SYNERGY Nursing and Midwifery Research Centre, University of Canberra and ACT Health, Canberra, Australian Capital Territory, Australia.
Department of Psychological Medicine, University of Otago, Wellington, New Zealand.
Int J Ment Health Nurs. 2017 Feb;26(1):20-31. doi: 10.1111/inm.12266. Epub 2016 Nov 7.
Contemporary mental health policies call for greater involvement of mental health service consumers in all aspects and at all levels of service planning, delivery, and evaluation. The extent to which consumers are part of the decision-making function of mental health organizations varies. This systematic review synthesizes empirical and review studies published in peer-reviewed academic journals relating to consumers in leadership roles within mental health organizations. The Cochrane Library, Medline, and PsycINFO were searched for articles specifically analysing and discussing consumers' mental health service leadership. Each article was critically appraised against the inclusion criteria, with 36 articles included in the final review. The findings of the review highlight current understandings of organizational resources and structures in consumer-led organizations, determinants of leadership involvement, and how consumer leadership interacts with traditional mental health service provision. It appears that organizations might still be negotiating the balance between consumer leadership and traditional structures and systems. The majority of included studies represent research about consumer-run organizations, with consumer leadership in mainstream mental health organizations being less represented in the literature. Advocates of consumer leadership should focus more on emphasizing how such leadership itself can be a valuable resource for organizations and how this can be better articulated. This review highlights the current gaps in understandings of consumer leadership in mental health, including a need for more research exploring the benefits of consumer leadership for other consumers of services.
当代精神卫生政策呼吁让更多精神卫生服务消费者参与到服务规划、提供和评估的各个方面和各个层面。消费者在精神卫生组织的决策职能中所扮演的角色各有不同。本系统评价综合了发表在同行评议学术期刊上的有关精神卫生组织中消费者担任领导角色的实证研究和综述研究。我们在 Cochrane 图书馆、Medline 和 PsycINFO 中检索了专门分析和讨论消费者精神卫生服务领导力的文章。根据纳入标准对每篇文章进行了批判性评价，最终有 36 篇文章纳入了综述。综述结果突出了目前对消费者主导组织中的组织资源和结构、领导力参与的决定因素以及消费者领导力与传统精神卫生服务提供之间相互作用的理解。似乎组织仍在协调消费者领导与传统结构和系统之间的平衡。大多数纳入的研究代表了关于消费者经营组织的研究，而在文献中主流精神卫生组织中的消费者领导力则较少得到体现。消费者领导力的倡导者应更加注重强调这种领导力本身如何成为组织的宝贵资源，以及如何更好地阐明这一点。本综述突出了目前对精神卫生中消费者领导力理解的差距，包括需要更多研究探索消费者领导力对其他服务使用者的益处。
