Section of Personality, Assessment and Psychological Treatment, Department of Clinical Psychology and Psychobiology, Institute of Neuroscience, Faculty of Psychology, University of Barcelona, Passeig Vall d'Hebron, 171, 08035, Barcelona, Catalonia, Spain.
Yale Program for Recovery and Community Health, Department of Psychiatry, Yale School of Medicine, Yale University, New Haven, CT, USA.
Adm Policy Ment Health. 2019 Nov;46(6):724-752. doi: 10.1007/s10488-019-00956-9.
The history of mental health care has been marked by various struggles in maintaining the dignity of service users. Some reform movements have started to use educational strategies aimed at the beliefs and attitudes of professionals, as well as changing the way that practice is carried out. This paper intends to systematically review and synthesize studies assessing awareness and training activities for mental health professionals covering aspects related to recovery, empowerment, and in general, rights-based care to achieve full citizenship of mental health services users. We reviewed 26 articles and were able to include 14 of them in meta-analytic calculations. Our results at the qualitative level show an evolution of the literature towards better quality designs and focus on aspects related to the impact and maintenance of the effects of these training activities. Meta-analytic calculations found high heterogeneity but no risk of biases and low-to moderate effect sizes with a statistically significant impact on beliefs and attitudes but not on practices. The importance of this information in improving and advancing these educational activities is addressed.
精神卫生保健的历史一直以维护服务使用者尊严方面的各种斗争为标志。一些改革运动开始使用旨在改变专业人员的信念和态度的教育策略，以及改变实践方式。本文旨在系统地回顾和综合评估精神卫生专业人员意识和培训活动的研究，这些活动涵盖与康复、赋权以及总体上基于权利的护理相关的方面，以实现精神卫生服务使用者的充分公民权。我们回顾了 26 篇文章，并能够将其中的 14 篇纳入荟萃分析计算。我们在定性水平上的结果表明，文献朝着更好的质量设计方向发展，并侧重于与这些培训活动的影响和维持相关的方面。荟萃分析计算发现存在高度异质性，但没有偏倚风险，并且信念和态度方面的效果具有低至中等的效应量，对实践方面没有统计学意义上的影响。本文讨论了这些教育活动的改进和推进的重要性。
