Biegel D E, Song L, Milligan S E
Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, OH 44106, USA.
Psychiatr Serv. 1995 May;46(5):477-82. doi: 10.1176/ps.46.5.477.
Family caregivers' relationships with mental health professionals who provided care for their mentally ill relative were examined to identify changes in types of contacts and levels of satisfaction over time and differences among caregiver groups.
White upper-middle-class members of a family support group surveyed by mail in 1991 to obtain information about their contacts with mental health professionals and their opinions about needed supports and services. Data from the 1991 survey were compared with data from a similar group of caregivers surveyed in 1983 and from a 1990-1991 study of white and black caregivers in lower socioeconomic groups.
The analysis showed that a significant minority of caregivers continue to be dissatisfied with their contacts with mental health professionals. The 1991 survey found that professionals did not actively involve caregivers in the treatment of their mentally ill family member, and caregivers ranked more communication with professionals as their greatest need. Few differences were found between caregiver groups in types of professional contact or levels of satisfaction. However, caregivers in the lower socioeconomic groups in the 1990-1991 study received more advice from professionals than did support group members in the 1991 survey, and black caregivers were significantly more satisfied with their professional contacts than support group members in the 1991 survey.
Partnerships between family caregivers and mental health professionals must be developed and nurtured to address caregivers' unmet needs.
研究家庭照顾者与为其患有精神疾病的亲属提供护理的心理健康专业人员之间的关系，以确定随着时间推移接触类型和满意度水平的变化以及照顾者群体之间的差异。
1991年通过邮件对一个家庭支持小组中的白人中上层阶级成员进行了调查，以获取他们与心理健康专业人员接触的信息以及他们对所需支持和服务的看法。将1991年调查的数据与1983年对类似照顾者群体进行调查的数据以及1990 - 1991年对社会经济地位较低群体中的白人和黑人照顾者进行的研究数据进行比较。
分析表明，相当一部分照顾者对他们与心理健康专业人员的接触仍不满意。1991年的调查发现，专业人员没有积极让照顾者参与其患有精神疾病家庭成员的治疗，照顾者将与专业人员更多的沟通列为他们最大的需求。在专业接触类型或满意度水平方面，照顾者群体之间几乎没有差异。然而，1990 - 1991年研究中社会经济地位较低群体的照顾者比1991年调查中的支持小组成员从专业人员那里得到了更多建议，并且黑人照顾者对他们与专业人员的接触比1991年调查中的支持小组成员明显更满意。
必须建立并培养家庭照顾者与心理健康专业人员之间的伙伴关系，以满足照顾者未得到满足的需求。
