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为患有严重和持续性心理健康问题者提供的服务的不足之处:对服务使用者和家庭照顾者的定性研究

Shortcomings of services for persons with severe and persistent mental health challenges: a qualitative study of service users and family carers.

作者信息

Isaacs Anton, Lambert Caroline, Lawn Sharon, Dyer Anna

机构信息

School of Rural Health, Monash University, Warragul, VIC, Australia.

Tandem Inc., Abbotsford, VIC, Australia.

出版信息

Front Psychiatry. 2024 Feb 14;15:1341248. doi: 10.3389/fpsyt.2024.1341248. eCollection 2024.

DOI:10.3389/fpsyt.2024.1341248
PMID:38419901
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10899316/
Abstract

INTRODUCTION

The opinions of service users and carers are crucial to identifying ways to innovate and implement system change. This study aims to explore the views and experiences of service users and carerson the services they have used for their mental health challenges and their suggestions for service reform.

METHODS

Twenty participants (15 carers and 5 service users) were interviewed for the study.

RESULTS

Eight categories emerged from the data. They were: Several gaps in the system, Barriers to accessing services, Services are not fit for purpose, Services operate in isolation, System is not person focused, Service users and carers are treated poorly, Services are overloaded and under resourced and Recommendations for service reform. Respondents reported that a persistent lack of funding and resources for mental health services was a main cause of these shortcomings. Respondents also noted that innovations were needed to re-orient services to enable continuity of care, and training of mental health professionals was needed for a better understanding of the needs of service users and their carers.

DISCUSSION

Additional research is needed with larger and more diverse samples to further explore these findings.

摘要

引言

服务使用者和护理者的意见对于确定创新及实施系统变革的方法至关重要。本研究旨在探讨服务使用者和护理者对其用于应对心理健康挑战的服务的看法和体验,以及他们对服务改革的建议。

方法

本研究对20名参与者(15名护理者和5名服务使用者)进行了访谈。

结果

数据归纳出八类问题。它们分别是:系统中的若干差距、获取服务的障碍、服务不适用、服务孤立运作、系统不以人为本、服务使用者和护理者受到恶劣对待、服务负担过重且资源不足以及服务改革建议。受访者报告称,心理健康服务持续缺乏资金和资源是这些缺陷的主要原因。受访者还指出,需要进行创新以重新调整服务方向,实现连续护理,并且需要对心理健康专业人员进行培训,以便更好地了解服务使用者及其护理者的需求。

讨论

需要对更大规模、更多样化的样本进行进一步研究,以深入探讨这些发现。

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