将精神卫生服务专业人员与亲密伴侣暴力倡导组织共同设置。

Co-location of specialized mental health services in an intimate partner violence advocacy organization.

机构信息

Office of Behavioral Health, NYC Health + Hospitals, New York, NY, USA.

Department of Child and Adolescent Psychiatry, NYU Langone, New York, NY, USA.

出版信息

Med Sci Law. 2024 Apr;64(2):138-149. doi: 10.1177/00258024231195496. Epub 2023 Aug 22.

Abstract

Historically, services for intimate partner violence (IPV) survivors predominantly focused on advocacy, resulting in service gaps for IPV survivors who need mental health care. When mental health services are offered, there are several barriers that limit treatment engagement. To address these gaps, a novel, integrated care model, comprised of psychiatrists, clinical psychologists, and social workers were embedded into the five New York City (NYC) Family Justice Centers (FJCs), to provide free co-located mental health care to adult survivors of IPV alongside the existing advocacy, social, and legal services. This article reports on the evaluation of the Health + Hospitals Family Justice Center Mental Health Program (FJCMHP) via: (i) seven focus groups with FJC clients and staff and Health + Hospitals (H+H) clinicians; and (ii) de-identified online surveys completed by 53 FJC clients and 130 FJC staff. Clients reported increased access to care, with 67.2% seeing a mental health clinician within two weeks of a request, and improvement in symptom relief, including sleep, mood, irritability, reduction in thoughts of self-harm, improved relationships with others, especially their children, and improved self-efficacy in parenting skills. Additionally, FJC staff reported satisfaction with the FJCMHP model, and increased understanding of clients' mental health needs. The evaluation results highlight the feasibility and tolerability of integrated mental health services in a non-medical setting. The evaluation also identifies areas for improvement, as well as the strengths of an integrated, multidisciplinary mental health service program for IPV survivors co-located in a non-medical, advocacy setting.

摘要

从历史上看,亲密伴侣暴力(IPV)幸存者的服务主要侧重于宣传,因此需要心理健康护理的 IPV 幸存者服务存在差距。当提供心理健康服务时,存在一些限制治疗参与的障碍。为了解决这些差距,一种新的综合护理模式,由精神科医生、临床心理学家和社会工作者组成,被嵌入到纽约市(NYC)的五个家庭司法中心(FJCs)中,为 IPV 成年幸存者提供免费的联合心理健康护理,同时提供现有的宣传、社会和法律服务。本文通过以下方式报告对健康+医院家庭司法中心心理健康计划(FJCMHP)的评估:(i)与 FJC 客户和工作人员以及健康+医院(H+H)临床医生进行了七次焦点小组讨论;(ii)53 名 FJC 客户和 130 名 FJC 工作人员完成了匿名在线调查。客户报告说获得了更多的护理机会,有 67.2%的人在提出请求后的两周内看到了心理健康临床医生,症状缓解情况有所改善,包括睡眠、情绪、易怒、减少自我伤害的想法、改善与他人的关系,尤其是与孩子的关系,以及改善育儿技能的自我效能感。此外,FJC 工作人员对 FJCMHP 模式表示满意,并增加了对客户心理健康需求的了解。评估结果突出了在非医疗环境中提供综合心理健康服务的可行性和耐受性。评估还确定了改进的领域,以及在非医疗、宣传环境中为 IPV 幸存者提供联合多学科心理健康服务计划的优势。

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