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Lessons from COVID 19: for now, and in the future 2019冠状病毒病的教训:现在和未来
IF 1.4 Q3 Medicine Pub Date : 2021-05-04 DOI: 10.1080/18387357.2021.1925419
A. Reupert
COVID-19 is the biggest global crisis and challenge of our time, with an unparalleled impact on our economies, education, health and everyday lives. Governments have been forced to respond under immense time pressures to protect their people, economies and borders. Their responses will have long-term impacts, not only for now but also for the future. As already argued (Reupert, 2021), the current pandemic is unlikely to be the last global health crisis we face. Moreover, the impacts of the pandemic will not end, once the vaccine has been fully rolled out. Hence, it is incumbent on governments and indeed, for the readership of this journal, to learn from this pandemic, and respective countries’ responses, and take those lessons into the future. From my point of view, there are five clear lessons that we can take away from this pandemic. These lessons also resonate with the papers of the present issue.
COVID-19是我们这个时代最大的全球危机和挑战,对我们的经济、教育、卫生和日常生活产生了无与伦比的影响。各国政府被迫在巨大的时间压力下作出反应,以保护其人民、经济和边界。他们的反应将产生长期影响,不仅对现在,而且对未来。如前所述(Reupert, 2021年),目前的大流行不太可能是我们面临的最后一次全球卫生危机。此外,即使疫苗得到全面推广,大流行的影响也不会结束。因此,各国政府以及本杂志的读者有责任从这次大流行和各国的应对措施中吸取教训,并将这些经验教训应用到未来。在我看来,我们可以从这次大流行中吸取五个明确的教训。这些教训也与本期的论文产生了共鸣。
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引用次数: 0
Moderating effect of personality traits on the relationship between risk-taking behaviour and self-injury among first-year university students 人格特质对大一学生冒险行为与自伤关系的调节作用
IF 1.4 Q3 Medicine Pub Date : 2021-04-09 DOI: 10.1080/18387357.2021.1913065
C. Oduaran, S. F. Agberotimi
ABSTRACT Objective This study aimed to examine the moderating effect of personality traits on the relationship between risk-taking behaviour and self-injury among first-year university students. Method A correlational survey design was utilised. A multistage sampling procedure was utilised to select the study sample. Three hundred and twelve university first-year students of a South African university consisting of 126 males and 186 females aged between 17 and 19 years participated in the study. Data collected were analysed with SPSS v.24 at 0.05 significant level. Results Agreeableness, conscientiousness, and neuroticism significantly correlated with self-injury. Openness to experience significantly moderated the relationship between risk-taking behaviour and self-injury (B = −0.013, SE = .005, p = .012). The relationship was positive and statistically significant at low, average, and high levels of openness to experience. The relationship, was, however, the strongest at low openness to experience point. Discussion It was concluded that the predictive impact of risk-taking behaviour on self-injury of university first-year students is enhanced by openness to experience personality trait. It was recommended that risk assessments and measures aiming to prevent/reduce self-harm among students be embraced by high institutions.
摘要目的探讨人格特质在大一学生冒险行为与自伤行为之间的调节作用。方法采用相关调查设计。采用多阶段抽样程序选择研究样本。南非一所大学的312名一年级学生参加了这项研究,其中包括126名男性和186名女性,年龄在17至19岁之间。收集的数据用SPSS v.24进行统计学分析,统计学水平为0.05。结果亲和性、严谨性和神经质与自伤有显著相关。经验开放性显著调节了冒险行为与自伤之间的关系(B = - 0.013, SE =。005, p = .012)。在低水平、平均水平和高水平的经验开放程度上,这种关系是正的,具有统计学意义。然而,这种关系在经验点开放度较低时最为强烈。结论:冒险行为对大一学生自伤行为的预测作用在开放性人格特质的作用下得到增强。建议高等院校采用旨在预防/减少学生自残的风险评估和措施。
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引用次数: 2
‘I feel like I have a voice': promoting mental health among Australian high school students through public speaking “我觉得我有发言权”:通过公开演讲促进澳大利亚高中生的心理健康
IF 1.4 Q3 Medicine Pub Date : 2021-02-03 DOI: 10.1080/18387357.2021.1880944
Sophie Isobel, Danielle Pretty, Felicity Meehan, N. Smith
ABSTRACT Objective This study explored the experience of student and teacher participants in a mental health public speaking challenge, including their self-reported knowledge of mental health, mental health literacy and stigma. Method A qualitative inquiry was undertaken. Questionnaires were distributed to student participants and audience members. Sixty-four completed questionnaires were analysed using content analysis. Five semi-structured interviews were undertaken with teachers. Interview transcripts were analysed thematically. Results Students described the effects of the challenge on stigma and benefits for them personally and the wider school, including their confidence in supporting peers. Teacher interviews highlighted the commitment required, the preparation needed, the benefits for the individuals and schools, and the process and practicalities of the challenge. Discussion The MHPSC provides a forum for embedding mental health literacy into education for high school students. While the MHPSC requires support to ensure its delivery, for students it fosters knowledge, awareness and peer-support related to mental health. The findings can inform preventative and early intervention activities across health and education domains.
摘要目的探讨参与心理健康公共演讲挑战的学生和教师的心理健康知识自述、心理健康素养和耻辱感。方法进行定性调查。调查问卷分发给学生参与者和观众。采用内容分析法对64份完成的问卷进行分析。对教师进行了五次半结构化访谈。访谈记录按主题进行分析。结果学生们描述了挑战对他们个人和更广泛的学校的耻辱和利益的影响,包括他们对支持同伴的信心。教师访谈强调了所需要的承诺,所需要的准备,对个人和学校的好处,以及挑战的过程和实用性。MHPSC为将心理健康素养纳入高中学生的教育提供了一个论坛。虽然MHPSC需要支持以确保其实施,但对于学生来说,它可以培养与心理健康有关的知识、意识和同伴支持。研究结果可为卫生和教育领域的预防和早期干预活动提供信息。
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引用次数: 1
Making things happen: the need for implementation research 使事情发生:需要实施研究
IF 1.4 Q3 Medicine Pub Date : 2021-01-02 DOI: 10.1080/18387357.2021.1894529
A. Reupert
Much has been written about the adverse impacts from COVID-19, on our economies, hospitals, workplaces, schools and to our mental and physical health. In the face of these unprecedented problems, there has been a rush to develop a vaccine, as a salve to quell the pandemic and its resulting fallout. What has become very obvious however, is an absence of a systematic plan for rolling out the vaccine to the public. Implementation science is an important consideration in this regard, defined as promoting the ‘systematic uptake of research findings and other evidence-based practices into routine practice’ that serves to ‘improve the quality and effectiveness of health services’ (Eccles & Mittman, 2006, p. 1). Given that implementation science is about prompting the uptake of evidence-based interventions into routine care, implementation plans need to incorporate and address the preference and needs of individual clients, the interests and capacities of clinicians, systemic issues related to leadership, organisations and policy, and the nature of the communities in which the initiative is being delivered (Grant & Reupert, 2016; Grant et al., 2019). Thus, strategies for introducing the vaccine will need to grapple with the varied nature of healthcare and community settings, and encourage uptake to the public, some of whom maybe suspicious or fearful. Embedding new initiatives into routine care is not easy however and implementation issues, sometimes portrayed as the research-practice chasm, have existed for some time. In 2010, Fixsen and colleagues wrote, ‘the use of effective interventions on a scale sufficient to benefit society requires careful attention to implementation strategies...One without the other is like serum without a syringe: the cure is available but the delivery is not’ (2010, p. 448). Never have truer words been spoken in these present times. The brief of this journal is early intervention, the prevention of mental illness and the promotion of mental health and wellbeing. All three foci demand long-term planning that takes into consideration how, when and where different mental health initiatives can be delivered to different population groups. Effective implementation is more than developing an evidencebased intervention or making an intervention available. A community, broad ecological view is required, that incorporates policy and management, often necessitating major changes to infrastructure, staffing and resourcing (Tchernegovski et al., 2018). Such efforts can be challenging given the many and often competing funding demands for essential tertiary services. However, I would argue that constrained funding in the area of prevention, promotion and early intervention is a false economy given the direct costs of treating someone with a mental illness and indirect costs of unemployment, sick leave, income support payments and the incarceration or homelessness sometimes resulting from mental health issues (Reupert, 2020). It is within
关于COVID-19对我们的经济、医院、工作场所、学校以及我们的身心健康的不利影响,已经写了很多文章。面对这些前所未有的问题,人们急于开发一种疫苗,作为平息大流行及其后果的一剂良药。然而,已经变得非常明显的是,缺乏向公众推广疫苗的系统计划。在这方面,实施科学是一个重要的考虑因素,它被定义为促进“系统地将研究结果和其他循证实践纳入常规实践”,从而“提高卫生服务的质量和有效性”(Eccles & Mittman, 2006年,第1页)。鉴于实施科学是关于促进将循证干预措施纳入常规护理,实施计划需要纳入并解决个人客户的偏好和需求、临床医生的兴趣和能力、与领导力、组织和政策相关的系统性问题,以及倡议实施所在社区的性质(Grant & Reupert, 2016;Grant et al., 2019)。因此,引进疫苗的战略将需要努力应对卫生保健和社区环境的不同性质,并鼓励公众接受,其中一些人可能会怀疑或害怕。然而,将新举措纳入常规护理并不容易,实施问题(有时被描述为研究与实践的鸿沟)已经存在了一段时间。在2010年,Fixsen和他的同事们写道,“有效的干预措施的使用规模足以使社会受益,这需要仔细关注实施策略……一种没有另一种,就像血清没有注射器:可以治愈,但不能提供”(2010年,第448页)。在这个时代,从来没有说过比这更真实的话。本刊的主旨是早期干预,预防精神疾病和促进精神健康和福祉。所有这三个重点都需要长期规划,考虑到如何、何时、何地向不同人群提供不同的精神卫生倡议。有效实施不仅仅是制定基于证据的干预措施或提供干预措施。需要一个社区,广泛的生态观点,包括政策和管理,通常需要对基础设施,人员配置和资源进行重大改变(Tchernegovski等人,2018)。鉴于对基本三级服务的许多且往往相互竞争的资金需求,这种努力可能具有挑战性。然而,我认为,鉴于治疗精神疾病患者的直接成本和失业、病假、收入支持支付以及有时由精神健康问题引起的监禁或无家可归的间接成本,在预防、促进和早期干预领域的资金限制是一种虚假的经济(Reupert, 2020)。正是在这种背景下,实施科学需要成为我们心理健康促进、预防和早期干预工作的核心组成部分。目前的问题提供了很多关于如何将研究结果和证据纳入医疗保健政策和实践的指导,或者换句话说,如何使“事情”发生。首先,几篇论文强调了长期规划的必要性。Woodhead等人(2021)强调了运动生理学在青少年心理健康环境中的价值,以及对资源和长期可持续性的需求。Vivekananda et al.,(2021)提供了一个
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引用次数: 4
Your life, your way: acceptance and commitment therapy skills to help teens manage emotions and build resilience 你的生活,你的方式:接受和承诺治疗技巧,帮助青少年管理情绪和建立弹性
IF 1.4 Q3 Medicine Pub Date : 2020-12-17 DOI: 10.1080/18387357.2020.1860691
R. Pine
Your Life, Your Way: Acceptance and Commitment Therapy Skills to Help Teens Manage Emotions and Build Resilience is an elegantly illustrated workbook for young people based upon the increasingly po...
你的生活,你的方式:接受和承诺治疗技巧,帮助青少年管理情绪和建立弹性是一本精美的插图的年轻人工作手册,基于日益增长的…
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引用次数: 2
Teachers’ and health professionals’ attitudes towards adolescent mental health and digital mental health interventions 教师和卫生专业人员对青少年心理健康和数字化心理健康干预措施的态度
IF 1.4 Q3 Medicine Pub Date : 2020-09-06 DOI: 10.1080/18387357.2020.1814160
R. Pine
ABSTRACT Background: With the rapid rise in technology, digital mental health interventions (DMHIs) have been created across a range of platforms. Despite mixed consensus about their effectiveness and uptake, they may play a pivotal role in addressing barriers to accessing mental health support particularly, for adolescents. It is important to understand teachers’ and health professionals’ attitudes towards adolescent mental health and DMHIs as they may play key roles in supporting this population. Aim: The study aimed to explore teachers’ and health professionals’ attitudes on adolescent mental health and DMHIs. Method: A 2020 anonymous online survey consisting of five open-ended questions and one closed question was undertaken by a total of 98 participants (49 college teachers, 23 health school teachers, 21 psychologists, 3 school counsellors, and 2 social workers). Results: Teachers and health professionals identified the need for DMHIs to support adolescents in New Zealand with their mental health. Teachers and health professionals shared similar views about the advantages of using DMHIs including increasing the accessibility of treatment and the need to use various approaches. Although participants expressed concerns about the lack of face-to-face contact with DMHIs, many were optimistic about using them. Conclusion: Teachers’ and health professionals’ attitudes towards adolescent mental health and DMHIs are important to consider when understanding the role these tools may play in school and therapeutic settings. Video Abstract Read the transcript Watch the video on Vimeo
背景:随着技术的快速发展,数字心理健康干预(DMHIs)已经在一系列平台上创建。尽管对其有效性和接受程度的共识不一,但它们可能在解决获得心理健康支持的障碍方面发挥关键作用,特别是对青少年而言。重要的是要了解教师和卫生专业人员对青少年心理健康和DMHIs的态度,因为他们可能在支持这一人群方面发挥关键作用。目的:探讨教师和卫生专业人员对青少年心理健康和DMHIs的态度。方法:采用2020年匿名在线问卷调查,共98人(49名高校教师、23名卫生学校教师、21名心理学家、3名学校辅导员、2名社工),问卷包含5个开放式问题和1个封闭式问题。结果:教师和卫生专业人员确定需要DMHIs来支持新西兰青少年的心理健康。教师和保健专业人员对使用DMHIs的好处也有类似的看法,包括增加治疗的可及性和使用各种方法的必要性。虽然与会者对缺乏与dmhi面对面接触表示担忧,但许多人对使用dmhi持乐观态度。结论:教师和卫生专业人员对青少年心理健康和DMHIs的态度在理解这些工具在学校和治疗环境中可能发挥的作用时是重要的考虑因素。视频摘要阅读文本在Vimeo上观看视频
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引用次数: 5
An evaluation of training for health and social care professionals when working with families where a parent has a mental illness 对保健和社会护理专业人员在与父母有精神疾病的家庭一起工作时的培训进行评估
IF 1.4 Q3 Medicine Pub Date : 2020-09-01 DOI: 10.1080/18387357.2020.1829492
Claire R. Golden, Mary G. Killion, Caroline McGregor
ABSTRACT Objective This study reports on an evaluation of a locally designed training programme, ‘Raising awareness of the impact of parental mental illness on children and families’, in one region of the Republic of Ireland. The evaluation focused on identifying possible changes, following the training, in professionals’ knowledge and awareness of severe and enduring mental illnesses and its impact on the family; their self-rated practice skills and attitude when working with individuals experiencing a mental illness; and their level of engagement in family focused practice. Method A quantitative methodology was employed with a repeated measures approach in an online questionnaire. Respondents were invited to complete the questionnaire pre-training, post-training and at a 6-week follow-up phase. Nine respondents completed the questionnaires at three time periods. Results Following training, professionals reported an increase in their knowledge and awareness of mental illness and the impact of parental mental illness on children and families. Respondents acknowledged difficulties in the context of legislation and national policies relating to mental health. The importance of training for professionals working outside of adult mental health services was highlighted along with recommendations for the future development of training emerged from the study. Discussion Aligned with previous research, there is a need for inter-agency collaboration and further development of awareness and skills development in relation to family focussed practice with families where a parent has a mental illness. Accessible training related to mental health for practitioners supporting children and families outside of core mental health settings should be provided.
摘要目的本研究报告了对爱尔兰共和国一个地区当地设计的培训项目“提高对父母精神疾病对儿童和家庭影响的认识”的评估。评估的重点是确定培训后专业人员对严重和持久精神疾病及其对家庭的影响的知识和认识方面可能发生的变化;他们在与患有精神疾病的个体一起工作时自评的实践技能和态度;以及他们在以家庭为中心的实践中的参与程度。方法采用定量方法,采用重复测量法进行在线问卷调查。受访者被邀请在培训前、培训后和为期6周的随访阶段完成问卷。九名受访者分三个时间段完成了问卷调查。结果经过培训,专业人员报告了他们对精神疾病的知识和意识以及父母精神疾病对儿童和家庭的影响。答复国承认在与心理健康有关的立法和国家政策方面存在困难。对在成人心理健康服务之外工作的专业人员进行培训的重要性得到了强调,并对研究中提出的未来培训发展建议提出了建议。与以前的研究一致,有必要进行机构间合作,并进一步提高对父母一方患有精神疾病的家庭进行以家庭为重点的实践的认识和技能发展。应为支持核心精神卫生环境之外的儿童和家庭的从业人员提供与精神卫生有关的无障碍培训。
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引用次数: 1
The Think Family Social Work Assessment: outcomes of a family-focused initiative using The Family Model 思考家庭社会工作评估:使用家庭模式的以家庭为中心的倡议的结果
IF 1.4 Q3 Medicine Pub Date : 2020-09-01 DOI: 10.1080/18387357.2020.1825969
K. McVeigh
ABSTRACT Objective: A family focused initiative, based on Falkov's Family Model (2012), was piloted across mental health teams in Northern Ireland. The initiative was called the Think Family Social Work Assessment and consisted of three elements: a family conversation, assessment and review. This study aimed to investigate the benefits of this initiative for family recovery from the perspective of family members, social workers and other professionals. Method: A self-report questionnaire was constructed by the Health and Social Care Board based on the six domains of The Family Model. This questionnaire was used to collate feedback at pre and post engagement stages in the initiative from social workers in adult mental health services in five Health and Social Care Trusts in Northern Ireland. Questionnaires were also completed by parents, adult siblings, carers, children and other involved professionals at the post stage. Results: Findings suggest a positive shift in perceptions by social workers, family members and involved professionals. Key insights included: improved communication between family members and professionals; better understanding of the impact of mental health on the family; and the use of a strengths-based approach to identify professional and family perspectives on resources, needs and concerns. Professionals reported an improvement in collaboration between services. Discussion: This evaluation of the Think Family Social Work Assessment demonstrated preliminary positive outcomes. The assessment component of the Think Family Social Work Assessment contributed to needs identification and fuller understanding of each families' strengths and vulnerabilities. The findings support a strategic approach across health and social care.
摘要目的:一项以家庭为重点的倡议,基于Falkov的家庭模型(2012),在北爱尔兰的精神卫生团队中进行了试点。这项倡议被称为“思考家庭社会工作评估”,包括三个要素:家庭对话、评估和审查。本研究旨在从家庭成员、社工及其他专业人士的角度,探讨这项计划对家庭复原的益处。方法:以家庭模式的六个领域为基础,由卫生和社会保健委员会编制自我报告问卷。该问卷用于整理北爱尔兰五个卫生和社会保健信托基金成人心理健康服务社会工作者在参与该倡议前后阶段的反馈。调查问卷也由父母、成年兄弟姐妹、照顾者、孩子和其他后期相关专业人员完成。结果:调查结果表明,社会工作者、家庭成员和相关专业人员的观念发生了积极的转变。主要见解包括:改善家庭成员与专业人士之间的沟通;更好地了解心理健康对家庭的影响;并采用基于优势的方法,确定专业和家庭对资源、需求和关切的看法。专业人员报告说,各服务部门之间的协作有所改善。讨论:对Think Family社会工作评估的评估显示了初步的积极成果。思考家庭社会工作评估的评估部分有助于确定需求并更充分地了解每个家庭的长处和弱点。研究结果支持在卫生和社会保健领域采取战略方针。
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引用次数: 2
Supporting parents with mental illness and their children – developments in family focused practice in the United Kingdom and Ireland 支持患有精神疾病的父母及其子女——英国和爱尔兰以家庭为重点的实践的发展
IF 1.4 Q3 Medicine Pub Date : 2020-09-01 DOI: 10.1080/18387357.2020.1827755
J. Devaney, G. Davidson, A. Grant, S. Lagdon
It is estimated that globally between a fifth and a third of adults receiving treatment from mental health services have children, and that between 10% and 23% of children live with at least one parent with mental health problems (Maybery, Reupert, Patrick, Goodyear, & Crase, 2009; Parker et al., 2008). However, characteristics such as the gender, race and social circumstances of parents mean that the overall picture is more nuanced and that our understanding of the lived experience for families when a member has a mental health problem is still developing (Stambaugh et al., 2017). While the overwhelming majority of children living with an adult with mental health problems are loved and well cared for, that does not mean that the circumstances such children find themselves in, including those who live with adults whose use of substances is problematic, does not have an impact upon them. Additionally, in a small number of families there are more significant challenges for parents in meeting the needs of their children, including keeping children safe from abuse or neglect (Nevriana et al., 2020). Over the past 20 years, there has been an increased focus on how to support families dealing with the mental health problems of an adult parent or adult child. This is borne from a recognition that family members need to feel supported in order to support their relative with their mental health, and that supporting an adult with their mental health has wider benefits for the entire family. Often different professionals and agencies are separately tasked with the responsibility for the care and treatment of the adult with mental health problems, and the support and protection of children. Such services and interventions have traditionally operated in tandem rather than together, leading to many individuals with lived experience of mental health problems to advocate for a more integrated approach to meeting the needs of them and their family (Reupert et al., 2018). This has led policy makers to consider how services and practice could be more family focused, while recognising the value and importance of different professionals, with their own expert knowledge and role, working in unison (Leonard, Linden, & Grant, 2018). Such family focused practice has been characterised as having a number of defining features. Foster et al. (2016) identified six core and overlapping practices within family focused practice: (1) family care planning and goal setting; (2) liaison between families and services, including family advocacy; (3) instrumental, emotional and social support; (4) assessment of family members and family functioning; (5) psychoeducation and (6) a coordinated system of care (e.g. wraparound, family collaboration, partnership) between family members and services. Marston et al. (2016) provided a similar analysis of the main components as psychoeducation; direct treatment and support for mental health and/or substance use; a focus on parenting behaviour;
据估计,全球接受精神卫生服务治疗的成年人中有五分之一至三分之一有子女,10%至23%的儿童与至少一位有精神卫生问题的父母一起生活(Maybery, Reupert, Patrick, Goodyear, & Crase, 2009;Parker et al., 2008)。然而,父母的性别、种族和社会环境等特征意味着整体情况更加微妙,我们对家庭成员有心理健康问题时的生活经历的理解仍在发展中(Stambaugh等人,2017)。虽然绝大多数与有精神健康问题的成年人生活在一起的儿童得到了关爱和良好照顾,但这并不意味着这些儿童所处的环境,包括那些与使用药物有问题的成年人生活在一起的儿童,对他们没有影响。此外,在少数家庭中,父母在满足孩子的需求方面面临着更大的挑战,包括保护孩子免受虐待或忽视(Nevriana et al., 2020)。在过去的20年里,人们越来越关注如何支持家庭处理成年父母或成年子女的心理健康问题。这源于一种认识,即家庭成员需要感到得到支持,以便支持其亲属的心理健康,并且支持成年人的心理健康对整个家庭都有更广泛的好处。通常,不同的专业人员和机构分别负责照顾和治疗有精神健康问题的成年人以及支持和保护儿童。传统上,这些服务和干预措施是串联而不是一起运作的,这导致许多有精神健康问题生活经历的人提倡采用更综合的方法来满足他们及其家庭的需求(Reupert等人,2018)。这促使政策制定者考虑如何让服务和实践更加以家庭为中心,同时认识到不同专业人士的价值和重要性,他们拥有自己的专业知识和角色,协同工作(Leonard, Linden, & Grant, 2018)。这种以家庭为重点的实践被描述为具有许多明确的特征。Foster等人(2016)在以家庭为中心的实践中确定了六个核心和重叠的实践:(1)家庭护理计划和目标设定;(2)家庭和服务之间的联络,包括家庭倡导;(3)工具支持、情感支持和社会支持;(4)家庭成员及家庭功能评估;(5)心理教育和(6)家庭成员和服务机构之间协调的护理系统(例如,包罗式、家庭协作、伙伴关系)。马斯顿等人(2016)对心理教育的主要组成部分进行了类似的分析;直接治疗和支持精神健康和/或药物使用;注重养育子女的行为;儿童风险和复原力;家庭沟通;家庭支持和功能。以家庭为中心的实践是一种以家庭为关注单位的方法,而不是只处理和解决单个服务用户的需求,无论这是患有精神疾病的父母,还是他们的孩子(ren) (Afzelius, Plantin, & Östman, 2018)。它要求专业人士将自己的角色扩展到他们的主要客户之外,无论是成人还是儿童。
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引用次数: 2
Factors associated with help-seeking for emotional or mental health problems in community members at risk of suicide 有自杀风险的社区成员寻求情感或精神健康问题帮助的相关因素
IF 1.4 Q3 Medicine Pub Date : 2020-05-27 DOI: 10.1080/18387357.2020.1770109
K. Mok, N. Chen, M. Torok, L. McGillivray, I. Zbukvic, F. Shand
ABSTRACT Objective: People experiencing mental health problems or suicidal thoughts often do not seek help. This study aims to investigate factors associated with help-seeking behaviours for emotional and mental health problems in individuals at risk for suicide. Method: A community sample was recruited online through Instagram and Facebook advertisements. There were 4277 participants in total, aged 18–84 (72.8% female, 26.8% male and .4% other), of which 1306 were classified as low/medium risk of suicide and 572 as high risk. Regression analyses examined factors associated with past year help-seeking from four categories of help: informal help, general practitioner, mental health professional, and tele/e-health. Predictors included: age, gender, exposure to suicide, psychological distress, suicidal ideation, and knowledge of and attitudes to suicide. Results: Overall, rates of help-seeking increased as risk for suicide increased. Higher levels of suicidal ideation were associated with a greater likelihood of having previously sought help from a GP and mental health professional, but a lower likelihood of having sought help from informal sources. Younger age was associated with past year help-seeking from informal sources and tele/e-health sources. Men had a significantly lower likelihood of having sought help from general practitioners. Different dimensions of attitudes towards suicide were also found to be associated with different types of help-seeking. Discussion: Understanding the characteristics and patterns of different forms of help-seeking can have important implications for the development of effective suicide prevention strategies.
摘要目的:有心理健康问题或有自杀念头的人往往不寻求帮助。本研究旨在探讨自杀风险个体在情绪和心理健康问题上寻求帮助行为的相关因素。方法:通过Instagram和Facebook广告在线招募社区样本。共有4277名参与者,年龄在18-84岁之间(72.8%为女性,26.8%为男性,0.4%为其他),其中1306人被划分为低/中等自杀风险,572人被划分为高风险。回归分析检查了与过去一年寻求帮助有关的四类帮助的因素:非正式帮助、全科医生、心理健康专业人员和远程/电子保健。预测因子包括:年龄、性别、自杀经历、心理困扰、自杀意念、自杀知识和态度。结果:总体而言,寻求帮助的比率随着自杀风险的增加而增加。有较高自杀意念的人更有可能向全科医生和心理健康专家寻求帮助,但从非正式渠道寻求帮助的可能性较低。年龄较低与过去一年从非正式来源和远程/电子保健来源寻求帮助有关。男性向全科医生寻求帮助的可能性明显较低。对自杀态度的不同维度也被发现与不同类型的求助有关。讨论:了解不同形式的求助的特点和模式对制定有效的自杀预防策略具有重要意义。
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引用次数: 20
期刊
Advances in Mental Health
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