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职业治疗在初级保健心理健康服务中的作用:简短报告。

The role of occupational therapy in primary care mental health services: a short report.

作者信息

Hely Arabella, Pearce Claire

机构信息

Faculty of Health, University of Canberra, Bruce, ACT, Australia.

出版信息

Prim Health Care Res Dev. 2025 Jun 23;26:e49. doi: 10.1017/S1463423625100212.

DOI:10.1017/S1463423625100212
PMID:40546135
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12188132/
Abstract

This paper is a short report considering the role of occupational therapy in providing mental health services in primary care. Primary care is the first point of contact most people have with the healthcare system. Occupational therapists have a role working with people with mental illness but the role of an occupational therapist working in mental health in a primary care setting is not well understood. Common interventions discussed in the literature included lifestyle approaches, assessment and information gathering, and the teaching of skills for daily living. There was a clear divide in the literature regarding the use of generic or specialist (occupation-focused) roles. Physical health was often prioritized over mental health concerns. Limited research examined both the population group of people with mental health concerns and the practice setting of primary care, identifying the need for further research to articulate the role of occupational therapy in working with mental health in primary care settings.

摘要

本文是一篇简短报告,探讨了职业治疗在基层医疗中提供心理健康服务的作用。基层医疗是大多数人与医疗系统的首个接触点。职业治疗师在与精神疾病患者合作方面发挥着作用,但职业治疗师在基层医疗环境中从事心理健康工作的角色尚未得到充分理解。文献中讨论的常见干预措施包括生活方式方法、评估和信息收集以及日常生活技能教学。关于通用角色或专业(以职业为重点)角色的使用,文献中存在明显分歧。身体健康往往比心理健康问题更受重视。有限的研究考察了有心理健康问题的人群以及基层医疗的实践环境,表明需要进一步研究以阐明职业治疗在基层医疗环境中处理心理健康问题时的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7249/12188132/e45742a0b5a9/S1463423625100212_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7249/12188132/e45742a0b5a9/S1463423625100212_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7249/12188132/e45742a0b5a9/S1463423625100212_fig1.jpg

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本文引用的文献

1
Occupational therapy services in primary care: a scoping review.基层医疗中的职业治疗服务:范围综述。
Prim Health Care Res Dev. 2023 Jan 9;24:e7. doi: 10.1017/S1463423622000123.
2
Participant Outcomes and Facilitator Experiences Following a Community Living Skills Program for Adult Mental Health Consumers.社区生活技能计划对成年心理健康消费者的参与者结果和促进者体验。
Community Ment Health J. 2023 Apr;59(3):428-438. doi: 10.1007/s10597-022-01020-x. Epub 2022 Sep 8.
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Integrating Primary and Secondary Care to Enhance Chronic Disease Management: A Scoping Review.
整合初级和二级医疗保健以加强慢性病管理:一项范围综述
Int J Integr Care. 2021 Feb 9;21(1):4. doi: 10.5334/ijic.5508.
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An integrative collaborative care model for people with mental illness and physical comorbidities.针对患有精神疾病和躯体共病患者的综合协作护理模式。
Int J Ment Health Syst. 2020 Nov 11;14(1):83. doi: 10.1186/s13033-020-00410-6.
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Scoping review: occupational therapy interventions in primary care.综述:初级保健中的职业治疗干预措施
Prim Health Care Res Dev. 2019 Mar 20;20:e28. doi: 10.1017/S146342361800049X.
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Occupational therapy and primary care.职业疗法与初级保健。
Prim Health Care Res Dev. 2019 Mar 20;20:e27. doi: 10.1017/S1463423618000452.
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Occupational therapy in primary care: exploring the role of occupational therapy from a primary care perspective.初级保健中的职业治疗:从初级保健视角探索职业治疗的作用。
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Relationships between job satisfaction, burnout, professional identity and meaningfulness of work activities for occupational therapists working in mental health.心理健康领域职业治疗师的工作满意度、职业倦怠、职业认同感与工作活动意义之间的关系。
Aust Occup Ther J. 2019 Oct;66(5):581-590. doi: 10.1111/1440-1630.12596. Epub 2019 Jul 15.
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Mental Health Promotion, Prevention, and Intervention in Occupational Therapy Practice.职业治疗实践中的心理健康促进、预防与干预
Am J Occup Ther. 2017 Nov/Dec;71(Supplement_2):7112410035p1-7112410035p19. doi: 10.5014/ajot.2017.716S03.
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Occupational therapy in the primary health care clinic: Experiences of two clinicians.基层医疗诊所中的职业治疗:两位临床医生的经验
Fam Syst Health. 2016 Sep;34(3):289-91. doi: 10.1037/fsh0000226.