Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Enlightened Consultants, Brisbane, QLD, Australia.
Community Ment Health J. 2021 Oct;57(7):1255-1266. doi: 10.1007/s10597-021-00871-0. Epub 2021 Jul 7.
This paper uses secondary analysis to understand how COVID-19 shaped people's experiences with psychosocial support services in Australia. Data are drawn from questionnaires (n = 66) and semi-structured interviews (n = 62), conducted for a national service evaluation, with 121 people living with enduring mental health conditions and using psychosocial support services. Data relating to COVID-19 were inductively coded and analysed using constant comparative analysis. Most people's experiences included tele-support. While some people described minimal disruption to their support, many reported reduced engagement. People's wellbeing and engagement were influenced by: their location, living situation and pre-COVID lifestyles; physical health conditions; access to, comfort with, and support worker facilitation of technology; pre-COVID relationships with support workers; and communication from the organisation. The findings can help services prepare for future pandemics, adjust their services for a 'COVID-normal' world, and consider how learnings from COVID-19 could be incorporated into a flexible suite of service delivery options.
本文通过二次分析来了解 COVID-19 如何塑造澳大利亚人们对心理社会支持服务的体验。数据来自全国服务评估的问卷调查(n=66)和半结构化访谈(n=62),参与者为 121 名患有持续性心理健康问题并使用心理社会支持服务的人群。与 COVID-19 相关的数据采用归纳编码,并使用恒定比较分析进行分析。大多数人的体验包括远程支持。虽然有些人描述说他们的支持几乎没有受到干扰,但许多人报告说参与度降低了。人们的幸福感和参与度受到以下因素的影响:他们的位置、生活状况和 COVID-19 之前的生活方式;身体健康状况;对技术的访问、舒适度和支持人员的促进;与支持人员的 COVID-19 之前的关系;以及组织的沟通。这些发现可以帮助服务机构为未来的大流行做好准备,调整他们的服务以适应“新常态”,并考虑如何将 COVID-19 的经验教训纳入灵活的服务提供选择套件中。