Department of Psychology, University of Campania "Luigi Vanvitelli", Viale Ellittico 31, Caserta, I-81100, Italy.
Department of Mental Health, Azienda Sanitaria Universitaria Giuliano Isontina (ASUGI) (Giuliano Isontino Health University District (ASUGI), Trieste, Italy.
Adm Policy Ment Health. 2023 Nov;50(6):849-860. doi: 10.1007/s10488-023-01284-9. Epub 2023 Jul 10.
This multicenter cross-sectional study explored the responsiveness of Mental Health Services (MHS) to two years of COVID-19 emergency in Italy. Specifically, the study explored the ability of staff to: acknowledge users' capabilities and value teamwork; reinvent the service and maintain/introduce good practices; and, acknowledge the positive aspects of the pandemic experience. These aspects were investigated in relation to socio-demographic and professional variables. Professionals from 17 MHS of 15 Italian Regions completed an online questionnaire on the MHS transformation during COVID-19. Data were collected at the end of the national health emergency (March 1-April 30, 2022). Most of the 1077 participants said they: paid more attention to users' physical health; revised treatment plans; mediated between user needs and safe work procedures; revalued the importance of gestures and habits; discovered unexpected personal resources in users; and, found positive aspects in the COVID-19 experience. The multivariate analyses showed significant differences in staff opinions related to gender, workplace, professional role, and geographic area of the MHS, covarying with staff work experience. Compared to male staff, female staff perceived MHS as more flexible and capable to maintain best practices, and female staff acknowledged more capabilities to the users. Compared to central and northern Italy staff, southern Italy staff gave more values to teamwork, perceived MHS as more capable to maintain best practices and acknowledged higher positive transformations. These findings may be useful for planning community-oriented MHS in the post-pandemic period, taking into account both the experience gained by staff and the MHS process of adaptation.
这项多中心横断面研究探讨了意大利精神卫生服务（MHS）对两年 COVID-19 紧急情况的反应能力。具体来说，该研究探讨了工作人员的能力：承认用户的能力和重视团队合作；重新设计服务并保持/引入良好做法；承认大流行经历的积极方面。这些方面与社会人口统计学和专业变量有关。来自意大利 15 个地区的 17 个 MHS 的专业人员完成了一项关于 COVID-19 期间 MHS 转型的在线问卷。数据于国家卫生紧急情况结束时（2022 年 3 月 1 日至 4 月 30 日）收集。在 1077 名参与者中，大多数人表示：更加关注用户的身体健康；修订治疗计划；在用户需求和安全工作程序之间进行调解；重新评估手势和习惯的重要性；在用户中发现了意想不到的个人资源；并在 COVID-19 经历中找到了积极的方面。多变量分析显示，与员工工作经验相关的员工意见在性别、工作场所、专业角色和 MHS 的地理位置方面存在显著差异。与男性员工相比，女性员工认为 MHS 更灵活，能够保持最佳实践，并且更认可用户的能力。与意大利中北部的员工相比，意大利南部的员工更重视团队合作，认为 MHS 更有能力保持最佳实践，并承认更高的积极转变。这些发现对于规划大流行后的社区导向 MHS 可能有用，同时考虑到员工的经验和 MHS 的适应过程。
