Department of Communication Sciences and Disorders, Central Michigan University, Mount Pleasant.
Encore Rehabilitation Services, Farmington Hills, MI.
Am J Speech Lang Pathol. 2021 Nov 4;30(6):2681-2692. doi: 10.1044/2021_AJSLP-21-00040. Epub 2021 Oct 21.
Purpose Aphasia is correlated with depression and anxiety, and it has a negative impact on quality of life. Aphasia is also frequently misunderstood among mental health care providers. The aim of this study was to explore the experiences of mental health providers who provide services to people living with aphasia. Method Interpretative phenomenological analysis was used to analyze interviews of six mental health providers who had some experience in providing services to people with aphasia. Results Three main themes among mental health care providers' experiences providing services to people with aphasia were identified: barriers, interprofessional collaboration, and therapy looks different. Subthemes associated with included insufficient training and knowledge of aphasia, the stigma of receiving mental health services, and accessibility to services. Subthemes related to included referrals, knowledge and awareness, and strategies and tools. Subthemes supporting included a new approach to therapy and challenges. Conclusions Mental health providers' experiences reveal the need for an action-oriented approach to overcome barriers, a nontraditional approach to talk therapy for people with aphasia, and increased collaboration with speech-language pathologists (SLPs). Future research should explore expanding the collaboration between SLPs and mental health providers to increase shared knowledge and skills in issues related to reducing depression and anxiety to support the well-being of people with aphasia.
目的 失语症与抑郁和焦虑有关,会对生活质量产生负面影响。失语症在精神卫生保健提供者中也经常被误解。本研究旨在探讨为失语症患者提供服务的精神卫生保健提供者的体验。
方法 采用解释现象学分析方法,对六名有一定为失语症患者提供服务经验的精神卫生保健提供者进行了访谈。
结果 在为失语症患者提供服务的精神卫生保健提供者的体验中确定了三个主要主题:障碍、跨专业合作和治疗方式不同。与障碍相关的副主题包括对失语症的培训和知识不足、接受精神卫生服务的耻辱感以及服务的可及性。与跨专业合作相关的副主题包括转诊、知识和意识以及策略和工具。支持治疗方式不同的副主题包括新的治疗方法和挑战。
结论 精神卫生保健提供者的体验表明需要采取行动导向的方法来克服障碍,为失语症患者提供非传统的谈话疗法,并加强与言语语言病理学家(SLP)的合作。未来的研究应该探索扩大 SLP 和精神卫生保健提供者之间的合作,以增加与降低抑郁和焦虑相关问题的共享知识和技能,从而支持失语症患者的福祉。