临床医生在应对爱尔兰无家可归者心理健康危机方面的经验
John P Gilmore1, Shubhangi Karmakar1, Krupa Joy1
1University College Dublin School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.
Journal of psychiatric and mental health nursing
|March 3, 2026
概括
医疗保健专业人员面临的挑战是管理由于系统失败而无家可归的人的心理健康危机. 综合,创伤信息化的服务对于公平的护理至关重要.
科学领域:
- 公共卫生 公共卫生
- 心理健康护理 心理健康护理
- 健康的社会决定因素
背景情况:
- 爱尔兰不断增加的无家可归人数与心理健康状况不佳有关.
- 对专业心理健康护理的有限准入使得通用医疗服务变得更加紧张.
- 结构性和心理社会因素加剧了无家可归人口的心理健康问题.
研究的目的:
- 调查医疗保健专业人员管理心理健康危机的经验.
- 了解支持无家可归者的通用服务所面临的挑战.
- 确定影响向这个弱势群体提供心理健康护理的因素.
主要方法:
- 使用批判现实主义的描述性定性研究.
- 与14名医疗保健专业人员进行的半结构面试.
- 使用反思性主题分析来确定关键主题.
主要成果:
- 关键主题包括心理健康服务获取障碍和信任的重要性.
- 创伤信息,整体护理和稳定的住房是关键需求.
- 系统和政策的失败会对医疗保健提供产生重大影响.
结论:
- 一般专业人士越来越多地在分散的系统中管理复杂的心理健康需求.
- 对于创伤相关的,灵活的,综合的心理健康服务,有着极大的需求.
- 建议提供包容性,与住房相关的服务,包括减少危害.
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