利用社区参与式研究对心理健康服务使用者进行合作需求评估:确定研究问题并建立学术界与社区之间的信任。

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Health Promotion Practice Pub Date : 2024-09-01 Epub Date: 2023-05-13 DOI:10.1177/15248399231171144
Jonathan Delman, Diana Arntz, Anne Whitman, Hannah Skiest, Katherine Kritikos, Paul Alves, Valeria Chambers, Ryan Markley, Jacqueline Martinez, Cynthia Piltch, Sandra Whitney-Sarles, Julia London, Derri Shtasel, Corinne Cather
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引用次数: 0

摘要

让严重精神疾病患者作为盟友参与研究的尝试往往以失败告终,因为研究人员往往在没有社区成员参与的情况下就决定了研究课题。学术研究人员可以通过与社区成员合作开展需求评估来确定相关的研究课题并建立信任,从而避免这一陷阱。在此,我们报告了一个学术同行研究小组对马萨诸塞州成人心理健康服务使用者进行社会心理需求评估的结果。该项目是一个学术心理健康中心与一群 SMI 患者共同开展社区参与式研究(CBPR)工作的一部分。他们与 159 名患有精神疾病的成年人一起开展了 18 个倾听小组。他们对数据进行了转录,并采用定性和矩阵分类方法进行了快速分析,以确定服务需求主题。定性分析得出了六个主题:减少社区和提供者的成见、改善服务的获取、关注全人、将同伴纳入康复护理、拥有尊重和理解的临床医生,以及招聘多样化的员工。这些研究结果对政策和实践的影响包括:在提供者组织内创建更强大的创新文化;制定具体计划,改善同伴工作者和多元文化员工队伍的招聘和留用;加强文化谦逊方面的培训和监督;以尊重的态度与客户沟通;以及让同伴参与质量改进活动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Using Community-Based Participatory Research to Conduct a Collaborative Needs Assessment of Mental Health Service Users: Identifying Research Questions and Building Academic-Community Trust.

Attempts to meaningfully engage people with serious mental illnesses (SMI) as allies in conducting research have often failed because researchers tend to decide on the research topic without including community members. Academic researchers can avoid this pitfall by collaborating with community members to conduct a needs assessment to identify relevant research topics and build trust. Here, we report on the results of a psychosocial needs assessment for adult mental health service users in Massachusetts conducted by an academic-peer research team. The project was initiated as part of an academic mental health center's efforts to conduct community-based participatory research (CBPR) with a group of people with SMI. People with SMI were hired and trained to co-lead research projects and the development of the listening group guide, and they conducted 18 listening groups with 159 adults with mental health conditions. The data were transcribed, and rapid analysis employing qualitative and matrix classification methods was used to identify service need themes. Six themes emerged from qualitative analysis: reduce community and provider stigma, improve access to services, focus on the whole person, include peers in recovery care, have respectful and understanding clinicians, and recruit diverse staff. The policy and practice implications of these findings include creating a stronger culture of innovation within provider organizations, developing specific plans for improving recruitment and retention of peer workers and a multicultural workforce, enhancing training and supervision in cultural humility, communicating respectfully with clients, and including peers in quality improvement activities.

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来源期刊
Health Promotion Practice
Health Promotion Practice PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.80
自引率
5.30%
发文量
126
期刊介绍: Health Promotion Practice (HPP) publishes authoritative articles devoted to the practical application of health promotion and education. It publishes information of strategic importance to a broad base of professionals engaged in the practice of developing, implementing, and evaluating health promotion and disease prevention programs. The journal"s editorial board is committed to focusing on the applications of health promotion and public health education interventions, programs and best practice strategies in various settings, including but not limited to, community, health care, worksite, educational, and international settings. Additionally, the journal focuses on the development and application of public policy conducive to the promotion of health and prevention of disease.
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