共同设计限制性实践的消除:与澳大利亚农村/区域的心理健康服务用户和从业人员一起进行系统思维方法
Stephanie L Bennetts1,2, Genevieve Pepin1,3, Steven Moylan2
1School of Health and Social Development, Deakin University, Geelong, Victoria, Australia.
International journal of mental health nursing
|May 17, 2024
概括
消除农村精神卫生服务中孤立和克制等限制性做法,需要关注自我倡导,护理连续性,早期干预和所有人的安全. 这些优先事项源于服务用户和从业人员的见解.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 临床心理学 临床心理学
- 医疗保健政策 医疗保健政策
背景情况:
- 长期以来,国际努力一直倡导在成人急性精神健康护理中消除限制性做法 (身体/机械克制和隔离).
- 农村和地区精神卫生服务在摆脱这些做法时面临着独特的挑战.
- 了解服务用户和从业者的观点对于有效的变革至关重要.
研究的目的:
- 确定关键问题和优先事项,以消除农村/区域急性成人精神卫生保健服务中的限制性做法.
- 探索影响使用限制性做法和替代方案的社区和系统层面因素.
- 确定改善系统结构的可操作策略,以支持消除限制性做法.
主要方法:
- 员工组建模型 (GMB) 研讨会与精神卫生保健从业人员和有实践经验的服务用户.
- 采用参与式方法来绘制吉隆巴隆地区替代实践的障碍和推动因素.
- 这项研究是第一个将GMB应用于消除非大都市精神卫生环境中的限制性做法的研究.
主要成果:
- 确定了消除限制性做法的四个优先领域:自我倡导,护理连续性,早期干预和所有人的安全.
- 在GMB过程中,可视地映射出影响使用限制性做法的系统结构.
- 参与者为从业者和服务用户生成了一套初步的行动想法.
结论:
- 消除区域精神卫生机构的限制性做法,需要专注于确定优先事项,如自我倡导和护理连续性.
- 系统层面的变化和社区反环对于支持替代方法至关重要.
- 该研究为心理健康服务提供了一个新的框架和可操作的见解,旨在减少限制性做法.
相关概念视频
Community Based Intervention
41
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
41
Modeling in Therapy
71
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
71
Operant Conditioning Intervention
56
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
56
Methods of Documentation VI: Case Management Model
570
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
570
Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
Psychosurgery
53
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
53


