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“在精神卫生保健领域迈向以家庭为中心的实践之路上,我们进展如何?”——瑞典/挪威研究合作项目的观点

"Where are we on the Road Towards Family-focused Practice in Mental Healthcare?" - Perspectives from a Swedish/Norwegian Research Collaborative.

作者信息

Aass Lisbeth Kjelsrud, Weimand Bente, Ewertzon Mats, Skundberg-Kletthagen Hege, Lindholm Ingrid, Moen Øyfrid Larsen, Schröder Agneta, Andfossen Nina Beate

机构信息

Department of Health Sciences, Norwegian University of Science and Technology, Gjøvik, Norway.

Department of Health, Social and Welfare Studies, University of South-Western Norway, Drammen, Norway.

出版信息

Community Ment Health J. 2025 Aug 25. doi: 10.1007/s10597-025-01499-0.

Abstract

As a Norwegian/Swedish research network based on a family-focused practice in mental healthcare, we recognise the need to highlight this approach for the future quality and sustainability of the care and services provided. The role of family members in caring for individuals with mental health conditions is situational and diverse, encompassing several support areas such as emotional support, continuation of social and living skills, economic assistance, and monitoring for signs of illness and relapse prevention. In this context, volunteers have also been encouraged to contribute as partners in the support and follow-up of individuals with mental health issues. Although mental health services were primarily hospital-based in the past, there has been a shift in recent decades towards community-based care with support from specialist services. The aim has been to foster a respectful partnership between patients, families, and professionals, including a commitment to increasing family involvement and providing greater support to family members. Despite the recommendation for family-focused practice, we believe that health professionals still prioritise their alliance with the patient as their foremost responsibility. In this article, we advocate for an enhanced emphasis on family-focused approaches and underscore the importance of utilising knowledge-based family-focused practice models.

摘要

作为一个基于精神卫生保健中以家庭为中心的实践的挪威/瑞典研究网络,我们认识到有必要强调这种方法对于未来所提供护理和服务的质量及可持续性的重要性。家庭成员在照顾有心理健康问题的个体方面的作用是因情况而异且多种多样的,涵盖了几个支持领域,如情感支持、社会和生活技能的延续、经济援助以及对疾病迹象的监测和复发预防。在这种背景下,志愿者也被鼓励作为伙伴参与对有心理健康问题的个体的支持和随访。尽管过去精神卫生服务主要以医院为基础,但近几十年来,在专科服务的支持下,已转向以社区为基础的护理。目标是在患者、家庭和专业人员之间建立一种相互尊重的伙伴关系,包括致力于增加家庭参与并为家庭成员提供更多支持。尽管推荐以家庭为中心的实践,但我们认为卫生专业人员仍然将他们与患者的联盟作为首要责任予以优先考虑。在本文中,我们主张更加强调以家庭为中心的方法,并强调利用基于知识的以家庭为中心的实践模式的重要性。

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