在协调专科护理中实施社区参与实践:从定性研究的见解
Elizabeth C Thomas1, David Shern2, Crystal M Slanzi3
1College of Public Health, Temple University, Philadelphia, PA, USA. elizabeth.thomas@temple.edu.
Community mental health journal
|October 30, 2025
概括
协调专科护理 (CSC) 计划通过促进社区参与来支持患有早期精神病的年轻人. 关键的促进者包括强有力的领导和员工,而资源有限和耻辱等障碍阻碍了进步.
科学领域:
- 心理健康服务研究研究 心理健康服务研究
- 精神病学是一个精神病学.
- 社区心理学 社区心理学
背景情况:
- 社区参与对于年轻人的健康和福祉至关重要.
- 协调专科护理 (CSC) 计划旨在加强早期精神病患者的社区融合.
- 现有的CSC实践研究往往忽视了社区参与的各个领域,而不仅仅是就业和教育.
研究的目的:
- 探索CSC为患有早期精神病的年轻人实施的社区参与实践的范围.
- 确定影响这些社区参与实践实施的促进者和障碍.
- 提供可行的策略,以改善CSC环境中的社区参与支持.
主要方法:
- 一项定性研究,涉及全国11名CSC项目领导人的半结构面试.
- 数据收集集中在十个特定的社区参与实践.
- 分析采用了一种综合主题分析方法,对采访数据进行了转录.
主要成果:
- CSC计划利用各种实践,包括外展,同行支持,独立参与促进,以及对精神,关系和公民参与的支持.
- 有效的领导力,积极的组织文化和熟练的,支持性的员工是关键的促进者.
- 资源有限,员工培训不足,客户动机,症状干扰,耻辱和农村环境构成了重大障碍.
结论:
- 在CSC计划中,社区参与实践存在相当大的差异.
- 加强领导力,投资员工培训,创造性地利用资源对于克服障碍至关重要.
- 可行的策略可以加强社区参与,改善早期精神病的年轻成年人的结果.
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