Boyd Jennifer E, Zeiss Antonette, Reddy Shilpa, Skinner Stephanie
Mental Health Service, San Francisco VA Health Care System.
Mental Health Services, VA Central Office.
Am J Orthopsychiatry. 2016;86(6):610-619. doi: 10.1037/ort0000208.
Anecdotal reports and first-person accounts by psychologists, psychiatrists, social workers, and nurses with lived experience of mental illness ("prosumers") indicate that they can be effective in these roles, but little is known about the extent, nature, or contributions of this group. Competently functioning prosumers are in a unique position to increase hope for recovery and reduce stigma and discrimination across the mental health field, to the ultimate benefit of consumers. The study surveyed a convenience sample of 77 prosumers working for the Veterans Health Administration (VHA). We present descriptive productivity metrics such as publications, presentations, funding, initiating and leading programs, training and supervising other clinicians, and performing community work outside VHA. Very few have asked for accommodations at work. Two thirds have not disclosed their lived experience to any of their patients. On average, respondents have disclosed to only 16% of their colleagues, and about one third have not disclosed to any of their colleagues. Qualitative data show that participants see their lived experience as an asset, whether or not they disclose it. They advocate being conscientious about self-care to remain work-ready. Although the group sees many advantages to being open about their lived experience, and many are proud to stand up and be counted, others cite reasons to be cautious about disclosure. It is hoped that this survey will provide inspiration and encouragement to mental health workers with lived experience and that it will help foster a welcoming and inclusive work environment for this capable group of colleagues. (PsycINFO Database Record
心理学家、精神科医生、社会工作者以及有精神疾病亲身经历的护士(“产消者”)的轶事报道和第一人称叙述表明,他们在这些角色中可以发挥有效作用,但对于这一群体的规模、性质或贡献却知之甚少。功能正常的产消者处于独特的地位,能够增强康复的希望,并减少整个心理健康领域的耻辱感和歧视,最终使消费者受益。该研究对为退伍军人健康管理局(VHA)工作的77名产消者进行了便利抽样调查。我们展示了描述性的生产力指标,如出版物、报告、资金、发起和领导项目、培训和监督其他临床医生,以及在VHA之外开展社区工作。很少有人在工作中要求提供便利。三分之二的人没有向任何患者透露自己的亲身经历。平均而言,受访者仅向16%的同事透露过,约三分之一的人没有向任何同事透露过。定性数据表明,无论是否透露,参与者都将自己的亲身经历视为一种财富。他们主张认真进行自我护理,以便随时能够工作。尽管该群体认为公开自己的亲身经历有很多好处,而且许多人自豪地站出来并愿意被认可,但其他人也列举了谨慎披露的理由。希望这项调查能为有亲身经历的心理健康工作者提供启发和鼓励,并有助于为这群有能力的同事营造一个友好和包容的工作环境。(PsycINFO数据库记录)