"前载"你的共同设计 - - 心理健康方面的证据支持它
Clive Bensemann1, Karen O'Keeffe2, Arana Pearson3
1Clinical lead, Mental Health and Addiction Quality Improvement Programme, Te Tāhū Hauora - New Zealand Health Quality & Safety Commission, Counties Manukau District Health Board.
The New Zealand medical journal
|February 27, 2025
概括
在改善心理健康质量方面,前线的共同设计确保了以消费者为中心的护理,并维护了毛利人的权利. 这种方法成功地降低了隔离率,特别是对毛利人来说,证明了其在实现公平健康结果方面的有效性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高科学 提高质量
- 原住民健康公平的权利.
背景情况:
- 共同设计被认为可以增强以患者为中心的护理,但通常在项目设计中晚期实施.
- 晚期的协商可能会导致代币主义和错过的机会,可能会违反毛利人根据Te Tiriti o Waitangi的自决权.
- 有效的共同设计需要与消费者,家庭和家庭进行早期和有意义的接触.
研究的目的:
- 评估在心理健康质量改进项目的"前置"共同设计的影响.
- 评估共同设计在确定优先级和实现消费者和家庭识别的改进方面的有效性.
- 检查共同设计如何在卫生服务中维护毛利自治和自决权 (tino rangatiratanga).
主要方法:
- 在Te Tāhū Hauora的心理健康倡议中,在项目选择和设计中利用了"前置"的共同设计原则.
- 参与了广泛的部门商,以确定质量改善的优先领域.
- 专注于消除心理健康服务中的孤立,特别关注毛利人所经历的不平等.
主要成果:
- "前置"的共同设计方法对心理健康质量改进工作的成功至关重要.
- 由心理健康消费者确定为优先考虑的零隔离项目成功降低了所有种族的隔离率.
- 该项目表明,雄心勃勃的目标,如消除隔离,可以通过真正的共同设计实现.
结论:
- "前置"的共同设计对于创建有效,以消费者为中心和以家庭为中心的医疗服务至关重要.
- 这种方法对于维护毛利人和所有服务用户的mana motuhake和 tino rangatiratanga至关重要.
- 共同设计的成功实施导致了健康公平和服务提供方面的切实改善.
相关概念视频
Community Based Intervention
28
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...
28
Modeling in Therapy
41
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...
41
Self-Help Support Groups
25
Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
25
Methods of Documentation VI: Case Management Model
559
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...
559
Specialized Care Centers and Settings-I
907
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
907
Treatment Strategies for Psychological Disorders
81
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
81


