Fisher F D, Griffith E E, Mahy G E
Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut 06519.
Hosp Community Psychiatry. 1988 Sep;39(9):980-5. doi: 10.1176/ps.39.9.980.
The activities of a multidisciplinary team of mental health professionals during their initial year of work to upgrade the mental health system in the English-speaking Caribbean nation of Grenada are described. Improvement of services at the islands only psychiatric hospital received top priority. The team helped Grenadian staff to sharpen basic techniques of active treatment, which included assessment of psychiatric symptoms, development of treatment plans, and intervention with patients. Maintenance of medical records was improved, procedures for medication and seclusion were standardized, weekly ward rounds were routinized, and regular staff meetings were urged. Among the obstacles faced by the team in implementing these changes were staffs delayed acceptance of collaborative interdisciplinary team-work, as well as shortages of money and personnel.
本文描述了一个多学科心理健康专业团队在其工作的第一年里，为提升英语加勒比国家格林纳达的心理健康系统所开展的活动。改善该岛唯一一家精神病医院的服务被列为首要任务。该团队帮助格林纳达工作人员提高主动治疗的基本技能，包括评估精神症状、制定治疗计划以及对患者进行干预。医疗记录的维护得到改善，用药和隔离程序实现标准化，每周的病房巡查成为惯例，并敦促定期召开员工会议。该团队在实施这些变革过程中面临的障碍包括工作人员对跨学科协作团队工作的接受延迟，以及资金和人员短缺。
