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一种以运动为中心的协作式心理健康服务提供模式对竞技和高水平运动员的可接受性与适宜性。

The Acceptability and Appropriateness of a Collaborative, Sport-Centered Mental Health Service Delivery Model for Competitive, and High-Performance Athletes.

作者信息

Van Slingerland Krista J, Durand-Bush Natalie

机构信息

University of Ottawa, School of Human Kinetics, Ottawa, ON, Canada.

出版信息

Front Sports Act Living. 2021 Nov 8;3:686374. doi: 10.3389/fspor.2021.686374. eCollection 2021.

Abstract

The purpose of this study was to evaluate the acceptability and appropriateness of a sport-centered, collaborative mental health service delivery model implemented within the Canadian Center for Mental Health and Sport (CCMHS) over a period of 16 months. The study is situated within a larger Participatory Action Research (PAR) project to design, implement and evaluate the CCMHS. Primary data were collected from CCMHS practitioners ( = 10) and service-users ( = 6) through semi-structured interviews, as well as from CCMHS stakeholders ( = 13) during a project meeting, captured meeting minutes. Secondary data derived from documents (e.g., clinical, policy, procedural; = 48) created by the CCMHS team (i.e., practitioners, stakeholders, board of directors) during the Implementation Phase of the project were reviewed and analyzed to triangulate the primary data. The Framework Method was used to organize, integrate and interpret the dataset. Overall, results indicate that both practitioners and service-users found the model to be both acceptable and appropriate. In particular, practitioners' knowledge and experience working in sport, a robust intake process carried out by a centralized Care Coordinator, and the ease and flexibility afforded by virtual care delivery significantly contributed to positive perceptions of the model. Some challenges associated with interprofessional collaboration and mental health care costs were highlighted and perceived as potentially hindering the model's acceptability and appropriateness.

摘要

本研究的目的是评估在16个月内于加拿大心理健康与运动中心(CCMHS)实施的以运动为中心的协作式心理健康服务提供模式的可接受性和适宜性。该研究是一个更大的参与式行动研究(PAR)项目的一部分,旨在设计、实施和评估CCMHS。主要数据通过半结构化访谈从CCMHS的从业者(n = 10)和服务使用者(n = 6)处收集,以及在一次项目会议期间从CCMHS的利益相关者(n = 13)处收集,并记录了会议纪要。次要数据来自CCMHS团队(即从业者、利益相关者、董事会)在项目实施阶段创建的文件(如临床、政策、程序;n = 48),对这些文件进行了审查和分析,以对主要数据进行三角验证。采用框架法对数据集进行组织、整合和解释。总体而言,结果表明从业者和服务使用者都认为该模式既可以接受又适宜。特别是,从业者在运动领域的知识和经验、由中央护理协调员进行的强大的接诊流程,以及虚拟护理服务提供的便利性和灵活性,都对该模式的积极看法有显著贡献。研究还突出了与跨专业协作和心理健康护理成本相关的一些挑战,并认为这些挑战可能会阻碍该模式的可接受性和适宜性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c8d/8606672/649203b1cee8/fspor-03-686374-g0001.jpg

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