Eiroa-Orosa Francisco José
Section of Personality, Assessment and Psychological Treatment, Department of Clinical Psychology and Psychobiology, Faculty of Psychology, Institute of Neurosciences, University of Barcelona, Barcelona, Spain.
First-Person Research Group, Veus, Catalan Federation of 1st Person Mental Health Organisations, Barcelona, Spain.
Front Psychol. 2023 Sep 14;14:1152581. doi: 10.3389/fpsyg.2023.1152581. eCollection 2023.
Mental health models grounded in Recovery and Rights are driving the advancement of transformative care systems through multifaceted actions, which encompass Continuing Professional Development. The objective of this work is to evaluate a training activity developed through a participatory process that included people with lived experience of psychosocial distress, their relatives, and mental health professionals.
The training focused on alternatives to diagnosis, recovery principles, rights-based care, and peer support. The evaluation followed a cluster randomized wait-list controlled design. Four hundred eighty-eight health professionals from eight care centers were randomized to three experimental conditions: a wait list control, which underwent a one-month interval between the baseline assessment and the training activity, and two experimental groups, with or without first-person accounts, which accessed the training immediately after completing the baseline assessment. The dependent variables measured at all follow-ups were beliefs and attitudes toward mental health service users' rights. One hundred ninety-two professionals completed at least one follow-up and were included in the analyses.
We observed different evolutions of experimental and control groups with statistically significant differences for tolerance to coercion and total beliefs and attitudes scores. No differences were observed between the groups with or who attended training activities with or without first person accounts. Upon receiving the training activity, the control group had an evolution equivalent to the experimental groups.
The results of this evaluation project provide compelling evidence for the need to expand recovery and rights training activities to reach a larger audience of mental health professionals These training activities hold the potential to positively influence the beliefs and attitudes of mental health professionals, ultimately contributing toward a better future for individuals with lived experience of psychosocial distress.
基于康复和权利的心理健康模式正通过多方面行动推动变革性护理系统的发展，这些行动包括持续专业发展。本研究的目的是评估一项通过参与式过程开展的培训活动，该过程纳入了有心理社会困扰生活经历的人、他们的亲属以及心理健康专业人员。
该培训聚焦于诊断替代方案、康复原则、基于权利的护理以及同伴支持。评估采用整群随机等待列表对照设计。来自八个护理中心的488名卫生专业人员被随机分为三种实验条件：一个等待列表对照组，在基线评估和培训活动之间有一个月的间隔；两个实验组，分别有无第一人称叙述，在完成基线评估后立即参加培训。在所有随访中测量的因变量是对心理健康服务使用者权利的信念和态度。192名专业人员完成了至少一次随访并纳入分析。
我们观察到实验组和对照组有不同的变化，在对强制的容忍度以及总体信念和态度得分方面存在统计学显著差异。有无第一人称叙述参加培训活动的组之间未观察到差异。在接受培训活动后，对照组的变化与实验组相当。
该评估项目的结果提供了令人信服的证据，表明需要扩大康复和权利培训活动，以覆盖更多心理健康专业人员。这些培训活动有可能积极影响心理健康专业人员的信念和态度，最终为有心理社会困扰生活经历的个人创造更美好的未来。
