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精神卫生保健从业者对72小时评估政策指南的理解。

Mental health care practitioners' understanding of the policy guideline on 72-hour assessment.

作者信息

Mpheng Ontlotlile I, Sehularo Leepile A, Moagi Miriam M, Kovane Gaotswake P

机构信息

NuMIQ Research Focus Area, Faculty of Health Sciences, North-West University, Potchefstroom.

出版信息

Curationis. 2025 Apr 21;48(1):e1-e12. doi: 10.4102/curationis.v48i1.2660.

Abstract

BACKGROUND

The policy guidelines on 72-hour assessment of involuntary Mental Health Care Users (MHCUs) are implemented in respect of involuntary MHCUs who need mental health care, treatment and rehabilitation services. Currently, there is poor implementation of the policy guidelines on 72-hour assessment of involuntary MHCUs. This includes MHCUs staying beyond 72-hour assessment period and being exposed to infringement and violation of their rights.

OBJECTIVES

This study explored and described the Mental Health Care Practitioners' (MHCPs) understanding of the current practice of the policy guidelines on 72-hour assessment of involuntary MHCUs in South Africa.

METHOD

A qualitative, exploratory, descriptive research design was followed. Participants comprised of MHCPs and were purposively sampled, while data were gathered through Focus Group Discussions utilising Microsoft Teams. Data analysis employed the six steps of thematic analysis to assess data, generate themes and categories presented concurrently with MHCPs direct quotations.

RESULTS

Three themes emerged after data analysis namely, (1) MHCPs' understanding of the policy guidelines on 72-hour assessment of involuntary MHCUs; (2) MHCPs' challenges with the policy guidelines on 72-hour assessment of involuntary MHCUs; and (3) MHCPs' suggestions to strengthen the policy guidelines on 72-hour assessment of involuntary MHCUs.

CONCLUSION

The findings of the study indicated that there should be well-trained administrators, qualified MHCPs, appropriate infrastructure, and community and family involvement to ensure proper implementation of the 72-hour policy guidelines.Contribution: This study highlights that with the proper implementation of the 72-hour policy guidelines, MHCU rights can be protected, therefore contributing to proper mental illness management.

摘要

背景

针对需要精神卫生保健、治疗和康复服务的非自愿精神卫生保健使用者(MHCUs),实施了关于72小时评估的政策指南。目前,非自愿MHCUs的72小时评估政策指南执行情况不佳。这包括MHCUs停留超过72小时的评估期,并面临其权利受到侵犯的情况。

目的

本研究探讨并描述了南非精神卫生保健从业者(MHCPs)对非自愿MHCUs 72小时评估政策指南当前实践的理解。

方法

采用定性、探索性、描述性研究设计。参与者包括MHCPs,采用目的抽样法,同时通过使用Microsoft Teams的焦点小组讨论收集数据。数据分析采用主题分析的六个步骤来评估数据,生成主题和类别,并与MHCPs的直接引语同时呈现。

结果

数据分析后出现了三个主题,即:(1)MHCPs对非自愿MHCUs 72小时评估政策指南的理解;(2)MHCPs在非自愿MHCUs 72小时评估政策指南方面面临的挑战;(3)MHCPs对加强非自愿MHCUs 72小时评估政策指南的建议。

结论

研究结果表明,应有训练有素的管理人员、合格的MHCPs、适当的基础设施以及社区和家庭的参与,以确保72小时政策指南的正确实施。贡献:本研究强调,通过正确实施72小时政策指南,可以保护MHCU的权利,从而有助于妥善管理精神疾病。

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Human rights in mental healthcare; A review of current global situation.精神卫生保健中的人权;当前全球形势综述
Int Rev Psychiatry. 2023 Feb-Mar;35(2):150-162. doi: 10.1080/09540261.2022.2027348. Epub 2022 Mar 16.

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