Wooff K, Goldberg D P
Department of Community Medicine, University of Manchester.
Br J Psychiatry. 1988 Jul;153:30-7. doi: 10.1192/bjp.153.1.30.
Differences in the clinical characteristics of clients have not been found to account for the interprofessional differences in community psychiatric nurses' and mental health social workers' practice in Salford. We found the consultant-attached mental health social workers' practice in Salford. We found the consultant-attached mental health social workers, who worked closely with the specialist psychiatric team and who received supportive supervision from their professional managers, maintained stable case-loads, but the primary-care attached community psychiatric nurses, who were isolated from the specialist psychiatric team, and who received little supportive supervision from their professional managers, carried case-loads of increasing size. Failure to improve the way in which services for the mentally ill in the community are co-ordinated is likely to perpetuate the worst characteristics of life in the old back wards into the era of 'community care'.
尚未发现服务对象临床特征的差异能够解释索尔福德社区精神科护士和心理健康社会工作者在跨专业实践中的差异。我们研究了索尔福德市隶属于顾问医生的心理健康社会工作者的实践情况。我们发现，那些与专业精神科团队紧密合作并接受专业管理人员支持性督导的隶属于顾问医生的心理健康社会工作者，其工作量保持稳定；而那些与专业精神科团队隔离且很少接受专业管理人员支持性督导的隶属于基层医疗服务机构的社区精神科护士，其工作量却在不断增加。未能改进社区精神病患者服务的协调方式，可能会使旧有病房中最糟糕的生活特征在“社区护理”时代延续下去。
