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家庭参与精神卫生服务规划和提供:消费者视角。

Family Inclusion in Mental Health Service Planning and Delivery: Consumers' Perspectives.

机构信息

Discipline of Occupational Therapy, Faculty of Health Sciences, University of Sydney, 75 East St Lidcombe, Sydney, NSW, 2141, Australia.

出版信息

Community Ment Health J. 2019 Feb;55(2):318-330. doi: 10.1007/s10597-018-0292-2. Epub 2018 Jul 7.

Abstract

Family inclusion in treatment planning and delivery for people living with mental illness is advocated in government policy but is yet to be widely translated into practice. While external barriers have been identified, including concerns about consumers' best interests, little is known about consumers' own views. This study explores consumers' experiences and perspectives of including family in treatment. Semi-structured interviews were conducted with 13 adult consumers who could identify supportive family members. Data were analysed using constant comparative analysis. The findings indicated that the outcomes reported from family inclusion depended on who, how, how much and when family were included, and the degree of choice consumers had regarding these features For consumers to have real choice around these features, family inclusion needed to be accessible, families needed to be willing, and all parties needed to agree upon a consumer-centred purpose. Findings can aid health professionals to facilitate consumer choice.

摘要

政府政策提倡将家庭成员纳入精神疾病患者的治疗计划和治疗过程中,但这一政策尚未得到广泛实施。虽然已经确定了一些外部障碍,包括对消费者最佳利益的担忧,但对于消费者自身的观点却知之甚少。本研究探讨了消费者对家庭成员参与治疗的体验和看法。对 13 名能够识别支持性家庭成员的成年消费者进行了半结构化访谈。使用恒定比较分析对数据进行了分析。研究结果表明,家庭参与所报告的结果取决于谁、如何、多少以及何时包括家庭,以及消费者在这些方面的选择程度。为了让消费者在这些方面拥有真正的选择,家庭参与需要是可及的,家庭需要愿意参与,并且所有各方都需要就以消费者为中心的目的达成一致。研究结果可以帮助卫生专业人员促进消费者的选择。

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