人,过程和权力:在精神卫生保健中为黑人实施预先选择文件
Abigail Babatunde1, Jonathan Simpson1, Steve Gilbert2
1Health Services and Population Research Department, King's College London Institute of Psychiatry, Psychology and Neuroscience, London, UK.
Irish journal of psychological medicine
|March 25, 2025
概括
提前选择文件 (ACD) 可以减少黑人强制性精神病医院入院. 关键的推动因素包括理解种族化的经验,强有力的沟通和独立的促进,以解决权力不平衡.
科学领域:
- 心理健康法 心理健康法
- 精神病学服务 精神病学服务
- 健康 公平 卫生 公平
背景情况:
- 提前选择文件 (ACD) 是英格兰和威尔士心理健康立法的建议.
- 有证据表明,ACDs减少了强制性精神病医院入院,对黑人个人有明显的好处.
- 在英国,黑人不成比例地受到强制性精神病诊所的治疗.
研究的目的:
- 探索障碍物和推动者,以有效的ACD实施黑人以前的强制入学经验.
- 了解黑人服务用户及其支持者关于ACD的具体需求和观点.
主要方法:
- 六个利益相关者研讨会和一个共识研讨会进行.
- 参与者包括黑人服务用户 (n=13),照顾者/支持者 (n=7) 和心理健康工作人员 (n=18).
- 对研讨会成绩单进行了主题分析.
主要成果:
- 确定的主要主题是ACD的培训,完成,访问和使用.
- 了解黑人服务用户的种族化经验对于有效实施至关重要.
- 突出强调了强有力的沟通,可访问的系统,联合培训和独立的促进.
结论:
- 解决已知的ACD障碍和促进因素至关重要,尤其对黑人来说.
- 与黑人服务用户的体验进行整体的接触,包括种族化历史,是必不可少的.
- 独立的促进和权力动态转变是赋予黑人服务用户权力的关键,并减少强制性护理.
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