Dray Julia, Gibson Lauren, Clinton-McHarg Tara, Byrnes Emma, Wynne Olivia, Bartlem Kate, Wilczynska Magdalena, Latter Joanna, Fehily Caitlin, Wolfenden Luke, Bowman Jenny
School of Psychological Sciences, College of Engineering, Science and Environment, University of Newcastle, Callaghan, NSW 2308, Australia.
Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, NSW 2308, Australia.
Int J Environ Res Public Health. 2022 May 2;19(9):5533. doi: 10.3390/ijerph19095533.
People living with mental health conditions experience a significantly reduced life expectancy compared to people without, largely linked to health risk behaviours and associated chronic disease. Community managed organisations (CMOs) represent an important setting in which to address health risk behaviours among people with mental health conditions. However, little is known about how these behaviours (smoking, poor nutrition, alcohol consumption, inadequate physical activity, poor sleep: SNAPS) are being addressed in this setting. One-on-one, semi-structured telephone interviews were conducted with a sample of 12 senior staff, representing 12 CMOs in New South Wales, Australia to: (1) explore types of support provided by CMOs to address the SNAPS behaviours of consumers living with a mental health condition; and (2) assess perceived organisational and staff level barriers and facilitators to providing such support. Transcribed interviews were analysed using inductive thematic analysis. This study found there was a range of supports offered by CMOs, and these differed by health risk behaviour. Findings suggest CMOs are well-placed to embed SNAPS supports as a part of their service provision; however, available funding, consistency of supports, workplace policies and culture, collaboration with other available supports, staff training and education, all impacted capacity.
与没有心理健康问题的人相比，患有心理健康问题的人的预期寿命显著缩短，这在很大程度上与健康风险行为及相关慢性病有关。社区管理组织（CMO）是解决心理健康问题人群健康风险行为的重要场所。然而，对于在这种环境中如何应对这些行为（吸烟、营养不良、饮酒、体育活动不足、睡眠不佳：SNAPS），人们知之甚少。对来自澳大利亚新南威尔士州12个社区管理组织的12名高级工作人员进行了一对一的半结构化电话访谈，目的是：（1）探讨社区管理组织为解决患有心理健康问题的消费者的SNAPS行为而提供的支持类型；（2）评估在提供此类支持方面，组织和员工层面存在的阻碍因素及促进因素。使用归纳主题分析法对访谈记录进行了分析。本研究发现，社区管理组织提供了一系列支持，且这些支持因健康风险行为而异。研究结果表明，社区管理组织完全有能力将SNAPS支持纳入其服务提供的一部分；然而，可用资金、支持的一致性、工作场所政策和文化、与其他现有支持的合作、员工培训和教育，都会影响其能力。
