McMickens Courtney L, Clayton Ashley, Rosenthal Marjorie S, Wallace Lori, Howell Heather B, Bell Gweniver, Smith Megan V
Department of Psychiatry, Boston University School of Medicine, Doctors Office Building, 720 Harrison Ave, Suite 915, Office 904, Boston, MA, 02118, USA.
School of Public Health, Yale School of Medicine, 60 College Street, P.O. Box 208034, New Haven, CT, 06520-8034, USA.
Matern Child Health J. 2019 Apr;23(4):479-485. doi: 10.1007/s10995-018-2646-3.
Objectives Innovative mental health care delivery models have been proposed as a method to address disparities in access and utilization. The aim of this study is to characterize patients' perspectives and experiences of participating in one such innovative delivery model, group cognitive behavioral therapy within a supermarket setting. Methods In this qualitative study, 16 mothers were interviewed to explore their experiences and perspectives of receiving group-based cognitive behavioral therapy in a supermarket setting, as part of their participation in an academic-community research collaborative whose mission is to address mental health needs within low-resourced communities. Data from semi-structured interviews were analyzed using inductive coding. Results Five themes related to receiving mental health services in a supermarket setting emerged from the data: (1) Participants reported a convergence of life stressors and their introduction to supermarket-based services; (2) Participants perceived the supermarket setting as convenient; (3) Participants perceived the supermarket setting as less stigmatizing; (4) Participants perceived services in the supermarket as an acceptable form of mental health treatment; and (5) Participants described the program staff as an influential component of their treatment experience. Conclusions Understanding patient experiences of various service delivery models is critical to improving access to treatment and addressing disparities in mental health service utilization and outcomes. This study supports the use of innovative delivery models to increase access to mental health services in low-resourced communities.
目标 创新的精神卫生保健提供模式已被提议作为一种解决获得服务和利用服务方面差异的方法。本研究的目的是描述患者参与一种此类创新提供模式（即在超市环境中进行团体认知行为疗法）的观点和体验。方法 在这项定性研究中，对16位母亲进行了访谈，以探讨她们在超市环境中接受团体认知行为疗法的体验和观点，她们参与了一个学术 - 社区研究合作项目，该项目的任务是满足资源匮乏社区的心理健康需求。使用归纳编码对来自半结构化访谈的数据进行分析。结果 数据中出现了与在超市环境中接受心理健康服务相关的五个主题：（1）参与者报告生活压力源与他们对基于超市的服务的接触相契合；（2）参与者认为超市环境方便；（3）参与者认为超市环境的污名化程度较低；（4）参与者认为超市中的服务是心理健康治疗的一种可接受形式；（5）参与者将项目工作人员描述为他们治疗体验中的一个有影响力的组成部分。结论 了解患者对各种服务提供模式的体验对于改善获得治疗的机会以及解决心理健康服务利用和结果方面的差异至关重要。本研究支持使用创新的提供模式来增加资源匮乏社区获得心理健康服务的机会。
