我们的角色并不轻松：在精神卫生服务提供组织中让青年顾问委员会参与进来的工作。
Our roles are not at ease: The work of engaging a youth advisory council in a mental health services delivery organization.
机构信息
Faculty of Information & Media Studies, Western University, London, ON, Canada.
Centre for Research and Education on Violence Against Women and Children, Western University, London, ON, Canada.
出版信息
Health Expect. 2021 Oct;24(5):1618-1625. doi: 10.1111/hex.13302. Epub 2021 Jul 9.
OBJECTIVES
There is growing policy impetus for including youth voices in health services research and health system reform. This article examines the perspectives of professionals in a mental healthcare organization charged with engaging young people as advisors in service transformation.
METHODS
An institutional ethnography of a youth mental health services organization in Ontario, Canada, was conducted. Fieldwork consisted of twelve months of observation of meetings, interviews with youth advisors and adult service providers, with subsequent text analysis of engagement training and policy materials. The present article reports data from six adult professionals and related field observations.
RESULTS
Service providers' efforts to engage youth were observed in three areas: a) supporting youth's development as advisors, b) retaining and deepening youth participation while waiting for organizational change and c) embedding relationships between youth and adults at various levels within the system of care. This work denotes existing tensions between the values and ideals of youth engagement and the everyday demands of services delivery.
CONCLUSION
In this setting, a fundamental dimension of this work consisted of negotiating tensions between the policy enthusiasm for engagement and its realization in a health services context. In describing these contextual challenges, we outline implications for consideration by other youth mental health services. Engagement efforts that are authentic and sustained require resources and flexibility, and leadership commitment to instil service users' perspectives throughout multiple levels within the organization.
目的
越来越多的政策都在推动将年轻人的声音纳入卫生服务研究和卫生系统改革中。本文考察了一家精神卫生保健机构的专业人员的观点，该机构负责让年轻人作为顾问参与服务转型。
方法
对加拿大安大略省一家青年心理健康服务机构进行了机构民族志研究。实地工作包括对会议进行 12 个月的观察、对青年顾问和成年服务提供者进行访谈，并对参与培训和政策材料进行后续文本分析。本文报告了来自 6 名成年专业人员和相关实地观察的数据。
结果
在以下三个方面观察到服务提供者在青年参与方面的努力：a）支持青年作为顾问的发展，b）在等待组织变革的同时保留和深化青年参与，c）在护理系统的各个层面嵌入青年和成人之间的关系。这项工作表明，青年参与的价值观和理想与服务提供的日常需求之间存在现有紧张关系。
结论
在这种情况下，这项工作的一个基本方面是在参与的政策热情及其在卫生服务环境中的实现之间进行协商。在描述这些背景下的挑战时，我们概述了对其他青年心理健康服务机构的考虑意义。真正和持续的参与需要资源和灵活性，以及领导层的承诺，将服务使用者的观点灌输到组织的多个层面。
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