Department of Mental Health, Norwegian University of Science and Technology, Trondheim, Norway.
Department of Neurobiology, Care Sciences, and Society, Karolinska Institutet, Stockholm, Sweden.
Int J Ment Health Nurs. 2018 Apr;27(2):814-822. doi: 10.1111/inm.12368. Epub 2017 Jun 23.
Mental health services have changed over the past decades through an increased emphasis on deinstitutionalization and normalization, and with recovery processes situated in everyday life as a new locus of support. These changes have led to a need for new knowledge and methods concerning the provision of community mental health services. The aim of the present study was to explore how community mental health workers provide support to users, by investigating professionals' own narratives of how they work. Seven community mental health workers participated in narrative interviews, which were subject to a qualitative, interpretive analysis. A primary finding was that community mental health workers provide flexible and individually-adjusted support through engaging in negotiations with users, management, and others. Our findings show both opportunities and challenges of negotiating support, raising the following question for discussion: How and when are negotiations a valuable way for professionals and users to collaborate?
在过去几十年中,心理健康服务发生了变化,更加注重去机构化和正常化,将康复过程置于日常生活中作为新的支持场所。这些变化导致了对社区心理健康服务提供方面的新知识和方法的需求。本研究旨在通过调查专业人员自己讲述的工作方式,探讨社区心理健康工作者如何为使用者提供支持。七名社区心理健康工作者参加了叙事访谈,对这些访谈进行了定性、解释性分析。一个主要发现是,社区心理健康工作者通过与使用者、管理层和其他人进行协商,提供灵活和个性化的支持。我们的研究结果表明协商支持存在机会和挑战,提出了以下问题供讨论:协商对于专业人员和使用者来说,何时以及如何成为一种有价值的合作方式?