University College London, London, United Kingdom.
North East London NHS Foundation Trust, Ilford, United Kingdom.
Qual Health Res. 2019 Dec;29(14):2048-2056. doi: 10.1177/1049732319843499. Epub 2019 Apr 23.
Psychological therapies should be delivered in psychiatric inpatient settings to people experiencing psychosis. However, inpatient populations present with complex needs and usually are admitted only briefly. This makes the delivery of psychological therapies for people experiencing psychosis particularly challenging. Our aim was to explore the adaptations required to deliver psychological therapies to this population from the perspective of inpatient psychological practitioners. Twelve participants were recruited, and a qualitative semistructured interview schedule was administered examining their perspectives on important factors required to deliver psychological interventions in this context. Data were analyzed using thematic analysis. Three superordinate themes were identified: "crisis-focused psychological approaches," "working with and supporting the wider system," and "environmental adaptations." Traditional psychological therapies are a challenge to deliver in inpatient environments due to complex needs, essentiality of team working, and brief admission. Several adaptations are required to ensure psychological therapy is effective in this setting.
心理治疗应该在精神病院住院环境中提供给经历精神病的人。然而，住院人群的需求复杂，通常只住院很短时间。这使得为经历精神病的人提供心理治疗特别具有挑战性。我们的目的是从住院心理从业者的角度探讨为这一人群提供心理治疗所需的适应。招募了 12 名参与者，并进行了定性半结构化访谈，以了解他们对在这种情况下提供心理干预所需的重要因素的看法。使用主题分析对数据进行了分析。确定了三个上位主题：“以危机为中心的心理方法”、“与更广泛的系统合作和支持”和“环境适应”。由于需求复杂、团队合作的必要性和短暂的住院时间，传统的心理治疗在住院环境中实施具有挑战性。需要进行一些调整，以确保心理治疗在这种环境中有效。
