Department of Occupational Therapy, Seirei Christopher University , Hamamatsu, Japan.
Department of Psychiatric Rehabilitation, The National Center of Neurology and Psychiatry , Tokyo, Japan.
J Interprof Care. 2021 Jan-Feb;35(1):157-159. doi: 10.1080/13561820.2020.1723509. Epub 2020 Feb 14.
Client motivation is regarded as a key to preventing violence behavior and positively affecting both patients and treatment staff in forensic psychiatric settings. We examined the correlation between client motivation for medical treatment and the quality of interprofessional teamwork. We surveyed 18 hospitalized forensic psychiatric patients using the IMI-J and CSQ-8J and 18 interprofessional teams from various professions using the r-CPAT, 6 and 12 months after the initial treatment. At 6 months, the correlation coefficients between the total r-CPAT scores and the total IMI-J and CSQ-8J scores were not significant. At 12 months, the correlation coefficients between the total r-CPAT scores and the total IMI-J or CSQ-8J scores were .33 and .11, respectively. The findings indicate that both clients' motivation and the quality of treatment provided by the interprofessional team improved over time. However, this study also showed that the professionals' subjective evaluation of the quality of interprofessional teamwork did not correlate with clients' subjective evaluation of satisfaction. In order to achieve client satisfaction, it is essential for professionals to address clients' needs in a timely manner and to prioritize effective communication to facilitate patient decision-making rather than merely providing advice.
患者动机被认为是预防暴力行为的关键，可积极影响法医精神病学环境中的患者和治疗人员。我们研究了患者治疗动机与跨专业团队合作质量之间的相关性。我们使用 IMI-J 和 CSQ-8J 调查了 18 名住院法医精神病患者，使用 r-CPAT 调查了来自不同专业的 18 个跨专业团队，分别在初始治疗后 6 个月和 12 个月进行。6 个月时，r-CPAT 总分与 IMI-J 和 CSQ-8J 总分之间的相关系数没有统计学意义。12 个月时，r-CPAT 总分与 IMI-J 或 CSQ-8J 总分之间的相关系数分别为.33 和.11。结果表明，患者的动机和跨专业团队提供的治疗质量都随着时间的推移而提高。然而，本研究还表明，专业人员对跨专业团队合作质量的主观评价与患者对满意度的主观评价不相关。为了实现患者满意，专业人员必须及时满足患者的需求，并优先进行有效的沟通，以促进患者决策，而不仅仅是提供建议。
