Kim Jørgensen, Kirstine Bro Jørgensen, Bengt Karlsson
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引用次数: 0
Abstract
Introduction: Cross-sectoral collaboration between mental health hospitals and municipalities addresses the multifaceted needs of individuals with mental health conditions. Recovery-oriented care emphasizes personal empowerment, holistic support, and integrated services. However, barriers to collaboration hinder effective service delivery. This scoping review explores how recovery-oriented approaches are integrated within collaborative practices and identifies key barriers and facilitators to cross-sectoral collaboration.
Methods: This review followed Arksey and O'Malley's framework, with systematic searches conducted in PubMed, CINAHL, PsycINFO, and Web of Science. Studies published between 2012 and 2024 were included if they focused on cross-sectoral collaboration within a recovery-oriented framework. Data from 30 peer-reviewed articles were synthesized to identify themes related to barriers, facilitators, and best practices.
Results: Barriers to collaboration included fragmented communication systems, cultural and professional differences, and power imbalances across sectors. Structural challenges, such as discrepancies in legislative and funding mechanisms, hindered integration. Successful models, such as Individual Placement and Support (IPS) and Open Dialogue, demonstrated the potential of structured frameworks in overcoming barriers. User involvement emerged as a pivotal facilitator of meaningful collaboration but remains underutilized in practice.
Discussion: Recovery-oriented care necessitates overcoming systemic and cultural barriers to develop integrated, person-centered approaches. Despite promising practices, gaps in understanding long-term outcomes and user perspectives persist, highlighting the need for further research.
Conclusion: Effective collaboration between mental health hospitals and municipalities is fundamental to delivering recovery-oriented care. Future research should explore standardized metrics, enhance user involvement, and assess the scalability of successful models to strengthen integration.
导言：精神卫生医院和市政当局之间的跨部门合作解决了精神卫生状况患者的多方面需求。以康复为导向的护理强调个人赋权、整体支持和综合服务。然而，协作的障碍阻碍了有效的服务提供。本文探讨了如何将以恢复为导向的方法整合到协作实践中，并确定了跨部门协作的主要障碍和促进因素。方法：本综述遵循Arksey和O'Malley的框架，并在PubMed、CINAHL、PsycINFO和Web of Science中进行了系统搜索。2012年至2024年间发表的研究，如果侧重于在以复苏为导向的框架内开展跨部门合作，则纳入其中。综合了30篇同行评议文章的数据，以确定与障碍、促进因素和最佳实践相关的主题。结果：协作的障碍包括分散的沟通系统、文化和专业差异以及部门间的权力不平衡。结构性挑战，如立法和筹资机制的差异，阻碍了一体化。成功的模式，如个人安置和支持（IPS）和公开对话，显示了结构化框架在克服障碍方面的潜力。用户参与成为有意义的协作的关键促进者，但在实践中仍未得到充分利用。讨论：以康复为导向的护理需要克服系统和文化障碍，以发展综合的、以人为本的方法。尽管有很好的实践，但在理解长期结果和用户观点方面仍然存在差距，这突出了进一步研究的必要性。结论：精神卫生医院和市政当局之间的有效合作是提供康复护理的基础。未来的研究应探索标准化的指标，提高用户参与度，并评估成功模型的可扩展性，以加强集成。
期刊介绍：
Issues in Mental Health Nursing is a refereed journal designed to expand psychiatric and mental health nursing knowledge. It deals with new, innovative approaches to client care, in-depth analysis of current issues, and empirical research. Because clinical research is the primary vehicle for the development of nursing science, the journal presents data-based articles on nursing care provision to clients of all ages in a variety of community and institutional settings. Additionally, the journal publishes theoretical papers and manuscripts addressing mental health promotion, public policy concerns, and educational preparation of mental health nurses. International contributions are welcomed.
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