Brown H, Keating F
School of Health and Social Welfare, Open University, Milton Keynes, UK.
J Psychiatr Ment Health Nurs. 1998 Aug;5(4):273-80. doi: 10.1046/j.1365-2850.1998.00137.x.
This paper explores the implementation of generic adult protection policies in mental health services, both in terms of conceptual issues about the nature and thresholds of abuse which are identified and/or tolerated within different settings, and in relation to existing structures for working on risk assessment, such as the Care Programme Approach and Supervised Discharge. The paper asks if resistance from mental health workers to new adult protection procedures reflects a reality that they have 'been doing it already' or whether there is a deeper resistance to acknowledgement of abuse issues in the lives of service users, and to the burden which such knowledge places on workers who are already stretched to the limit.
本文探讨了通用成人保护政策在精神卫生服务中的实施情况，这既涉及到不同环境中所识别和/或容忍的虐待行为的性质和阈值等概念性问题，也涉及到现有的风险评估工作架构，如护理计划方案和监督出院。本文提出疑问，精神卫生工作者对新的成人保护程序的抵触，是反映了他们“已经在做这件事”的现实，还是对承认服务使用者生活中的虐待问题以及这种认知给已经不堪重负的工作者带来的负担存在更深层次的抵触。
