Faculty of Health, Southern Cross University, Coolangatta, QLD 4225, Australia.
Department of Occupational Therapy, Social Work and Social Policy, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, VIC 3083, Australia.
Int J Environ Res Public Health. 2021 Sep 9;18(18):9504. doi: 10.3390/ijerph18189504.
When graduates of Australian social work courses embark on a career in mental health, the systems they enter are complex, fragmented and evolving. Emerging practitioners will commonly be confronted by the loneliness, social exclusion, poverty and prejudice experienced by people living with mental distress; however, social work practice may not be focused on these factors. Instead, in accordance with the dominant biomedical perspective, symptom and risk management may predominate. Frustration with the limitations evident in this approach has seen the United Nations call for the transformation of mental health service delivery. Recognising paradigmatic influences on mental health social work may lead to a more considered enactment of person centred, recovery and rights-based approaches. This paper compares and contrasts influences of neo-liberalism, critical theory, human rights and post-structuralism on mental health social work practice. In preparing social work practitioners to recognise the influence of, and work more creatively with, intersecting paradigms, social work educators strive to foster a transformative approach to mental health practice that straddles discourses.
当澳大利亚社会工作课程的毕业生投身于心理健康领域的职业时，他们所进入的系统是复杂的、碎片化的和不断发展的。新兴的从业者通常会面临那些患有精神困扰的人们所经历的孤独、社会排斥、贫困和偏见；然而，社会工作实践可能并没有关注这些因素。相反，根据占主导地位的生物医学观点，症状和风险管理可能占主导地位。对这种方法的局限性感到沮丧，促使联合国呼吁转变精神卫生服务的提供方式。认识到对心理健康社会工作有影响的范式，可以导致更全面地实施以人为本、以康复为导向和以权利为基础的方法。本文比较和对比了新自由主义、批判理论、人权和后结构主义对心理健康社会工作实践的影响。为了使社会工作者能够认识到并更创造性地处理相互交织的范式的影响，社会工作教育者努力培养一种跨越话语的变革性的心理健康实践方法。
