National Confidential Inquiry into Suicide and Safety in Mental Health, Centre for Mental Health and Safety, Faculty of Biology, Medicine and Health, School of Health Sciences, Division of Psychology and Mental Health, University of Manchester, Jean McFarlane Building, Oxford Road, Manchester, M13 9PL, UK.
Personal Ment Health. 2019 Aug;13(3):134-143. doi: 10.1002/pmh.1444. Epub 2019 May 20.
There have been recent policy developments and research into care provision for service users with personality disorder. However, few studies have focused on service user and staff perspectives on how services could be improved.
A qualitative study was undertaken in the UK between 2016 and 2017. We conducted six focus groups with clinicians in mental health services with experience of working with people with personality disorder. Using an online survey, we asked current and past service users with personality disorder to describe their experiences of mental health services and make recommendations for improvements. A thematic analysis was conducted.
Forty-five clinicians participated in the focus group and 131 service users contributed to the online survey. The main areas of concern identified by both staff and patients were the diagnosis of personality disorder, the absence of a coherent care pathway, access to psychological treatment and staff training.
The care pathway for individuals with personality disorder is unclear to clinicians and service users, and elements of the pathway are disjointed and not working as effectively as they could. Guidelines recommended by National Institute for Health and Care Excellence are not being followed. Specialist psychological interventions should be available to ensure consistent and stable care provision. © 2019 John Wiley & Sons, Ltd.
最近出台了一些政策，并对服务使用者的人格障碍护理服务进行了研究。然而，很少有研究关注服务使用者和工作人员对如何改进服务的看法。
2016 年至 2017 年期间，在英国进行了一项定性研究。我们与有过与人格障碍患者合作经验的精神卫生服务临床医生进行了六次焦点小组讨论。我们通过在线调查，要求目前和过去有过人格障碍的服务使用者描述他们对精神卫生服务的体验并提出改进建议。对主题进行了分析。
45 名临床医生参加了焦点小组，131 名服务使用者参与了在线调查。工作人员和患者共同关注的主要问题是人格障碍的诊断、缺乏连贯的护理途径、获得心理治疗和工作人员培训的机会。
人格障碍患者的护理途径对临床医生和服务使用者来说并不清楚，途径的各个环节脱节，没有发挥出应有的作用。国家卫生与保健卓越研究所推荐的指南没有得到遵循。应提供专业的心理干预措施，以确保提供一致和稳定的护理服务。© 2019 约翰威立父子公司
