背景适应,实施和个人安置和支持的结果:一个案例研究
Suzanne Johanson Sturesson1, Ulrika Bejerholm2, Marcus Knutagård3
1Department of Neurosciences and Physiology, The Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden. suzanne.johanson.sturesson@gu.se.
Implementation science communications
|February 6, 2026
概括
在瑞典精神卫生服务中适应个人安置和支持 (IPS) 模式需要仔细考虑. 虽然一些适应改善了整合,但过度的变化可能会对核心组件和结果产生负面影响.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 实施科学 实施科学
- 采用以证据为基础的实践
背景情况:
- 在不同福利国家实施基于证据的模型,如个人安置和支持 (IPS),需要进行当地调整.
- 调整,虽然增强了适合性,但可能导致核心组件的意外偏差,影响保真度.
- 适应设计和影响模型 (MADI) 提供了一个分析适应特征及其影响的框架.
研究的目的:
- 探索瑞典心理健康服务中的实施,适应和忠诚之间的复杂相互作用.
- 利用MADI框架分析IPS模型的调整的性质和后果.
- 了解当地环境因素如何影响基于证据的实践的适应和实施.
主要方法:
- 嵌入式案例研究设计在瑞典主要城市的五个心理健康服务中使用.
- 通过采访,现场笔记和会议记录,从26名关键信息人那里收集了数据.
- 内容分析被用来通过MADI框架的镜头来解释收集的数据.
主要成果:
- 观察到对IPS模型的调整既有计划,也有计划之外的.
- 一些调整促进了IPS原则的整合,而另一些则对核心组件产生了负面影响.
- 确定了对实施过程和干预结果的意外后果.
结论:
- MADI框架是了解精神卫生服务内部IPS实施中的适应途径的宝贵工具.
- 过度调整可能会损害核心价值观;忠实性评估必须纳入调整的影响.
- 修改组织实践或调整服务交付对于成功实施IPS和持续结果至关重要.
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