荷兰双重精神障碍的综合治疗:一项客户体验的定性研究

IF 0.8 Q4 PSYCHOLOGY, CLINICAL Advances in Dual Diagnosis Pub Date : 2021-07-09 DOI:10.1108/ADD-12-2020-0029
A. V. Wamel, A.L.F. Lempens, A. Neven
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引用次数: 1

摘要

许多患有严重精神健康问题的客户也在与酗酒和吸毒作斗争。尽管在大多数欧洲国家似乎有一个共识,即综合治疗模式(特别是双重障碍客户的综合治疗模式)最适合帮助这些客户,但这些都没有强有力的证据,主要是由于研究方法的局限性。本研究旨在通过对目前正在接受综合治疗的双重障碍患者进行深入访谈,了解为什么综合治疗是有帮助的。设计/方法/方法本研究是一个定性的主题分析,使用时间轴工具来引出参与者的反应。在访谈中,严重问题的双重诊断患者反映了他们入院时的情况,他们在综合治疗中得到的护理以及他们对积极因素和消极因素的看法。使用MAXQDA对访谈进行编码和分析。在对访谈的分析中,本研究发现了客户表示在治疗和康复过程中最有帮助的三组元素:与团队的信任和有意义的关系,综合治疗的组成部分和护理的组织。独创性/价值研究结果强调了工作关系在治疗复杂和长期问题中的重要性。这对迄今为止主要侧重于具体干预措施的综合治疗模式的评估有影响。
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Integrated treatment of dual disorders in The Netherlands: a qualitative study of client experiences
Purpose Many clients who suffer from severe mental health problems also struggle with alcohol and drug use. And although there seems to be a consensus in most European countries that integrated treatment models (especially the integrated treatment of dual disorder clients model) are best fitted to help these clients, none of these have strong evidence, mostly owing to methodological limitations in the studies. This study aims to contribute to the knowledge of why integrated treatment is helpful by conducting in-depth interviews with dual disorder clients who are currently receiving integrated treatment. Design/methodology/approach This study is a qualitative thematic analysis using a timeline tool to elicit participants’ responses. In the interviews, dual diagnosis clients with severe problems reflected on their situation at admission, the care they received in integrated treatment and their opinions on positive and negative elements. The interviews were coded and analysed with MAXQDA. Findings In the analyses of the interviews, this study found three clusters of elements that clients indicated were the most helpful during their treatment and recovery process: trusting and meaningful relationship with the team, components of integrated treatment and organisation of care. Originality/value The findings emphasized the importance of working relationship in the treatment of complex and long-term problems. This has implications for the evaluation of these integrated treatment models which so far mainly focuses on specific interventions.
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来源期刊
Advances in Dual Diagnosis
Advances in Dual Diagnosis PSYCHOLOGY, CLINICAL-
CiteScore
1.50
自引率
33.30%
发文量
15
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