Weimand B M, Israel P, Ewertzon M
Department of Research and Development, Mental Health Services, Akershus University Hospital, Lørenskog, Norway.
Department of Health Care Sciences, Ersta Sköndal University College, Stockholm, Sweden.
Community Ment Health J. 2018 Jul;54(5):686-697. doi: 10.1007/s10597-017-0207-7. Epub 2017 Nov 10.
International research shows that relatives of people with mental illness are rarely involved by mental health services. Assertive Community Treatment (ACT) has been recently implemented in Norway. The experience of relatives of ACT users is largely unknown. The aim of this study was to explore relatives' experience with ACT-teams in Norway. Data were collected using the family involvement and alienation questionnaire, consisting of experiences of approach, and alienation from the provision of professional care. 38 Relatives participated in this study. A majority experienced a positive approach (openness, confirmation, and cooperation) from the ACT teams, which also was considered better compared to previous services. They considered openness and cooperation as essential aspects from the professionals. Almost half did not feel alienated (powerlessness and social isolation). Higher level of being approached positively was significantly associated with lower level of feeling alienated. The knowledge of what constituted relatives' positive experiences with the ACT teams should be transferred into practice regarding how to form a positive alliance with relatives.
国际研究表明，精神疾病患者的亲属很少参与心理健康服务。挪威最近实施了积极社区治疗（ACT）。ACT使用者亲属的经历在很大程度上尚不为人所知。本研究的目的是探索挪威亲属在ACT团队方面的经历。使用家庭参与和疏离问卷收集数据，该问卷包括接近体验以及与专业护理提供的疏离体验。38名亲属参与了本研究。大多数人体验到ACT团队积极的态度（开放、认可和合作），与之前的服务相比，这也被认为更好。他们认为开放和合作是专业人员的重要方面。近一半的人没有感到疏离（无力感和社会孤立）。积极接触程度较高与较低的疏离感显著相关。关于亲属与ACT团队的积极体验的构成要素的知识应转化为如何与亲属建立积极联盟的实践。
