'I am more than my diagnosis': Amplifying the voice of consumers in the design and delivery of mental health services.

IF 1.9 4区 医学 Q2 NURSING Australian Journal of Rural Health Pub Date : 2024-07-19 DOI:10.1111/ajr.13150
Joy Paton, Amie Carrington, Emma Gentle, Debbie Horsefall
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Abstract

Objective: In line with the Australian Government's Vision 2030, this research foregrounds consumer experiences of recovery to inform the (co)design and delivery of mental health services for people living with complex needs and/or a severe and persistent mental health condition.

Setting: The research takes a specialist focus on the regional setting, with data collected from client experiences within Western NSW, Australia, in the context of the National Disability Insurance Scheme (NDIS) implementation and inclusion of psycho-social disability within the NDIS service environment.

Participants: Thirty-seven people aged 19-70 years living with complex needs and/or a diagnosis of a severe and persistent mental health condition were recruited from services where they had a care plan or where they were members of a consumer reference group for recovery-oriented services.

Design: A tripartite framework integrating recovery oriented, trauma-informed and collective impact approaches for a qualitative, arts-based (photovoice) study.

Results: In areas of the mental health service system that had not yet applied a personalised understanding of recovery or embraced trauma-informed practice there were a range of issues and gaps in service delivery relating to authentic relationships, belonging and connection, service cultures, trauma-informed care, and workforce investment.

Conclusion: Clinical and non-clinical services need to ensure consistent person-centred and trauma-informed practice is implemented throughout the mental health service system to meet the needs of the consumer. An eight-point checklist serves as the basis for services to reflect on how they are working with consumers and to support the review of systems and clinical governance frameworks.

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我不只是我的诊断":在心理健康服务的设计和提供过程中放大消费者的声音。
目标:根据澳大利亚政府的 "2030 年愿景",本研究将消费者的康复体验作为研究重点,以便为有复杂需求和/或严重且持续的精神健康状况的人设计和提供精神健康服务:本研究以地区环境为专业重点,在国家残疾保险计划(NDIS)实施以及将社会心理残疾纳入 NDIS 服务环境的背景下,从澳大利亚新南威尔士州西部的客户体验中收集数据:37 名年龄在 19-70 岁之间、有复杂需求和/或被诊断出患有严重和持续性精神疾病的人被招募到他们有护理计划的服务机构,或者他们是以康复为导向的服务消费者参考小组的成员:设计:一个三方框架,整合了以康复为导向、创伤知情和集体影响的方法,用于一项定性的、以艺术为基础的(摄影选言)研究:结果:在心理健康服务体系中,尚未对康复进行个性化理解或尚未接受创伤知情实践的领域,在提供服务时存在一系列问题和差距,这些问题和差距与真实关系、归属感和联系、服务文化、创伤知情护理以及劳动力投资有关:临床和非临床服务需要确保在整个心理健康服务体系中实施一致的以人为本和创伤知情实践,以满足消费者的需求。八点核对表可作为服务机构反思如何与消费者合作的基础,并为系统和临床治理框架的审查提供支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Australian Journal of Rural Health
Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.30
自引率
16.70%
发文量
122
审稿时长
12 months
期刊介绍: The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.
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