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Recognizing service users’ diversity: social identity narratives of British Pakistanis in a mental health context 认识服务使用者的多样性:心理健康背景下英裔巴基斯坦人的社会认同叙述
Pub Date : 2021-02-17 DOI: 10.1108/JMHTEP-06-2020-0040
Basharat Hussain, A. Sheikh, J. Repper, T. Stickley, S. Timmons, M. Shah
PurposeThis study aims to investigate how British Pakistani people talk about their social identity, in the context of mental health, and how this shapes their experiences and perceptions of care delivered by the National Health Service, UK.Design/methodology/approachEight narrative interviews were conducted among members of the Pakistani community living in a city in the UK. The data were analyzed using a narrative analysis approach using “social identity” as a theoretical lens.FindingsConsidering Pakistani service users as a single social entity, and responding with generic approaches in meeting their mental health needs, may not be helpful in achieving equitable treatment. Study participants reject a simple conceptualization of race and ethnicity and how a response based upon stereotypes is woefully inadequate. The study revealed that people from one ethnic or national background cannot be assumed to have a fixed social identity.Originality/valueThis study broadens understanding of how people from a single ethnic background may construct and view their social identities markedly different to others from the same ethnic group. This has implications for service providers in understanding how their clients’ social identity is treated and understood in practice.
目的:本研究旨在调查英籍巴基斯坦人如何在心理健康的背景下谈论他们的社会身份,以及这如何影响他们对英国国家卫生服务提供的护理的经历和看法。设计/方法/方法高度叙述性访谈是在居住在英国一个城市的巴基斯坦社区成员中进行的。数据分析采用叙事分析方法,以“社会认同”为理论视角。将巴基斯坦的服务使用者视为一个单一的社会实体,并以通用的方法来满足他们的心理健康需求,可能无助于实现公平治疗。研究参与者拒绝对种族和民族进行简单的概念化,以及基于刻板印象的反应是多么可悲的不足。该研究表明,不能假设来自一个种族或国家背景的人具有固定的社会身份。独创性/价值这项研究拓宽了人们对来自单一种族背景的人如何构建和看待他们与来自同一种族的人明显不同的社会身份的理解。这对服务提供者理解客户的社会身份在实践中是如何被对待和理解的具有启示意义。
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引用次数: 2
The challenge of functional neurological disorder – views of patients, doctors and medical students 功能性神经障碍的挑战——病人、医生和医学生的观点
Pub Date : 2021-01-11 DOI: 10.1108/JMHTEP-06-2020-0036
G. Hutchinson, S. Linden
This study aims to explore views and attitudes of doctors, patients and medical students in regard to Functional Neurological Disorders (FND), a common presentation in neurological and psychiatric practice.,We conducted semi-structured interviews with 11 clinicians and obtained online questionnaires from 21 patients and 75 medical students. We applied thematic analysis.,The clinician and patient surveys highlighted the importance of the therapeutic relationship and need for transparent communication. However, patients criticised excessive reliance on online resources in doctor–patient communication. They also emphasised the relevance of triggering life events, which was not a prominent theme for clinicians. Medical students had only scant knowledge of the concept of functional neurological disorder.,A good therapeutic relationship is considered central for outcome of FND by both clinicians and patients. The survey of medical students has identified considerable gaps in undergraduate medical education in FND. The patient survey can inform recommendations for the explanation of aetiological models and treatment options in clinical practice.,This is the first study exploring the attitudes of clinicians, medical students and patients to FND. The study highlights potential areas of disagreement between these groups.
本研究旨在探讨医生、患者和医学生对神经功能障碍(FND)的看法和态度,FND是神经病学和精神病学实践中的常见表现。我们对11名临床医生进行了半结构化访谈,并获得了21名患者和75名医学生的在线问卷。我们采用了主题分析。临床医生和患者的调查强调了治疗关系的重要性和透明沟通的必要性。然而,患者批评在医患沟通中过度依赖网络资源。他们还强调了触发生活事件的相关性,这对临床医生来说并不是一个突出的主题。医学生对功能性神经障碍的概念知之甚少。临床医生和患者都认为良好的治疗关系对FND的预后至关重要。对医学生的调查发现,FND的本科医学教育存在相当大的差距。患者调查可以为临床实践中的病因模型解释和治疗方案提供建议。这是第一个探讨临床医生、医学生和患者对FND态度的研究。该研究强调了这些群体之间存在潜在分歧的领域。
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引用次数: 4
Experiences of newly qualified clinical psychologists in CAMHS 新晋临床心理学家在CAMHS的经验
Pub Date : 2021-01-04 DOI: 10.1108/jmhtep-08-2019-0043
S. Levinson, P. Nel, Louise-Margaret Conlan
PurposeThere is a gap in the literature regarding the experiences of newly qualified Clinical Psychologists (NQCPs) working within Child and Adolescent Mental Health Services (CAMHS) in the National Health Service (NHS). This paper aims to explore three aspects of newly qualified Clinical Psychologists’ experiences: their transition and development; working in multi-disciplinary teams located in large organisations; and support and coping in the role.Design/methodology/approachSeven participants each engaged in one semi-structured interview, and an interpretative phenomenological analysis was conducted.FindingsThree super-ordinate themes emerged from the analysis: A big jump, the transition from trainee to NQCP; The support of home comforts, old and new; and Acknowledging and desiring ongoing development.Originality/valueImplications and recommendations for both Clinical Psychology training programmes and NHS employers are discussed, to support the development and wellbeing of this staff group, and in turn the clinical population they serve. These include gradually increasing caseloads on training, a staggered workload at the outset of the transition, and CAMHS teams ensuring appropriate supervision for NQCPs.
目的在文献中关于新合格的临床心理学家(NQCPs)在国家卫生服务(NHS)儿童和青少年心理健康服务(CAMHS)工作的经验存在差距。本文旨在从三个方面探讨新资格临床心理学家的转型与发展;在大型机构的多学科团队中工作;在角色中给予支持和应对。设计/方法/方法7名参与者分别进行了一次半结构化访谈,并进行了解释性现象学分析。分析中出现了三个超常主题:一个大的飞跃,从培训生到NQCP的转变;家的舒适,新老的支持;承认并渴望持续的发展。原创性/价值对临床心理学培训计划和NHS雇主的影响和建议进行了讨论,以支持这一工作人员群体的发展和福祉,反过来,他们所服务的临床人群。这些措施包括逐步增加培训工作量,在过渡开始时错开工作量,以及CAMHS小组确保对nqcp进行适当监督。
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引用次数: 1
“We’re giving them the tools.” A qualitative study of nursing students working with Recovery College trainers to support student wellbeing “我们正在给他们提供工具。”一项关于护理学生与康复学院培训师一起工作以支持学生幸福的定性研究
Pub Date : 2021-01-01 DOI: 10.1108/JMHTEP-01-2021-0003
J. Oates, Rasiha Hassan, S. Coster
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引用次数: 0
Workplace bullying from the perspectives of trainee clinical psychologists 实习临床心理学家视角下的职场欺凌
Pub Date : 2020-12-14 DOI: 10.1108/jmhtep-08-2020-0054
L. Brown, Barbara J. Mason, Madeline M. Carter
PurposeResearch has identified that workplace bullying is a significant problem within health care, with health-care trainees at particular risk. The purpose of this study is to explore the experiences of workplace bullying from the perspectives of trainee clinical psychologists.Design/methodology/approachA total of 14 trainee clinical psychologists recruited from British universities participated in semi-structured telephone interviews. Qualitative data was analysed using thematic analysis.FindingsThe analysis generated four main themes: workplace bullying “activating threat responses”, the process of trainee clinical psychologists “making sense of bullying”, “difficulties navigating power within the system” when experiencing and reporting bullying and “finding safety and support” within and outside of work contexts.Originality/valueTo the best of the authors’ knowledge, this is the first known study of workplace bullying specifically within clinical psychology. The research has implications for guidance for training institutions and professional bodies associated with trainee mental health professionals.
目的研究已经确定,工作场所欺凌是医疗保健领域的一个重大问题,医疗保健受训人员面临的风险尤其大。本研究旨在探讨实习临床心理学家的职场霸凌体验。设计/方法/方法从英国大学招募的14名实习临床心理学家参加了半结构化的电话访谈。定性数据采用专题分析进行分析。该分析产生了四个主要主题:工作场所欺凌“激活威胁反应”,实习临床心理学家“理解欺凌”的过程,经历和报告欺凌时“在系统内驾驭权力的困难”,以及在工作环境内外“寻找安全和支持”。原创性/价值据作者所知,这是首次在临床心理学领域对职场欺凌进行研究。该研究对培训机构和与受训精神卫生专业人员有关的专业团体具有指导意义。
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引用次数: 0
Investigating the barriers and facilitators to implementing mental health first aid in the workplace: a qualitative study 调查在工作场所实施心理健康急救的障碍和促进因素:一项定性研究
Pub Date : 2020-12-12 DOI: 10.1108/jmhtep-12-2019-0064
M. Narayanasamy, L. Thomson, C. Coole, F. Nouri, A. Drummond
PurposeThere has been little research into the use and efficacy of Mental Health First Aid (MHFA) across UK workplaces. This paper aims to investigate the implementation of MHFA across six UK organisations, identifying key barriers and facilitators.Design/methodology/approachTwenty-seven workplace representatives were recruited from six organisations through purposive sampling and took part in semi-structured interviews exploring their experiences of workplace MHFA. The data underwent thematic analysis, identifying key themes around implementation.FindingsImplementation varied across organisations, including different reasons for initial interest in the programme, and variable ways that MHFA-trained employees operated post-training. Key barriers to successful implementation included negative attitudes around mental health, the perception that MHFA roles were onerous, and employees’ reluctance to engage in the MHFA programme. Successful implementation was perceived to be based on individual qualities of MHFA instructors and good practice demonstrated by trained individuals in the workplace. The role of the inner organisational setting and employee characteristics were further highlighted as barriers and facilitators to effective implementation.Research limitations/implicationsMHFA is a complex intervention, presenting in different ways when implemented into complex workplace settings. As such, traditional evaluation methods may not be appropriate for gaining insights into its effectiveness. Future evaluations of workplace MHFA must consider the complexity of implementing and operationalising this intervention in the workplace.Originality/valueThis study is the first to highlight the factors affecting successful implementation of MHFA across a range of UK workplaces.
目的在英国的工作场所,很少有关于心理健康急救(MHFA)的使用和疗效的研究。本文旨在调查六个英国组织中MHFA的实施情况,确定关键障碍和促进因素。设计/方法/方法通过有目的的抽样,从六个组织中招募了27名工作场所代表,并参加了半结构化访谈,探讨了他们在工作场所MHFA的经历。对这些数据进行了专题分析,确定了围绕执行情况的关键主题。各个组织的实施情况各不相同,包括最初对该计划感兴趣的不同原因,以及mhfa培训的员工在培训后的不同操作方式。成功实施的主要障碍包括对心理健康的消极态度,认为MHFA的角色繁重,以及员工不愿参与MHFA计划。成功的实施被认为是基于MHFA教员的个人素质和工作场所受过培训的个人所展示的良好做法。进一步强调了组织内部环境和员工特征作为有效实施的障碍和促进因素的作用。研究局限/启示smhfa是一种复杂的干预措施,在复杂的工作场所环境中实施时表现出不同的方式。因此,传统的评估方法可能不适合深入了解其有效性。未来对工作场所MHFA的评估必须考虑在工作场所实施和操作这一干预措施的复杂性。原创性/价值这项研究首次强调了影响在英国工作场所成功实施MHFA的因素。
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引用次数: 5
The relationship between depression and academic satisfaction in medical science students 医学生抑郁与学业满意度的关系
Pub Date : 2020-12-10 DOI: 10.1108/jmhtep-03-2020-0017
Seyedmohammad Mirhosseini, M. Bazghaleh, M. Basirinezhad, A. Abbasi, H. Ebrahimi
PurposeStudents’ academic achievement is a multifaceted phenomenon. While depression can suppress academic performance, academic satisfaction can promote it. This study aims to investigate the relationship between depression and academic satisfaction among students studying at Shahroud University of Medical Sciences.Design/methodology/approachThis cross-sectional study was carried out on 312 undergraduate students of Shahroud University of Medical Sciences. Data collection tools included demographic data form, University Student Depression Inventory and academic satisfaction scale. Data were collected by a simple random sampling method and self-reporting by the participants. Data were analyzed using descriptive and inferential statistics (multivariate multiple regression analysis and multivariate linear regression).FindingsThe participants’ mean depression and academic satisfaction scores were 71.92 ± 22.94 and 53.70 ± 9.69, respectively. In addition, the depression score was significantly and inversely correlated with students' academic satisfaction (r = −0.122, p-value = 0.031). Moreover, there was a significant correlation between students’ depression with marital status, level of the semester, interest in the field of study and study topic.Research limitations/implicationsThis study emphasizes improving education, spiritual and social support and strengthens strategies to deal with depression and medical science students’ related factors.Originality/valueStudents of medical sciences are exposed to depression during their college years, which is related to their academic satisfaction.
学生的学业成绩是一个多方面的现象。虽然抑郁会抑制学业成绩,但学业满意度可以促进学业成绩。本研究旨在探讨沙赫鲁德医科大学学生抑郁与学业满意度的关系。设计/方法/方法本横断面研究对沙赫鲁德医科大学的312名本科生进行。数据收集工具包括人口统计数据表、大学生抑郁量表和学业满意度量表。数据采用简单随机抽样和参与者自我报告的方式收集。数据分析采用描述性和推理统计(多元多元回归分析和多元线性回归)。结果参与者的平均抑郁和学业满意度得分分别为71.92±22.94分和53.70±9.69分。抑郁得分与学业满意度呈显著负相关(r = - 0.122, p值= 0.031)。此外,学生的抑郁与婚姻状况、学期水平、对学习领域的兴趣和学习主题有显著相关。本研究强调改善教育、精神和社会支持,加强应对抑郁和医学生相关因素的策略。原创性/价值医学专业的学生在大学期间受到抑郁的影响,这与他们的学业满意度有关。
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引用次数: 10
Students with severe anxiety during COVID-19 lockdown – exploring the impact and its management 新冠肺炎封锁期间严重焦虑的学生——探讨影响及其管理
Pub Date : 2020-12-08 DOI: 10.1108/jmhtep-09-2020-0062
Fayyaz Ahmad Faize, Waqar Husain
Purpose: COVID-19 generated extensive fear and anxiety across the globe This study aims to explore the psychological dynamics of students during COVID-19 lockdown, its impact and students’ management strategies Design/methodology/approach: This paper collected data from 891 students in Islamabad (Pakistan) using an online survey consisting of the generalized anxiety disorder scale and items on academic variables After measuring the anxiety levels, this paper interviewed 20 students diagnosed with severe anxiety The objective was to seek a deeper understanding of the impact of COVID-19 and students’ management Findings: This paper found students with different anxiety levels Most students had no anxiety;however, 8 2% of students had severe anxiety These students reported psychological, social and physical problems during the interview The students shared their activities and avoidance behavior to manage their anxiety levels Originality/value: The study helped in understanding the psychological dynamics during the pandemic and students’ management strategies Some students express their inability to cope with their problems This paper recommends the intervention of clinical practitioners, policymakers and researchers to work for the mental health of such students © 2020, Emerald Publishing Limited
目的:新冠肺炎在全球范围内引发了广泛的恐惧和焦虑。本研究旨在探讨新冠肺炎封锁期间学生的心理动态、影响和学生的管理策略。本文采用广广性焦虑障碍量表和学业变量项目组成的在线调查收集了巴基斯坦伊斯兰堡891名学生的数据,在测量焦虑水平后,本文采访了20名被诊断为严重焦虑的学生,目的是为了更深入地了解COVID-19的影响和学生管理。本研究发现学生的焦虑程度不同,大部分学生没有焦虑,但有8.2%的学生有严重的焦虑,这些学生在访谈中报告了心理、社会和身体问题,学生分享了他们的活动和回避行为来管理他们的焦虑水平。该研究有助于了解大流行期间的心理动态和学生的管理策略。一些学生表示他们无法应对自己的问题。本文建议临床从业者、政策制定者和研究人员进行干预,为这些学生的心理健康工作©2020,Emerald Publishing Limited
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引用次数: 15
Implementing youth peer support in an early psychosis program 在早期精神病项目中实施青少年同伴支持
Pub Date : 2020-12-04 DOI: 10.1108/jmhtep-03-2020-0014
L. Hopkins, G. Pedwell, Katie S Wilson, Prunella Howell-Jay
PurposeThe purpose of this study was to identify and understand the barriers and enablers to the implementation of youth peer support in a clinical mental health service. The development of a lived experience workforce in mental health is a key component of policy at both the state and the federal level in Australia. Implementing a peer workforce within existing clinical services, however, can be a challenging task. Furthermore, implementing peer support in a youth mental health setting involves a further degree of complexity, involving a degree of care for young people being invited to provide peer support when they may be still early in their own recovery journey.Design/methodology/approachThis paper reports on a formative evaluation of the beginning stages of implementation of a youth peer workforce within an existing clinical mental health service in Melbourne.FindingsThe project found that it was feasible and beneficial to implement youth peer support; however, significant challenges remain, including lack of appropriate training for young people, uncertainty amongst clinical staff about the boundaries of the peer role and the potential for “tokenism” in the face of slow cultural change across the whole service.Originality/valueVery little evaluation has yet been undertaken into the effectiveness of implementing peer support in youth mental health services. This paper offers an opportunity to investigate where services may need to identify strengths and address difficulties when undertaking future implementation efforts.
目的本研究的目的是识别和了解在临床心理健康服务中实施青少年同伴支持的障碍和促进因素。在澳大利亚州和联邦一级,发展精神卫生方面的生活经验工作队伍是政策的一个关键组成部分。然而,在现有的临床服务中实施同行劳动力可能是一项具有挑战性的任务。此外,在青少年心理健康环境中实施同伴支持涉及到更大程度的复杂性,涉及到邀请年轻人提供同伴支持的一定程度的照顾,而他们自己可能还处于康复之旅的早期。设计/方法/方法本文报告了在墨尔本现有的临床心理健康服务中实施青年同伴劳动力的开始阶段的形成性评估。研究结果研究发现,推行青年同伴支援是可行及有益的;然而,重大的挑战仍然存在,包括缺乏对年轻人的适当培训,临床工作人员对同伴角色界限的不确定性,以及面对整个服务中缓慢的文化变革时“象征性”的可能性。独创性/价值对在青年心理健康服务中实施同伴支持的有效性进行了很少的评估。本文提供了一个机会来调查在进行未来的实现工作时,服务可能需要在哪些方面确定优势并解决困难。
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引用次数: 4
Non-conventional clinical placements and the experience of the facilitator: a phenomenology study 非常规临床实习和引导者的经验:现象学研究
Pub Date : 2020-12-03 DOI: 10.1108/jmhtep-06-2020-0044
R. Hall, L. Moxham, Dana Perlman, Amy Tapsell
Purpose The experiences of clinical facilitators working within non-conventional mental health settings have not yet been explored. The purpose of this paper is to explore the experiences of clinical facilitators when facilitating nursing student learning within a non-conventional mental health clinical placement. Design/methodology/approach This study adopted a qualitative phenomenological approach. The participants in this study were five registered nurses who had facilitated students at a non-conventional mental health clinical placement called Recovery Camp. Individual in-depth interviews were conducted. Findings The facilitators experiences could be understood through two main themes: facilitator skills and opportunities for student learning. Recovery Camp allowed the facilitators to build on their own nursing and facilitation skills, while examining themselves as a mental health nurse. "Being with" students (immersive engagement) enabled opportunistic and rare learning moments. Originality/value To the best of the authors' knowledge, this is the first known study to explore the experiences of clinical facilitators working in a non-conventional mental health placement. Publication Details Hall, R., Moxham, L., Perlman, D. & Tapsell, A. (2020). Non-conventional clinical placements and the experience of the facilitator: a phenomenology study. The Journal of Mental Health Training, Education and Practice, Online First This journal article is available at Research Online: https://ro.uow.edu.au/ihmri/1555 Non-conventional clinical placements and the experience of the facilitator: a phenomenology study Authors Ms Renee Hall BN(Hons), Grad. Cert. MHN, M MHN(NP) Professor Lorna Moxham RN, MHN, PhD(CQU), MEd(UNSW), BHSc(UWS), DASc(MIHE), Cert OH&S(CQU), Cert Qual Mngmt(CQU), Cert IV Training & Assessment(CQIT), FACMHN, FACN. Dr Dana Perlman – B.Ed(Physical Education Major and Health Education Minor), M.S.(Educational Leadership), PhD(Sport Pedagogy) Ms Amy Tapsell BA(Psychology), MPH(Health Promotion) Affiliations University of Wollongong, Northfields Avenue, Wollongong, NSW 2522. School of Nursing, Faculty of Science Medicine and Health, University of Wollongong, Northfields Avenue, Wollongong, NSW 2522. School of Education, Faculty of Social Sciences, University of Wollongong, Northfields Avenue, Wollongong, NSW 2522. b#, Global Challenges Program, Research and Innovation Division. University of Wollongong, Northfields Avenue, Wollongong, NSW 2522. Illawarra Health and Medical Research Institute (IHMRI), University of Wollongong, Northfields Avenue, Wollongong, NSW 2522. #Corresponding Author Professor Lorna Moxham School of Nursing, Faculty of Science Medicine and Health, University of Wollongong Northfields Avenue, Wollongong, New South Wales. Australia. 2522 Email: lmoxham@uow.edu.au Phone: +612 4239 2559 Twitter: @LornaMoxham Acknowledgements The authors wish to thank the clinical facilitators who participated in this study. Declarations of int
目的临床助理员在非传统精神卫生机构工作的经验尚未被探索。本研究的目的是探讨临床辅导员在非常规心理健康临床实习中促进护理学生学习的经验。设计/方法/方法本研究采用定性现象学方法。这项研究的参与者是五名注册护士,她们曾在一个名为康复营的非传统心理健康临床安置项目中为学生提供帮助。进行了个人深度访谈。发现引导者的经验可以通过引导者技能和学生学习机会两个主题来理解。康复营允许辅导员在作为心理健康护士检查自己的同时,建立自己的护理和辅导技能。“与”学生在一起(沉浸式参与)创造了机会和难得的学习时刻。原创性/价值据作者所知,这是第一个探索在非传统心理健康安置中工作的临床辅导员经验的已知研究。出版细节Hall, R., Moxham, L., Perlman, D. & Tapsell, A.(2020)。非常规临床实习和引导者的经验:现象学研究。《心理健康培训、教育和实践杂志》在线第一版这篇期刊文章可在Research Online: https://ro.uow.edu.au/ihmri/1555非常规临床实习和促进者的经验:一项现象学研究作者Renee Hall女士(荣誉),研究生。Lorna Moxham教授,RN, MHN, PhD(CQU), MEd(UNSW), BHSc(UWS), DASc(MIHE), Cert OH&S(CQU), Cert quality management (CQU), Cert IV Training & Assessment(CQIT), FACMHN, FACN。Dr Dana Perlman - B.Ed(体育专业和健康教育辅修),M.S.(教育领导),博士(体育教育学)。Ms Amy Tapsell女士(心理学),公共卫生硕士(健康促进),Wollongong附属大学,Northfields Avenue, Wollongong, NSW 2522。卧龙岗大学科学医学与健康学院护理学院,Northfields Avenue,卧龙岗,新南威尔士州2522。伍伦贡大学社会科学学院教育学院,Northfields Avenue, Wollongong, NSW 2522。b#,全球挑战计划,研究和创新部门。卧龙岗大学,Northfields Avenue,卧龙岗,新南威尔士州2522。卧龙岗大学伊拉瓦拉健康与医学研究所(IHMRI),北菲尔德大道,卧龙岗,新南威尔士州2522。#通讯作者Lorna Moxham教授护理学院,科学医学与健康学院,卧龙岗大学北菲尔德大道,卧龙岗,新南威尔士州。Email: lmoxham@uow.edu.au电话:+612 4239 2559 Twitter: @LornaMoxham致谢作者希望感谢参与本研究的临床辅助人员。利益声明作者声明无利益冲突。本研究没有从公共、商业或非营利部门的资助机构获得任何特定的资助。
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引用次数: 0
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The journal of mental health training, education, and practice
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