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针对患有严重精神疾病者的家庭成员的认知教育干预中的共同决策方面

Aspects of Shared Decision Making in a Cognitive-Educational Intervention for Family Members of Persons Coping With Severe Mental Illness.

作者信息

Weiss Penina, Redlich-Amirav Dorit, Daass-Iraqi Sara, Hadas-Lidor Noami

机构信息

Occupational Therapy Department, Rabin Medical Center, Petach Tikva, Israel.

National School of Mental Health Rehabilitation, Ono College, Kiryat Ono, Israel.

出版信息

Front Psychiatry. 2021 Jul 20;12:681118. doi: 10.3389/fpsyt.2021.681118. eCollection 2021.

Abstract

Partnerships and family inclusion are embedded in mental health policies. Shared Decision Making (SDM) is as an effective health communication model designed to facilitate service users and providers engagement in reaching jointly decisions concerning interventions. Keshet is a 15 bi-weekly academic course for family members of people with mental illnesses that enhances positive family cognitive communication skills. To exhibit how SDM is inherently expressed in Keshet. We conducted a secondary analysis of previous Keshet evaluation studies and course protocols that focused on revealing SDM use. SDM was found to be a prominent feature in Keshet interventions in both the structure of the course as well as the process and procedures. Following participation in the program, making decisions jointly was found to be a prominent feature. Interventions such as Keshet that include an SDM approach can contribute to the integration of academic, professional and "lived experience" within a shared perspective, thus promoting an enhanced equality- based SDM model that benefits individuals as well as mental health systems.

摘要

伙伴关系和家庭参与已融入心理健康政策之中。共同决策(SDM)是一种有效的健康沟通模式,旨在促进服务使用者和提供者共同参与做出有关干预措施的决策。凯谢特(Keshet)是一门为患有精神疾病者的家庭成员开设的为期15周、每两周一次的学术课程,可增强积极的家庭认知沟通技巧。为展示共同决策在凯谢特课程中是如何内在体现的,我们对之前凯谢特课程的评估研究和课程方案进行了二次分析,重点是揭示共同决策的运用情况。结果发现,共同决策在凯谢特课程的干预措施中,无论是课程结构还是过程及程序方面,都是一个突出特点。参与该项目后,共同做决策被视为一个突出特点。像凯谢特这样采用共同决策方法的干预措施,有助于在共同视角下整合学术、专业和“生活经验”,从而推动一种基于平等的、更完善的共同决策模式,使个人和心理健康系统都受益。

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