"友好、本地和欢迎"——对社区心理健康早期干预服务的评价

IF 1.4 Q2 SOCIAL WORK Journal of Childrens Services Pub Date : 2023-08-07 DOI:10.1108/jcs-12-2021-0053
S. Parry, Zarah Eve, Vasileios Stamou, A. Brockway, Daniela Di Basilio
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引用次数: 0

摘要

目的:一半的成人心理健康挑战开始于14岁,这就明确了早期干预的必要性。本研究旨在评估一种新的服务模式,通过基于社区的低强度枢纽促进早期干预。设计/方法/方法通过组内、前后比较和定性调查对2384名年轻人的临床资料进行分析,并通过内容分析对访谈资料进行分析。总体而言,参与者报告说他们对中心非常满意,低强度的简短干预满足了他们的需求。参与者报告说,学习新技能、有地方交谈和积极的治疗关系是有益的。对于有复杂心理健康问题的年轻人来说,该中心似乎不太成功。作为一项服务,Hub模式的采用将等候名单的时间减少了一半以上。研究局限性/意义定量数据表明,参与Hub可以减轻心理困扰的症状。定性分析表明,获得当地、社区、欢迎和“非临床”支持是有益的,提供的简短干预类型不如治疗关系重要。原创性/价值这是对英国社会经济贫困地区低强度短期干预的新型“枢纽”模型的首次研究。当地知识、社区综合支持、治疗关系和温馨的环境被认为比提供的简短干预更有益。因此,在传统的临床支持概念之外,可以创建具有治疗性和有益心理健康的社区空间。
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“Friendly, local and welcoming” – evaluation of a community mental health early intervention service
Purpose Half of adulthood mental health challenges begin by the age of 14-years-old, making the need for early-intervention clear. This study aims to evaluate a new service model that promotes early-intervention through a community based low-intensity Hub. Design/methodology/approach Clinical data from 2,384 young people were analysed through within-group, pre- and post-comparisons and qualitative survey, and interview data was analysed through content analysis. Findings Overall, participants reported that they were highly satisfied with the Hub and the low-intensity brief interventions met their needs. Participants reported that learning new skills, having a place to talk and positive therapeutic relationships were beneficial. The Hub appeared to be less successful for young people with complex mental health difficulties. As a service, the adoption of the Hub model reduced waiting list times by more than half. Research limitations/implications The quantitative data demonstrated that engaging with the Hub reduced symptoms of psychological distress. Qualitative analyses suggest that access to local, community, welcoming and “less clinical” support was beneficial, and the type of brief interventions offered was less important than therapeutic relationships. Originality/value This is the first study of a novel “Hub” model for low-intensity brief interventions in a socio-economically deprived area of England. Local knowledge, community integrated support, therapeutic relationships and a welcoming environment were viewed as more beneficial than the type of brief interventions offered. Consequently, community spaces can be created to be therapeutic and beneficial for mental health outside of a traditional conceptualisation of clinical support.
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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
14
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