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Cluster analysis of hikikomori-like idiom of distress in Oman 阿曼 "ikikomori "类困扰习语的聚类分析
IF 1.4 Q3 Medicine Pub Date : 2024-01-23 DOI: 10.1108/jpmh-06-2023-0054
Moon Fai Chan, Nasser Al-Sibani, Salim Al-Huseini, Alkhatib Al-Saadi, Saoud Al-Busaidi, Jawaher Al Kharusi, Nutaila Al Kharusi, Gilles J. Guillemin, Mohammed Al-Abri, Samir Al-Adawi
PurposeThe phenomenon of social withdrawal, known as the hikikomori-like idiom of distress (HLID), has been reported in many countries. This study aimed to explore profiles of Omanis who have HLID.Design/methodology/approachA cross-sectional online survey of 673 out of 1,529 Omanis identified with HLID using the Hikikomori Questionnaire (HQ-25) score of 42+.FindingsTwo profile groups were determined through cluster analysis according to socio-demographic and HQ-25 outcomes. Subjects in cluster 1 (n = 168, 24.9%) are significantly younger (p < 0.001) and more educated (p = 0.019), spend more time online (p < 0.001) and are living alone (p < 0.001) than subjects in cluster 2 (n = 505, 75.1%). More subjects in cluster 1 had a past mental illness (p = 0.037) but less previous childhood physical/emotional abuse (p = 0.029) than subjects in cluster 2. In contrast, subjects in cluster 2 had a low lack of socialization (p < 0.001), less active isolation (p < 0.001) and total HQ-25 scores (p < 0.001) than cluster 1. Subjects in Cluster 1 have more serious social withdrawal issues than those in Cluster 2, especially on a lack of socialization and isolation.Research limitations/implicationsOne limitation that might influence the results of this online study was that information was collected via self-report, and a cross-sectional design limits its results because it cannot assess causal inference. This study has contributed valuably to exploring different profile groups of HDLD, especially in the Arabian Gulf. The authors’ findings facilitate the development by creating innovative interventions strategically tackling different hikikomori groups.Originality/valueWhile social withdrawal characterized by HLID has been reported proliferating in different parts of the world, little research has been forthcoming from Arabian Gulf countries. These findings suggest that there are two orthogonal clusters of HLID among Omanis. This study provides a foundation for further research on HLID, which has recently been reported in different parts of the world.
目的许多国家都报道过社交退缩现象,这种现象被称为 "类似ikomori的苦恼习语"(HLID)。本研究旨在探究患有 HLID 的阿曼人的特征。研究结果根据社会人口学和 HQ-25 结果,通过聚类分析确定了两个特征组。群组 1(n = 168,24.9%)的受试者明显比群组 2(n = 505,75.1%)的受试者年轻(p < 0.001)、受教育程度更高(p = 0.019)、上网时间更长(p < 0.001)、独居(p < 0.001)。与第 2 组的受试者相比,第 1 组的受试者中有更多的人曾患有精神疾病(p = 0.037),但童年曾遭受身体/情感虐待的人数较少(p = 0.029)。相比之下,与第 1 组相比,第 2 组受试者缺乏社交(p < 0.001)、主动孤立(p < 0.001)和 HQ-25 总分(p < 0.001)较低。研究局限性/启示这项在线研究的一个局限性可能会影响研究结果,那就是研究是通过自我报告的方式收集信息的,而且横断面设计也限制了研究结果,因为它无法评估因果推论。这项研究为探索 HDLD 的不同特征群体做出了有价值的贡献,尤其是在阿拉伯海湾地区。作者的研究结果有助于通过创新性干预措施,战略性地解决不同蛰居群体的问题,从而促进发展。原创性/价值虽然以 HLID 为特征的社会退缩现象在世界各地都有大量报道,但阿拉伯海湾国家的研究却很少。这些研究结果表明,在阿曼人中存在两个正交的 HLID 群体。这项研究为进一步研究 HLID 奠定了基础,最近世界各地都有关于 HLID 的报道。
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引用次数: 0
Overcoming challenges of embedding child and youth mental health research in community NHS services 克服将儿童和青少年心理健康研究纳入社区 NHS 服务的挑战
IF 1.4 Q3 Medicine Pub Date : 2023-11-20 DOI: 10.1108/jpmh-09-2023-0083
Gabriella Tazzini, Brioney Gee, Jon Wilson, Francesca Weber, Alex Brown, Tim Clarke, Eleanor Chatburn
Purpose This paper aims to examine the barriers and facilitators of conducting and implementing research in frontline child and youth mental health settings in the UK. Design/methodology/approach Researchers, clinicians and commissioners who attended a workshop at the Big Emerging Minds Summit in October 2022 provided their expert views on the structural barriers and possible solutions to integrating research in clinical practice based on their experiences of child and young people mental health research. Findings The identified barriers encompass resource constraints, administrative burdens and misalignment of research priorities, necessitating concerted efforts to foster a research-supportive culture. This paper proposes the potential actionable solutions aimed at overcoming challenges, which are likely applicable across various other health-care systems and frontline NHS services. Solutions include ways to bridge the gap between research and practice, changing perceptions of research, inclusive engagement and collaboration, streamlining ethics processes, empowering observational research and tailored communication strategies. Case examples are outlined to substantiate the themes presented and highlight successful research initiatives within NHS Trusts. Originality/value This paper provides an insight into the views of stakeholders in child and youth mental health. The themes will hopefully support and influence clinicians and academics to come together to improve the integration of research into clinical practice with the hope of improving service provision and outcomes for our children and young people.
目的 本文旨在探讨在英国一线儿童和青少年心理健康机构开展和实施研究的障碍和促进因素。 设计/方法/途径 参加 2022 年 10 月 "大型新兴思想峰会 "研讨会的研究人员、临床医生和专员根据他们在儿童和青少年心理健康研究方面的经验,就将研究融入临床实践的结构性障碍和可能的解决方案发表了专业意见。 研究结果 已发现的障碍包括资源限制、行政负担和研究优先事项的不一致,因此有必要共同努力营造一种支持研究的文化氛围。本文提出了旨在克服挑战的潜在可行解决方案,这些解决方案可能适用于其他各种医疗保健系统和国民保健服务体系的一线服务。解决方案包括弥合研究与实践之间差距的方法、改变对研究的看法、包容性参与与合作、简化伦理程序、授权观察研究以及量身定制的沟通策略。本文概述了一些案例,以证实本文提出的主题,并重点介绍了英国国家医疗服务系统信托基金内的成功研究举措。 原创性/价值 本文深入探讨了儿童和青少年心理健康领域利益相关者的观点。希望这些主题能够支持和影响临床医生和学者,使他们能够更好地将研究与临床实践相结合,从而改善为儿童和青少年提供的服务和结果。
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引用次数: 0
Psychological wellbeing and avoidance strategies as moderators between excessive social media use and academic performance among Indian college students 心理健康和回避策略在印度大学生过度使用社交媒体和学习成绩之间的调节作用
Q3 Medicine Pub Date : 2023-11-06 DOI: 10.1108/jpmh-05-2023-0044
Antin Mary Siluvai, Hesil Jerda George, Satyanarayana Parayitam
Purpose This study aims to assess the negative aspect of social media use among college students in India. A conceptual model showing the relationship between excessive social media use (ESMU) and academic performance of college students has been developed and tested. Further, the moderating role of psychological well-being and avoidance strategies were investigated. Design/methodology/approach A survey instrument was developed, and data was collected from 557 college students from higher educational institutions in southern India. First, the psychometric properties of the measures were tested using the Lisrel software for covariance-based structural equation modeling. Second, the structural model was tested by using PROCESS macros. Findings The results reveal that ESMU is a precursor to anxiety and academic performance. The findings also indicate that anxiety mediates the relationship between ESMU and academic performance. Psychological well-being and avoidance strategies were significant moderators in the relationship between ESMU and anxiety. Originality/value The multi-layered conceptual model was developed and tested in the context of a developing country (India) and investigated the effect of ESMU by college students on their academic performance and anxiety. The three-way interaction between psychological well-being (first moderator), avoidance strategies (second moderator) and ESMU influencing academic performance mediated through anxiety is studied in this research. To the best of the authors’ knowledge, such a moderated moderated-mediation in connection with social media use is a unique contribution of this study.
本研究旨在评估印度大学生使用社交媒体的负面影响。本文开发并测试了一个显示大学生过度社交媒体使用(ESMU)与学业成绩之间关系的概念模型。此外,还研究了心理健康和回避策略的调节作用。设计/方法/方法开发了一种调查工具,并从印度南部高等教育机构的557名大学生中收集了数据。首先,使用Lisrel软件进行基于协方差的结构方程建模,对测量的心理测量特性进行了测试。其次,利用PROCESS宏对结构模型进行检验。结果表明,ESMU是焦虑和学业成绩的前兆。研究结果还表明,焦虑介导了ESMU与学业成绩之间的关系。心理健康和回避策略在ESMU与焦虑的关系中起显著调节作用。本研究以发展中国家(印度)为背景,开发并检验了多层概念模型,考察了大学生自主创业对学业成绩和焦虑的影响。本研究探讨了心理健康(第一调节因子)、回避策略(第二调节因子)和ESMU通过焦虑中介影响学业成绩的三向交互作用。据作者所知,这种与社交媒体使用相关的适度中介是本研究的独特贡献。
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引用次数: 0
Pain and associated functional impairment in the Danish general population: the role of mental well-being 丹麦普通人群的疼痛和相关功能损害:心理健康的作用
Q3 Medicine Pub Date : 2023-10-30 DOI: 10.1108/jpmh-07-2023-0065
Ziggi Ivan Santini, Ola Ekholm, Ai Koyanagi, Sarah Stewart-Brown, Line Nielsen, Charlotte Meilstrup, Vibeke Koushede, Lau Caspar Thygesen
Purpose Prior research on relations between mental health and pain has focused on negative mental health aspects (e.g. depression), while the literature is scarce in terms of positive aspects, such as mental well-being. This study aims to investigate prospective associations of mental well-being at baseline with pain and functional impairment due to pain in the following year. Design/methodology/approach Data stem from a Danish nationally representative survey of 5,000 adults (aged 15+) conducted in 2019 and 2020, which was linked to register data. The Short Warwick–Edinburgh Mental Well-being Scale was used to assess mental well-being, both continuously (range 7–35) and categorically (low, moderate, high). Logistic regressions were conducted to assess associations between mental well-being in 2019 and pain and functional impairment due to pain (among those reporting any pain) in 2020. Findings In the fully adjusted models, each point increase in mental well-being was inversely associated with pain (OR = 0.97, 95%CI 0.95–0.99) and functional impairment due to pain (OR = 0.96, 95%CI 0.94–0.99). As compared to low mental well-being, moderate mental well-being was associated with an OR of 0.76 (95%CI 0.58–0.99) for pain and an OR of 0.63 (95%CI 0.46–0.87) of functional impairment due to pain, while high mental well-being was associated with an OR of 0.56 (95%CI 0.40–0.77) for pain and an OR of 0.53 (95%CI 0.34–0.79) for functional impairment due to pain. Originality/value Higher mental well-being levels may be protective against pain and functional impairment due to pain. Wider mental health promotion may be considered to prevent pain and associated functional impairments in the general population.
以往关于心理健康与疼痛关系的研究主要集中在消极心理健康方面(如抑郁),而关于积极心理健康方面(如心理健康)的文献很少。本研究旨在探讨基线时心理健康状况与疼痛和疼痛引起的第二年功能障碍的前瞻性关联。数据来自2019年和2020年对丹麦5000名成年人(15岁以上)进行的具有全国代表性的调查,该调查与登记数据相关。短沃里克-爱丁堡心理健康量表用于评估心理健康,包括连续(范围7-35)和分类(低、中、高)。通过逻辑回归来评估2019年的心理健康状况与2020年(在报告有疼痛的人中)疼痛和疼痛导致的功能障碍之间的关系。在完全调整后的模型中,心理幸福感每增加一点与疼痛(OR = 0.97, 95%CI 0.95-0.99)和疼痛引起的功能障碍(OR = 0.96, 95%CI 0.94-0.99)呈负相关。与低心理健康相比,中度心理健康与疼痛相关的OR为0.76 (95%CI 0.58-0.99),与疼痛相关的功能损害相关的OR为0.63 (95%CI 0.46-0.87),而高心理健康与疼痛相关的OR为0.56 (95%CI 0.40-0.77),与疼痛相关的功能损害相关的OR为0.53 (95%CI 0.34-0.79)。较高的心理健康水平可以预防疼痛和由疼痛引起的功能损伤。可以考虑更广泛地促进心理健康,以预防一般人群的疼痛和相关的功能损伤。
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引用次数: 0
Impact of nature on the mental health and well-being of the ICU survivors: an interpretative phenomenological analysis 自然对ICU幸存者心理健康和福祉的影响:解释性现象学分析
Q3 Medicine Pub Date : 2023-10-20 DOI: 10.1108/jpmh-01-2023-0006
Supreet Kaur
Purpose The purpose of this study is to comprehend the traumatic experiences of intensive care unit (ICU) patients during the COVID-19 pandemic and the impact of the same post-discharge. It assesses the role of nature and open green spaces on the mental health and well-being of critically ill patients. Design/methodology/approach Using interpretative phenomenological analysis, this study highlights the major factors contributing to adverse mental health and well-being. The subjects were interviewed using semi-structured personal interview techniques. Thematic content analysis was adapted to derive the major themes apparent in the succinctly rich information gathered from the participants. Findings The findings cast light on the significant role of nature and open green spaces in psychotherapeutic healing post-discharge of intensive care survivors. Originality/value The study is novel and adds to the existing literature in an advanced manner. To the best of the author’s knowledge, no other study was witnessed, especially in the Indian context, confirming the relationship between humans and nature with ICU patients as a subset.
目的了解新冠肺炎大流行期间重症监护病房(ICU)患者的创伤经历及其对出院后的影响。它评估了自然和开放的绿色空间对危重病人心理健康和福祉的作用。采用解释性现象学分析,本研究强调了导致不良心理健康和福祉的主要因素。研究对象采用半结构化的个人访谈技术进行访谈。主题内容分析适用于从参与者收集的简洁丰富的信息中得出明显的主要主题。研究结果揭示了自然和开放绿地在重症监护幸存者出院后心理治疗愈合中的重要作用。独创性/价值这项研究是新颖的,以一种先进的方式补充了现有的文献。据作者所知,没有其他研究,特别是在印度的背景下,证实了人与自然之间的关系,ICU患者作为一个子集。
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引用次数: 0
Public mental health and wellbeing interventions delivered by allied health professionals (AHPs): mapping the evidence and identification of gaps. A systematic review 联合卫生专业人员提供的公共精神卫生和福祉干预措施:绘制证据并查明差距。系统回顾
Q3 Medicine Pub Date : 2023-09-20 DOI: 10.1108/jpmh-04-2023-0033
Sarah Wigham, Eileen Kaner, Jane Bourne, Kanar Ahmed, Simon Hackett
Purpose Mental well-being is associated with positive outcomes throughout the life course. This study aims to examine interventions delivered by allied health professionals (AHPs) to alleviate community stressors adversely impacting public mental health and well-being. Design/methodology/approach Review inclusion criteria comprised experimental and qualitative process evaluations of public mental health interventions delivered by AHPs. Electronic searches in Cinahl, Embase, Medline, PsycINFO and the Cochrane Library, were combined with grey literature searches of National Institute for Health and Care Excellence public health guidance. A narrative synthesis and the Effective Public Health Practice Project appraisal tool were used to evaluate the evidence. Findings A total of 45-articles were included in the review describing AHP-delivered interventions addressing social disadvantage, trauma, bullying, loneliness, work-related stress, transitional stress, intersectionality, pain and bereavement. No articles were identified evaluating interventions delivered by operating department practitioners or orthoptists. A conceptual map was developed summarising the stressors, and a typology of public mental health interventions defined including: place-based interventions, discrete/one-off interventions, multi-component lifestyle and social connector interventions and interventions targeting groups at risk of mental health conditions. Research limitations/implications Many mental health conditions begin in childhood, and a strength of the review is the life course perspective. A further strength is compiling a compendium of public mental health outcome measures used by AHPs to inform future research. The authors excluded many articles focussed on clinical interventions/populations, which did not meet review inclusion criteria. While playing a key role in delivering public mental health interventions, clinical psychologists are not defined as AHPs and were excluded from the review, and this may be construed a limitation. Given heterogeneity of study designs and interventions evaluated numerical analyses of pooled findings was not appropriate. Practical implications The review highlights the breadth of community stressors on which AHPs can intervene and contribute in public mental health contexts, stressors which correspond to those identified in UK Government guidance as currently important and relevant to address. The findings can inform developing community public mental health pathways that align with the UK National Health Service (NHS) Long Term Plan, on prevention and early intervention to protect community mental health and well-being. Further can inform the NHS strategic direction for AHPs including informing ways of increasing utilisation of core AHP skills to optimise contributions in public mental health agendas. Social implications It is surprising there were not more AHP delivered evaluations of interventions for other stressors important to ad
心理健康与生命历程中的积极结果有关。本研究旨在探讨联合卫生专业人员(AHPs)提供的干预措施,以减轻对公众心理健康和福祉产生不利影响的社区压力源。设计/方法/方法审查纳入标准包括对ahp提供的公共精神卫生干预措施的实验和定性过程评估。在Cinahl、Embase、Medline、PsycINFO和Cochrane图书馆中进行电子检索,并结合国家健康与护理卓越研究所公共卫生指导的灰色文献检索。采用叙事综合和有效公共卫生实践项目评估工具对证据进行评估。研究结果共纳入了45篇文章,描述了层次分析法提供的干预措施,涉及社会劣势、创伤、欺凌、孤独、工作压力、过渡压力、交叉性、痛苦和丧亲之痛。没有文章被确定评估手术部门从业人员或骨科医生提供的干预措施。制定了一个概述压力源的概念图,并确定了公共精神卫生干预措施的类型,包括:基于地点的干预措施、离散/一次性干预措施、多组分生活方式和社会联系干预措施以及针对有精神健康状况风险群体的干预措施。研究局限/启示许多心理健康状况始于童年,该综述的一个优势是生命历程视角。另一个优势是编制了一份由ahp使用的公共心理健康结果衡量标准纲要,为今后的研究提供信息。作者排除了许多不符合纳入标准的关于临床干预/人群的文章。虽然临床心理学家在提供公共心理健康干预方面发挥着关键作用,但他们没有被定义为ahp,因此被排除在审查之外,这可能被解释为一种限制。考虑到研究设计和干预措施的异质性,综合结果的数值分析评估是不合适的。该审查强调了社区压力源的广度,AHPs可以在公共精神卫生背景下对其进行干预和贡献,这些压力源与联合王国政府指导中确定的当前重要和相关的压力源相对应。这些发现可以为制定符合英国国家卫生服务(NHS)长期计划的社区公共心理健康途径提供信息,以预防和早期干预来保护社区心理健康和福祉。此外,还可以为AHP的NHS战略方向提供信息,包括告知如何增加AHP核心技能的利用,以优化对公共精神卫生议程的贡献。令人惊讶的是,没有更多的AHP提供对其他压力源的干预措施的评估,这些压力源在公共心理健康环境中很重要,例如赌博、家庭暴力或使用数字技术,这些都是未来研究的领域。未来的研究应该确定多成分干预措施最积极/有效的维度,这些维度可以通过框架来指导复杂干预措施的发展。所确定的研究相对较少,突出了迄今为止研究的主要重点是临床心理健康状况和人群的干预措施。预防方法的缺乏是显而易见的,这是未来研究与英国健康和社会保健优先事项保持一致的重要领域。该综述强调了ahp提供的干预措施在整个生命过程中影响各种社区压力源。研究结果可以为制定与政府卫生服务优先事项一致的公共精神卫生途径提供信息,以保护精神健康和福祉,优先考虑预防和早期干预,并在公共精神卫生机构中增加AHP技能的利用。
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引用次数: 0
Prosocial attributes relate to lower recidivism in justice-involved youth: preliminary evidence using a novel measure of prosocial functioning 亲社会属性与参与司法的青少年较低的再犯有关:使用亲社会功能新测量的初步证据
Q3 Medicine Pub Date : 2023-09-13 DOI: 10.1108/jpmh-02-2023-0012
Adam T. Schmidt, Jacquelynn Duron, Becca K. Bergquist, Alexandra C. Bammel, Kelsey A. Maloney, Abigail Williams-Butler, Gerri R. Hanten
Purpose Though prosocial attributes are linked to positive outcomes among justice-involved adolescents and are a mainstay of numerous interventions, few measures have been specifically designed to evaluate prosocial functioning within this population. Although multiple instruments measuring aspects of prosocial behavior exist, these instruments were not designed to measure prosocial behaviors among youth in juvenile justice settings. This study aims to provide a preliminary validation of a new measure of prosocial attributes (the Prosocial Status Inventory – PSI), which was designed to comprehensively evaluate in greater depth the prosocial functioning of urban, justice-involved youth. Design/methodology/approach Youth ( n = 51) were recruited as part of a larger study and were participants in a community-based mentoring program in a large, urban county in the Southern USA. Youth completed the PSI at baseline prior to their participation in the community-based mentoring program. The authors obtained follow-up data on recidivism from the county juvenile justice department. Findings PSI scores were positively related to a lower rate of recidivism and a decrease in offending frequency over a 12-month follow-up period. Originality/value The current findings complement previous work, suggesting that prosocial attributes are measurable and related to important outcomes among justice-involved youth and support the utility of strengths-based treatment approaches. Moreover, it provides preliminary evidence of the utility of a new self-report measure to assess these traits within a juvenile justice population.
虽然亲社会属性与参与司法的青少年的积极结果有关,并且是许多干预措施的支柱,但很少有专门设计的措施来评估这一人群的亲社会功能。虽然存在多种测量亲社会行为的工具,但这些工具并不是用来测量少年司法环境中青少年的亲社会行为的。本研究旨在初步验证一种新的亲社会属性测量方法——亲社会地位量表(PSI),该量表旨在更全面、更深入地评估城市正义青年的亲社会功能。设计/方法/方法青年(n = 51)被招募作为一项更大研究的一部分,并参与了美国南部一个大型城市县的社区指导计划。青年在参加以社区为基础的辅导计划之前,在基线完成了PSI。作者从县少年司法部门获得了关于再犯的后续数据。在12个月的随访期内,PSI得分与较低的累犯率和犯罪频率降低呈正相关。原创性/价值当前的研究结果补充了之前的工作,表明亲社会属性是可测量的,并且与参与正义的青少年的重要结果相关,并支持基于优势的治疗方法的效用。此外,它提供了一个新的自我报告措施的效用的初步证据,以评估青少年司法人口的这些特征。
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引用次数: 0
The Belo Horizonte’s harm reducers as a possible and effective peer support experience Belo Horizonte的减少伤害是一种可能且有效的同伴支持体验
IF 1.4 Q3 Medicine Pub Date : 2023-08-29 DOI: 10.1108/jpmh-04-2023-0035
Talita Cristiele Gomes Vieira, Luana Alves Ciriaco, Silvana Silva Santos, Gabriel Lucas de Souza, Polibio José de Campos Souza
PurposeThis article aims to analyze the incorporation of harm reduction health workers with lived experience in all services focused on the care for drug users in Belo Horizonte’s mental health network, one of the largest Brazilian Psychosocial Care Networks (Rede de Atenção Psicossocial [RAPS]), and reports the findings of a qualitative study on the life stories, recovery journeys and the professional practice of harm reducers in Belo Horizonte.Design/methodology/approachFor the development of this research, the authors chose the following methodological tools: documentary research; follow-up of harm reduction interventions; access to harm reducers’ field diaries; joint writing of the life stories of the harm reducers.FindingsIt indicates that these professionals, as harm reducers empowered by their life experience, have developed various elements and active ingredients of peer support. Their practices and the results of their actions have consolidated their inclusion as Belo Horizonte RAPS’ health workers and highlight that recovery-oriented care and peer support are a real possibility in Brazil.Originality/valueIn this research, harm reducers are coauthors and report their own life experience. In this article, they also talk about the impact of this experience on their work and on the lives of users of mental health services, emphasizing the protagonism and exercise of citizenship by harm reducers.
目的本文旨在分析在巴西最大的心理社会护理网络之一贝洛奥里藏特的心理健康网络(Rede de Atenção Psicossocial[RAPS])中,具有生活经验的减少伤害卫生工作者在所有专注于照顾吸毒者的服务中的参与情况,康复之旅和贝洛奥里藏特减少伤害的专业实践。设计/方法/方法为了本研究的发展,作者选择了以下方法论工具:文献研究;减少伤害干预措施的后续行动;查阅减少伤害人员的现场日记;共同撰写减少伤害者的生活故事。研究结果表明,这些专业人士,作为被生活经验赋予权力的减少伤害者,已经发展出了同伴支持的各种要素和积极成分。他们的做法和行动结果巩固了他们作为贝洛奥里藏特RAPS卫生工作者的地位,并强调在巴西,以康复为导向的护理和同伴支持是切实可行的。Originality/value在这项研究中,减少伤害者是合著者,并报告他们自己的生活经历。在这篇文章中,他们还谈到了这种经历对他们的工作和心理健康服务使用者生活的影响,强调了减少伤害者的积极性和行使公民权。
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引用次数: 0
The Recovering Citizenship Learning Collaborative: a system-wide intervention to increase citizenship practices and outcomes 恢复公民学习协作:一个全系统的干预,以增加公民实践和成果
IF 1.4 Q3 Medicine Pub Date : 2023-08-22 DOI: 10.1108/jpmh-12-2022-0125
E. Flanagan, J. Tondora, Annie Harper, P. Benedict, J. Giard, Billy Bromage, Bridgett Williamson, Paul Acker, Cheri L. Bragg, V. Adams, M. Rowe
PurposeThis paper aims to describe the Recovering Citizenship Learning Collaborative (RCLC), a training, consultation and implementation effort for 13 local mental health authorities and two state hospitals.Design/methodology/approachThe learning collaborative used a Recovering Citizenship approach, which holds that recovery occurs in the context of people’s lives in their communities and society, that is, their citizenship. The RCLC was implemented by the Connecticut Department of Mental Health and Addiction Services (DMHAS) in the USA and the Yale Program for Recovery and Community Health along with lived experience leaders. The RCLC supported system change through training DMHAS staff on concepts of recovery and citizenship and developing agency action plans, with the long-term goal of improving citizenship-oriented care at the agency-level and recovery and citizenship-related outcomes for people receiving services.FindingsLessons learned include the importance of assessing organizational readiness for change, addressing leadership investment and attention to systemic barrier, and offering tools to promote structure and accountability. Next steps are supporting agency action plans through technical assistance, state-wide educational offerings and a resource library.Research limitations/implicationsSystemic barriers are considerable and must be addressed before system transformation is possible.Practical implicationsThe authors are hopeful that the RCLC has been part of overcoming those challenges and can be a tool for building foundations for improving citizen practices and people’s citizenship-related outcomes.Social implicationsNext steps are sustaining agency action plans, ongoing agency-specific technical assistance, ongoing state-wide educational offerings and a resource library.Originality/valueThe RCLC has provided tools and supports to build the foundation for improved citizenship practices and client outcomes at the multiagency system level.
本文旨在描述恢复公民学习协作(RCLC),这是一项针对13个地方精神卫生当局和两家州立医院的培训、咨询和实施工作。设计/方法/方法学习协作使用了恢复公民身份的方法,该方法认为恢复发生在人们在其社区和社会中的生活背景中,即他们的公民身份。RCLC是由美国康涅狄格州心理健康和成瘾服务部(DMHAS)和耶鲁大学康复和社区健康项目以及生活经验领导者实施的。RCLC通过对DMHAS工作人员进行康复和公民身份概念的培训以及制定机构行动计划来支持系统变革,其长期目标是在机构一级改善以公民身份为导向的护理,并为接受服务的人提供康复和公民身份相关的结果。经验教训包括评估组织变革准备程度的重要性,解决领导力投资和对系统障碍的关注,以及提供促进结构和问责制的工具。接下来的步骤是通过技术援助、全州范围的教育和资源图书馆来支持机构的行动计划。研究局限/影响系统障碍是相当大的,必须在系统转型之前解决。实际意义作者希望RCLC已经成为克服这些挑战的一部分,并且可以成为为改善公民实践和人民公民相关成果建立基础的工具。社会影响接下来的步骤是维持机构行动计划,持续的机构特定技术援助,持续的全州教育和资源图书馆。创新/价值RCLC提供了工具和支持,在多机构系统层面为改进公民实践和客户结果奠定了基础。
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引用次数: 0
Exploratory study of an ally training program for mental health support 心理健康支持联盟培训项目的探索性研究
IF 1.4 Q3 Medicine Pub Date : 2023-08-08 DOI: 10.1108/jpmh-02-2023-0020
Beatrice Meda Wendeln, Lindsay Sheehan
PurposeThe purpose of this study was to evaluate the effects of an online mental health ally program on several measurements of readiness to help and stigma reduction. Allyship is one way to support people with mental health challenges beyond traditional care services.Design/methodology/approachThe efficacy of the program was evaluated in pre and postintervention surveys (n = 26) including measures of self-care, help-seeking intentions, peer-support self-efficacy, advocacy, knowledge of resources and stigma. A within-subject, repeated measures design was conducted analyzing changes at completion. Twenty-six participants who completed the program (either with or without lived experience of mental illness) were included in the study. A subgroup of participants (n = 11) who reported lived experiences of mental illness were assigned additional measures of internalized stigma, stigma stress, stigma resistance and self-esteem.FindingsAnalysis of mean differences indicated a statistically significant change in scores pre and postcompletion. The program increased peer-support, help-seeking intentions and self-esteem, while reducing internalized stigma and stigma stress. Findings provide preliminary support for program effectiveness in training individuals to support others and themselves through mental health challenges.Research limitations/implicationsTrained allies might improve the lives of individuals with mental health challenges by reducing discrimination and improving social support. We discuss the implication of allies to complement the mental health system.Originality/valueTo the best of the authors’ knowledge, this is the first exploratory study on the efficacy of an online ally training program for individuals with mental illness. The NoStigmas Ally Program is a novel and original development in ally training.
目的:本研究的目的是评估在线心理健康联盟项目对帮助意愿和减少耻辱感的几个测量指标的影响。同盟关系是支持传统护理服务之外的精神卫生挑战患者的一种方式。设计/方法/方法通过干预前和干预后的调查(n = 26)来评估该计划的有效性,包括自我护理、寻求帮助的意图、同伴支持的自我效能、倡导、资源知识和耻辱的测量。进行了受试者内重复测量设计,分析完成时的变化。26名完成项目的参与者(有或没有精神疾病的生活经历)被纳入研究。一组报告有精神疾病生活经历的参与者(n = 11)被分配了额外的内化耻辱、耻辱压力、耻辱抵抗和自尊的测量。结果:对平均差异的分析表明,完成前后的得分有统计学上的显著变化。该项目增加了同伴支持、寻求帮助的意愿和自尊,同时减少了内化的耻辱和耻辱压力。研究结果为培训个人通过心理健康挑战支持他人和自己的项目有效性提供了初步支持。研究局限性/意义strain联盟可以通过减少歧视和改善社会支持来改善有精神健康挑战的个人的生活。我们讨论了盟友的含义,以补充精神卫生系统。原创性/价值据作者所知,这是第一个关于精神疾病患者在线盟友培训计划有效性的探索性研究。“无耻盟友计划”是盟友培训中一项新颖的、原创的发展。
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引用次数: 0
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Journal of Public Mental Health
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