[我们是否选择了正确的措施来避免强制行为？——对经历过强制行为的服务使用者关于潜在有用的温和措施的调查]
[Do we Choose the Right Measures to Avoid Coercion? - A Survey of Service Users who Experienced Coercion About Potentially Helpful Milder Measures].
作者信息
Heumann Kolja, Stückle Luise, Jung Andreas, Bock Thomas, Mahlke Candelaria, Lincoln Tania M
机构信息
Arbeitsbereich Klinische Psychologie und Psychotherapie, Universität Hamburg.
Hochschulklinik für Psychiatrie und Psychotherapie der Medizinischen Hochschule Brandenburg, Immanuel Klinik Rüdersdorf.
出版信息
Psychiatr Prax. 2021 Sep;48(6):301-308. doi: 10.1055/a-1347-5184. Epub 2021 Mar 27.
AIM
We investigated which milder measures service users perceive as helpful to prevent coercive measures and in which extent these measures are offered.
METHODS
A sample of 155 former service users who experienced coercion was recruited and questioned via online or paper pencil survey.
RESULTS
On average, participants reported to have received 4.7 from a total of 25 milder measures. The measures, which where most frequent rated as potentially helpful where "crisis talks", "considering needs" and "showing interest". The analysis showed a negative relation between the frequency of offered measures and the frequency these measures where rated as potentially helpful. 86 % of the participants reported low satisfaction with treatment overall.
CONCLUSION
It seems, that in escalating situations service users do not receive the measures they perceive as helpful. In order to prevent the use of coercive measures staff members should focus on crisis talks and a need-orientated, empathic interaction.
目的
我们调查了服务使用者认为哪些较为温和的措施有助于预防强制措施，以及这些措施的提供程度。
方法
招募了155名曾经历过强制手段的前服务使用者样本，并通过在线或纸笔调查进行询问。
结果
参与者平均报告称，在总共25项较为温和的措施中，他们得到了4.7项。被评为最常被认为可能有帮助的措施是“危机谈话”“考虑需求”和“表现出兴趣”。分析表明，所提供措施的频率与这些措施被评为可能有帮助的频率之间存在负相关。86%的参与者报告称对总体治疗满意度较低。
结论
在情况升级时，服务使用者似乎没有得到他们认为有帮助的措施。为了防止使用强制措施，工作人员应专注于危机谈话以及以需求为导向的共情互动。
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