Weise Janelle, Fisher Karen R, Trollor Julian N
Department of Developmental Disability Neuropsychiatry, School of Psychiatry, UNSW Sydney, Sydney, NSW, Australia.
Faculty of Arts and Social Sciences, Disability Research Program Social Policy Research Centre, UNSW Sydney, Sydney, NSW, Australia.
J Appl Res Intellect Disabil. 2017 Dec;30 Suppl 1:22-33. doi: 10.1111/jar.12407. Epub 2017 Sep 5.
People with intellectual disability experience high rates of mental ill health but multiple barriers to access to quality mental health care. One significant barrier to access is a generalist mental health workforce that lacks capacity, and consensus on what constitutes core workforce competencies in this area. As such, the first step in developing a comprehensive strategy that addresses these barriers is to define the core mental health workforce attributes.
Thirty-six intellectual disability mental health experts from across Australia participated in a modified online Delphi which aimed to reach consensus on the core attributes required of the generalist mental health workforce. At the end of each Delphi round, descriptive analyses and thematic analyses were completed.
Consensus was reached among the participants for 102 attributes across 14 clinical domains. The results highlighted specific attributes in all areas of clinical practice, especially for communication (e.g., utilizes assistive communication technology), assessment (e.g., assess contributing factors to behaviours) and intervention (e.g., uses integrative interventions).
A comprehensive strategy is required to facilitate the generalist mental health workforce to obtain these attributes.
智力残疾者心理健康问题发生率较高,但在获得高质量心理健康护理方面存在多重障碍。获得护理的一个重大障碍是普通心理健康工作人员能力不足,且对于该领域核心工作人员能力的构成缺乏共识。因此,制定解决这些障碍的综合战略的第一步是确定心理健康核心工作人员的属性。
来自澳大利亚各地的36名智力残疾心理健康专家参与了一次经过改进的在线德尔菲法,旨在就普通心理健康工作人员所需的核心属性达成共识。在每轮德尔菲法结束时,完成描述性分析和主题分析。
参与者就14个临床领域的102个属性达成了共识。结果突出了临床实践所有领域的具体属性,尤其是在沟通(例如,使用辅助沟通技术)、评估(例如,评估行为的促成因素)和干预(例如,采用综合干预措施)方面。
需要一项综合战略来促使普通心理健康工作人员获得这些属性。