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一线救援人员的心理健康治疗:心理健康服务提供者需求评估。

Mental health treatment for first responders: An assessment of mental health provider needs.

机构信息

Phoenix Australia-Centre for Posttraumatic Mental Health, University of Melbourne.

出版信息

Psychol Serv. 2024 Aug;21(3):489-499. doi: 10.1037/ser0000832. Epub 2024 Jan 1.

Abstract

First responders experience mental health conditions at a higher rate than the general population. To improve treatment and enhance quality of care, it is important to understand the needs of those who provide mental health treatment to this population. The purpose of this study was to explore the needs of mental health providers with experience working with first responders to better understand how first responders differ from community patients, and what training and supports providers need to enhance treatment. Semistructured qualitative interviews were conducted via videocalls with 12 mental health providers who provide mental health care to Australian first responders. The interviews were transcribed verbatim and interpretative phenomenological analysis was performed. The findings highlighted the importance of identity and culture among first responders, and the need for cultural awareness and understanding among mental health providers working with this population. Various training opportunities which could enhance treatment capacities were identified, including training in accurate assessment and differential diagnosis, evidence-based trauma-focused treatments, transdiagnostic treatments, and working with specific first responder treatment characteristics (e.g., emotional detachment, rigid cognitive styles, and preferences toward structure and order). Ways in which mental health providers can be supported included facilitating professional networks between providers and connection with first responder organizations. The insights gathered from this study provide a foundation from which to consider training and support development for mental health providers working with first responders. Service level implications and directions are outlined to assist future decision making on this topic. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

摘要

急救人员经历心理健康问题的比例高于一般人群。为了改善治疗效果和提高护理质量,了解为这一人群提供心理健康治疗的人员的需求非常重要。本研究的目的是探讨有与急救人员合作经验的心理健康提供者的需求,以更好地了解急救人员与社区患者有何不同,以及提供者需要哪些培训和支持来加强治疗。通过视频通话对 12 名为澳大利亚急救人员提供心理健康护理的心理健康提供者进行了半结构化定性访谈。访谈逐字转录,并进行了解释性现象学分析。研究结果强调了急救人员身份和文化的重要性,以及在为这一人群提供服务的心理健康提供者中需要具备文化意识和理解。确定了各种可以增强治疗能力的培训机会,包括准确评估和差异诊断、基于证据的创伤焦点治疗、跨诊断治疗,以及处理特定的急救人员治疗特征(例如,情感脱节、僵化的认知风格以及对结构和秩序的偏好)。可以支持心理健康提供者的方式包括促进提供者之间的专业网络以及与急救人员组织的联系。本研究收集的见解为考虑针对与急救人员合作的心理健康提供者的培训和支持发展提供了基础。概述了服务层面的影响和方向,以协助在这一主题上的未来决策。(APA,2024 年)

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