了解案例经理如何将"破坏"作为临床困难情况的框架
Victoria Stanhope1, Emmy Tiderington1, Benjamin Henwood1
1Silver School of Social Work, New York University, 1 Washington Square N, New York, NY 10003-6654, USA.
Clinical social work journal
|August 11, 2025
概括
案例管理人员认为,严重精神疾病护理中的"破坏"源于服务用户对成功的恐惧,避免变化和缺乏支持,影响参与. 这种理解可以改善干预措施,减少服务脱离.
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
- 精神病学病例管理 精神病学病例管理
背景情况:
- 案例经理对于吸引患有严重精神疾病的个人至关重要.
- 了解案例经理对困难情况的看法可以减少服务脱离.
研究的目的:
- 探索案例管理人员如何解释和应对临床上困难的情况,特别是当他们使用"破坏"一词来描述服务用户行为时.
主要方法:
- 质量研究涉及21名案例经理的采访.
- 同编码分析的重点是应用"破坏"一词.
主要成果:
- 案例经理将"破坏"归因于服务用户对成功或愿望实现的恐惧.
- 逃避责任和变革,缺乏结构化支持也被认为是原因.
- 主题突出了严重精神疾病管理的复杂动态.
结论:
- 调查结果为改善案例经理培训和监督提供了见解.
- 调整服务结构可能是必要的,以解决感知到的"破坏",并加强心理健康恢复.
- 干预应考虑行为标记为"破坏"的根本原因.
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