灵活坚定的社区治疗中的强制性心理健康治疗患者的经验:一种定性研究
Eva Brekke1, Hanne Clausen2,3, Morten Brodahl2
1Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Inland Hospital Trust, Postbox 104, Brumunddal, 2381, Norway. eva.brekke@sykehuset-innlandet.no.
BMC psychiatry
|October 18, 2023
概括
灵活的坚持性社区治疗 (FACT) 可能会减少强制性精神健康治疗. 服务用户发现FACT提高了安全性,治疗质量和参与度,可能防止胁迫.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 强制性治疗 强制性治疗
- 服务用户体验服务用户体验
背景情况:
- 灵活的坚持性社区治疗 (FACT) 团队在挪威的健康和社会服务中越来越多地被使用.
- 实施FACT的一个关键目标是减少强制性精神健康治疗.
- 了解服务用户在FACT中的强迫经验至关重要.
研究的目的:
- 在FACT背景下探索服务用户对强制性心理健康治疗的经验.
- 将这些经验与其他治疗环境中的经验进行比较.
- 确定影响强迫经验的特定FACT元素.
主要方法:
- 参与式方法用于数据收集.
- 在五个FACT团队中,与24名服务用户进行了定性采访.
- 应用了主题分析来分析采访数据.
主要成果:
- 参与者报告了正式和非正式胁迫的负面经历.
- 在FACT中出现了三种强迫经验模式:显著改善,使之成为最好的,或没有变化.
- 安全性,治疗质量的提高和参与度的提高被确定为潜在的预防胁迫机制.
结论:
- 强制性做法与人权冲突,应该尽量减少.
- 事实模型的元素,如促进安全,质量和参与,显示出防止胁迫的潜力.
- 进一步的研究可以探索如何优化FACT以进一步减少强制性做法.
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