a Sheffield Children's Hospital NHS Foundation Trust , Sheffield , UK.
b Centre for Psychological Services Research, University of Sheffield , Sheffield , UK.
J Ment Health. 2019 Feb;28(1):97-103. doi: 10.3109/09638237.2016.1167851. Epub 2016 Apr 18.
The impact and burden of working with people that hoard is largely unexplored.
To explore professionals' varied experiences of engagement and intervention with this client group.
Five semi-structured interviews were initially conducted with professionals with detailed experience of working with people that hoard. A thematic analysis then identified key statements for a 49-item Q-set. The Q-sort was subsequently administered to public sector professionals with wide experience of working with people who hoard (N= 36; fire-fighters, environmental health, housing and mental health). Organizational support and job-related wellbeing measures (anxiety/contentment and depression/enthusiasm) were also administered.
Factor analysis identified three distinct clusters (a) therapeutic and client focused (N = 15), (b) shocked and frustrated (N = 2) and (c) pragmatic and task focused (N = 5). Therapeutic and client focused professionals were significantly more content and enthusiastic regarding their work with clients with hoarding difficulties.
Professionals experience and approach their work with people that hoard in discrete and dissimilar ways. Service delivery and training implications are considered.
与囤积者合作的影响和负担在很大程度上尚未得到探索。
探讨专业人员与这一客户群体接触和干预的不同体验。
最初对具有与囤积者合作详细经验的专业人员进行了五次半结构化访谈。然后进行主题分析，为 49 项 Q 集确定了关键陈述。随后对具有广泛囤积者工作经验的公共部门专业人员（N=36；消防员、环境卫生、住房和心理健康）进行了 Q 分类。还对组织支持和与工作相关的幸福感措施（焦虑/满足和抑郁/热情）进行了评估。
因子分析确定了三个不同的聚类：（a）治疗和以客户为中心（N=15），（b）震惊和沮丧（N=2）和（c）务实和任务为中心（N=5）。治疗和以客户为中心的专业人员对他们与有囤积困难的客户的工作更满意和热情。
专业人员以不同的方式体验和处理与囤积者的工作。考虑了服务提供和培训的影响。
