Mansuroğlu Sercan, Davut Özge Eri Ş
Department of Health Care Services, Kütahya Health Sciences University Kütahya Vocational School, Kütahya, Turkey.
Department of Psychiatry Clinic, Ankara Etlik City Hospital, Ankara, Turkey.
J Eval Clin Pract. 2025 Feb;31(1):e14247. doi: 10.1111/jep.14247.
This study is a case study that aims to evaluate community-based mental health services from the perspective of health providers and service recipients through SWOT analysis.
This qualitative case study was conducted through in-depth interviews with five healthcare providers providing services in a community mental health centre and five individuals with severe mental disorders receiving services. The data were analysed by content analysis.
As a result of the content analysis of the data, subthemes were identified under the main themes of strengths, weaknesses, opportunities and threats. For service recipients; under the theme of strengths, the subthemes of multidimensional support systems and treatment adherence, and under the theme of weaknesses, the subthemes of insufficient physical environment and insufficient attention were identified. Under the theme of opportunities, the subthemes of awareness, self-confidence, employment/financial gain, sharing/socialization and problem solving were identified, while under the theme of threats, the subthemes of economic constraints and feeling uncomfortable were revealed. For health providers; under the theme of strengths, the subthemes of holistic approach, early intervention and stigma prevention, under the theme of weaknesses, the subthemes of lack of resources, lack of standards, unqualified team members, inadequate professional/in-service trainings were revealed. Under the theme of opportunities, the subthemes of autonomous working environment, support systems and aids, and training programmes were identified, while under the theme of threats, the subthemes of economic constraints, stigma exposure, political deficiencies, staff reluctance/burnout, negative perceptions about the centre, and gettıng complacent were identified.
Community-based mental health services contain strengths, weaknesses, opportunities and threats according to the views of both health providers and service recipients, and the views of the groups overlap with each other within the supply-demand mechanism. It can be said that the effectiveness of community-based mental health services will increase by preventing threats by improving weaknesses and increasing the visibility of opportunities by recognizing strengths.
本研究是一项案例研究，旨在通过SWOT分析从医疗服务提供者和服务接受者的角度评估社区心理健康服务。
本定性案例研究通过对在社区心理健康中心提供服务的五名医疗服务提供者和五名接受服务的重度精神障碍患者进行深入访谈来开展。数据采用内容分析法进行分析。
通过对数据的内容分析，在优势、劣势、机会和威胁等主要主题下确定了子主题。对于服务接受者而言，在优势主题下，确定了多维支持系统和治疗依从性等子主题；在劣势主题下，确定了物理环境不足和关注不够等子主题。在机会主题下，确定了意识、自信、就业/经济收益、分享/社交和问题解决等子主题；在威胁主题下，揭示了经济限制和感觉不自在等子主题。对于医疗服务提供者而言，在优势主题下，确定了整体方法、早期干预和耻辱预防等子主题；在劣势主题下，揭示了资源缺乏、缺乏标准、团队成员不合格、专业/在职培训不足等子主题。在机会主题下，确定了自主工作环境、支持系统和辅助工具以及培训计划等子主题；在威胁主题下，确定了经济限制、耻辱暴露、政治缺陷、工作人员不情愿/倦怠、对中心的负面看法以及自满等子主题。
根据医疗服务提供者和服务接受者的观点，社区心理健康服务存在优势、劣势、机会和威胁，并且这些群体的观点在供需机制内相互重叠。可以说，通过改进劣势来预防威胁，并通过认识到优势来提高机会的可见性，社区心理健康服务的有效性将会提高。
