Coleshill Matthew, Fransisca Kelby, Du Xiaoling, Black Melissa, Newby Jill M, Harvey Samuel, Christensen Helen, Baldwin Peter
Black Dog Institute, Sydney, Australia.
UNSW Medicine & Health, University of New South Wales, Sydney, Australia.
Aust J Psychol. 2024 Nov 13;76(1):2425614. doi: 10.1080/00049530.2024.2425614. eCollection 2024.
The Essential Network (TEN) is a blended care mental health support service for Australian health professionals. We conducted a series of semi-structured interviews with key stakeholders and researchers to understand health professionals' needs, canvas suggested changes to TEN, and examine methods of improving service uptake.
Nine semi-structured individual or group interviews were conducted with 10 TEN stakeholders (external stakeholders) and eight interviews were conducted with 18 researchers or related roles with experience implementing or evaluating mental health services for health professionals (internal experts). De-identified transcripts were thematically analysed using an inductive and deductive approach.
Participants highlighted the need for confidentiality, with mandatory reporting concerns being a key barrier to health professionals engaging with mental health services. External stakeholders viewed digital services as advantageous due to accessibility and anonymity, although both groups noted that concerns around effectiveness were a barrier to engagement with digital services. Both groups agreed that peer endorsement was key to implementation.
Digital services were viewed as promising, but best employed alongside person-to-person options in a blended care format. Services that address the unique workplace culture of healthcare, including stigma and systemic barriers to help-seeking, can create effective and scalable support for health professionals.
基本网络(TEN)是一项为澳大利亚卫生专业人员提供的混合式心理健康支持服务。我们对关键利益相关者和研究人员进行了一系列半结构化访谈,以了解卫生专业人员的需求,探讨对TEN的建议性改进,并研究提高服务利用率的方法。
对10名TEN利益相关者(外部利益相关者)进行了9次半结构化个人或小组访谈,对18名有为卫生专业人员实施或评估心理健康服务经验的研究人员或相关人员(内部专家)进行了8次访谈。使用归纳和演绎方法对去识别化的访谈记录进行主题分析。
参与者强调了保密性的必要性,强制报告问题是卫生专业人员参与心理健康服务的关键障碍。外部利益相关者认为数字服务因可及性和匿名性而具有优势,尽管两组都指出对有效性的担忧是参与数字服务的障碍。两组都同意同行认可对实施至关重要。
数字服务被认为很有前景,但最好与面对面服务以混合式护理形式结合使用。解决医疗保健独特工作场所文化问题的服务,包括耻辱感和寻求帮助的系统性障碍,可以为卫生专业人员创造有效且可扩展的支持。