Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, Manhattan, NY, USA.
New York State Psychiatric Institute, Manhattan, NY, USA.
Community Ment Health J. 2023 Aug;59(6):1227-1234. doi: 10.1007/s10597-023-01096-z. Epub 2023 Feb 3.
The purpose of this qualitative study was to elicit client perspectives on the Los Angeles County Full Service Partnership (FSP) program - an adaptation of Assertive Community Treatment (ACT). Semi-structured interviews were conducted with 20 FSP clients. Qualitative data were analyzed using thematic analysis. Two major themes were identified from the interview data: (1) Clients' acknowledgement of the material benefits of the FSP program; and (2) FSP's impact on restoring and stabilizing clients' social and treatment relationships. Interviewees greatly valued the material (i.e., basic needs, housing assistance) and relational (i.e., relationships with providers, restored personal relationships) aspects of the program, but did not ascribe the same degree of value to mental health treatment. Interviewees' emphases on material and relational aspects reflect the status of assertive mental health treatment as an intervention on intermediary determinants of health in the lives of persons diagnosed with serious mental illness.
本定性研究旨在了解客户对洛杉矶县全方位服务合作伙伴关系(FSP)计划的看法——这是对主张性社区治疗(ACT)的改编。对 20 名 FSP 客户进行了半结构化访谈。使用主题分析对定性数据进行了分析。从访谈数据中确定了两个主要主题:(1)客户对 FSP 计划的物质利益的认可;(2)FSP 对恢复和稳定客户社会和治疗关系的影响。受访者非常重视该计划的物质(即基本需求、住房援助)和关系(即与提供者的关系、恢复的人际关系)方面,但对心理健康治疗没有给予同样程度的重视。受访者对物质和关系方面的重视反映了主张性心理健康治疗作为对被诊断患有严重精神疾病的人的生活中健康中间决定因素的干预措施的地位。