Faculty of Social Sciences, Hong Kong Baptist University, Kowloon Tong, Hong Kong.
Department of Social Work, The Chinese University of Hong Kong, Hong Kong City, Hong Kong.
Health Soc Care Community. 2022 Nov;30(6):e5693-e5702. doi: 10.1111/hsc.13999. Epub 2022 Sep 4.
This qualitative evaluation study examined the impact of unstructured intervention on people with depression in a community mental health centre in Hong Kong. In the intervention, service users initiated groups and designed group activities by themselves, with social workers as facilitators. Semi-structured interviews were conducted with service users enrolled in unstructured intervention, their family members, and service providers in 2019. Overall, 32 participants were recruited through purposive sampling. The results revealed that peer interactions helped participants to feel accepted and understood. Participants also acquired experience with emotional coping strategies and practised their interpersonal skills, and by learning new skills from peers, they were able to rebuild their self-esteem and improve their relationships with friends and family. To cater to clients' different needs and concerns, unstructured activities should be diversified. Family and social functioning should also be emphasised in the development of unstructured intervention because the generic skills and knowledge acquired from unstructured activities with peers could help to enhance family relationships, self-confidence, and the ability to manage issues related to working and socialising.
本定性评价研究考察了在香港社区心理健康中心中，非结构化干预对抑郁症患者的影响。在干预中，服务使用者自行发起小组并设计小组活动，由社会工作者作为促进者。2019 年，对参加非结构化干预的服务使用者、他们的家庭成员和服务提供者进行了半结构化访谈。总体而言，通过目的性抽样，共招募了 32 名参与者。结果表明，同伴互动帮助参与者感到被接受和理解。参与者还获得了情绪应对策略的经验，并练习了他们的人际交往能力，通过向同伴学习新技能，他们能够重建自尊心并改善与朋友和家人的关系。为了满足客户的不同需求和关注点，非结构化活动应该多样化。在制定非结构化干预措施时，还应强调家庭和社会功能，因为从与同伴进行的非结构化活动中获得的通用技能和知识有助于增强家庭关系、自信心以及处理与工作和社交相关问题的能力。
