• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Health Services Research >Intentions and experiences of effective practice in mental health specific supported accommodation services: a qualitative interview study
【24h】

Intentions and experiences of effective practice in mental health specific supported accommodation services: a qualitative interview study

机译：有效开展心理健康特定住宿服务的意图和经验：定性访谈研究

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Deinstitutionalisation in Europe has led to the development of community-based accommodation for people with mental health problems. The type, setting, and intensity of support provided vary and the costs are substantial. Yet, despite the large investment in these services, there is little clarity on their aims and outcomes or how they are regarded by staff and the clients. Methods We interviewed 30 staff and 30 clients from the three main types of supported accommodation in England (residential care, supported housing, floating outreach) to explore their perspectives on the purpose of these services, and the components of care considered most helpful. The interviews were coded and analysed using thematic analysis. Results There were generally consistent understandings amongst clients and staff across service types on the goals and purposes of supported accommodation services as: building independence and confidence; supporting people with their mental health; and providing safety and stability. We also noted a competing theme of anxiety about the continuity of support when clients move on from a service. Themes on the experience of what aided effective practice centred on: the supportive presence of others; incremental steps to progress; working together to avoid deskilling and dependency; feeling known and personally understood; tailoring support for social and community engagement; and building confidence through encouragement. Conclusions The findings provide an understanding of the commonalities in service approach, and goals of clients in these services, as well as the facilitators of goal attainment. However, they also highlight a common tension between providing safe and supportive living environments, whilst also promoting independence and facilitating rehabilitative change.
机译：背景技术欧洲的去机构化导致为精神健康问题者提供基于社区的住宿。提供的支持的类型，设置和强度各不相同，而且成本很高。然而，尽管在这些服务上进行了大量投资，但对其目标和结果以及员工和客户对它们的看法尚不清楚。方法我们采访了英格兰三种主要支持住宿类型（住宅护理，支持住房，浮动外展）中的30名员工和30位客户，以探讨他们对这些服务目的的看法，以及认为最有用的护理组成部分。使用主题分析对访谈进行编码和分析。结果客户和员工之间对服务类型的总体共识是，对所支持的住宿服务的目标和宗旨的理解是：建立独立性和信心;支持人们的心理健康;并提供安全性和稳定性。我们还注意到了一个相互竞争的焦虑主题，即当客户从服务中继续前进时，支持的连续性。有助于有效实践的经验的主题集中在：他人的支持存在;渐进的进步步骤;共同努力避免陷入困境和依赖;感到知名和个人理解;为社会和社区参与量身定制支持;通过鼓励建立信心。结论结论提供了对服务方法的共性，这些服务中客户的目标以及目标实现的促进者的理解。但是，它们也凸显了在提供安全和支持性的生活环境之间，同时在促进独立性和促进改造方面之间的共同张力。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号