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在精神科危机环境中接受服务的未参保青年成年人的行为健康治疗既往经历。

Prior Experiences of Behavioral Health Treatment among Uninsured Young Adults Served in a Psychiatric Crisis Setting.

作者信息

Narendorf Sarah Carter, Wagner Richard, Fedoravicius Nicole, Washburn Micki

机构信息

University of Houston, Graduate College of Social Work, 3511 Cullen Blvd, 110 HA Social Work Building, Houston, TX, 77204-4013, USA.

, St. Louis, MO, USA.

出版信息

Community Ment Health J. 2017 Oct;53(7):782-792. doi: 10.1007/s10597-017-0150-7. Epub 2017 Jul 4.

Abstract

This study qualitatively explored the past treatment experiences of uninsured young adults who sought public emergency psychiatric care. Qualitative interviews were conducted with a racially diverse sample of 55 young adults (ages 18-25) using a semi-structured interview guide, and analyzed using a team-based open coding approach. Findings emerged in three broad areas-provider-related factors, treatment-related factors, and environmental factors. Young adults talked about the importance of providers respecting and listening to them, the perceived advantages and disadvantages of therapy and medication treatment, and aspects of the environment that resulted in positive and negative experiences, particularly in inpatient settings. Providers need to convey respect and caring that transcends job duties and provide tangible skills and supports.

摘要

本研究对寻求公共急诊精神科护理的未参保年轻成年人过去的治疗经历进行了定性探索。采用半结构化访谈指南,对55名年龄在18至25岁之间、种族多样的年轻成年人进行了定性访谈,并采用基于团队的开放编码方法进行分析。研究结果出现在三个广泛领域——与提供者相关的因素、与治疗相关的因素和环境因素。年轻成年人谈到了提供者尊重和倾听他们的重要性、治疗和药物治疗的感知优缺点,以及导致积极和消极经历的环境方面,尤其是在住院环境中。提供者需要传达超越工作职责的尊重和关怀,并提供切实可行的技能和支持。

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