 Nov 4.
This research explored what happens when psychological input is offered in the inpatient setting and examined service users' and staff members' understanding and portrayal of these experiences.
Narrative analysis, an interview design, was used to examine experiences of inpatient psychological interventions in National Health Service inpatient mental health settings.
Ten participants (four service users and six staff members; five males and five females; seven White British, one White Irish, one Black African, and one Black Caribbean) were recruited via clinical psychologists from an inpatient psychology department and participated in 18- to 90-min interviews.
Evidence suggested that direct, indirect, and strategic psychological interventions were used in the inpatient setting, with formulation and the therapeutic relationship conceptualized as common features. Connections between inpatient psychology and change, evidenced in the stories, suggested that interventions can help people make sense of a crisis, improve relationships, and contribute to meaningful recovery. Evidence of barriers suggests that psychological input in this setting might not always be compatible with everyone's needs.
This paper explored service users' and staff members' experiences of psychological input in the inpatient setting. The analysis revealed that psychological provision in the inpatient mental health setting is varied and encompasses direct and indirect input, valued by service users and clinicians. It also identified that psychological input in the acute inpatient mental health setting is perceived as meaningful and can lead to changes at an interpersonal and intrapersonal level. There is a sense that providing psychological thinking in the inpatient setting can be challenging due to environmental constraints and individual factors. This highlights the need for further research focused on the costs and clinical effectiveness of providing psychological thinking within the acute inpatient mental health setting.
Staff members and service users made connections between psychological input and change, suggesting that interventions can improve relationships, help people make sense of a crisis, and contribute to meaningful recovery. There are significant barriers to and challenges of providing psychological input in this setting: Some participants suggested that this approach might not suit everyone.
本研究探讨了在住院环境中提供心理支持时会发生什么，并考察了服务使用者和工作人员对这些经历的理解与描述。
采用叙事分析这种访谈设计方法，来研究国民医疗服务体系（NHS）住院心理健康机构中住院心理干预的经历。
通过临床心理学家从一个住院心理科招募了10名参与者（4名服务使用者和6名工作人员；5名男性和5名女性；7名英国白人、1名爱尔兰白人、1名非洲黑人以及1名加勒比黑人），并让他们参与了时长为18至90分钟的访谈。
有证据表明，在住院环境中使用了直接、间接和策略性心理干预，其中制定方案和治疗关系被视为共同特征。故事中体现出的住院心理与改变之间的联系表明，干预措施可以帮助人们理解危机、改善人际关系，并促进有意义的康复。存在障碍的证据表明，这种环境下的心理支持可能并不总是能满足每个人的需求。
本文探讨了服务使用者和工作人员在住院环境中接受心理支持的经历。分析表明，住院心理健康环境中的心理支持多种多样，包括直接和间接支持，受到服务使用者和临床医生的重视。研究还发现，急性住院心理健康环境中的心理支持被认为是有意义的，并且可以在人际和个人层面上带来改变。由于环境限制和个体因素，在住院环境中提供心理支持可能具有挑战性。这凸显了有必要进一步研究在急性住院心理健康环境中提供心理支持的成本和临床效果。
工作人员和服务使用者将心理支持与改变联系起来，这表明干预措施可以改善人际关系、帮助人们理解危机，并促进有意义的康复。在这种环境下提供心理支持存在重大障碍和挑战：一些参与者表示，这种方法可能并不适合所有人。
