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首页> 外文期刊>The International journal of drug policy >Thresholds in a low-threshold setting: An empirical study of barriers in a centre for people with drug problems and mental health disorders
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Thresholds in a low-threshold setting: An empirical study of barriers in a centre for people with drug problems and mental health disorders

机译：低阈值情况下的阈值：对有毒品问题和精神健康障碍的人中心的障碍进行的经验研究

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Background: Some services for drug users with mental health disorders can be characterised as low-threshold services. These aim at making help easily accessible for people who are not able to request help from services at higher levels. In this study we examine what kind of thresholds are experienced by clients at a low-threshold centre. Methods: Ethnographic field work, including participant observation, individual interviews and focus group interviews with clients and staff in a low-threshold centre for the most vulnerable drug users in Oslo were employed. Results: Our analyses agree with other studies in showing that the following three thresholds are significant, also in services for drug users with mental health disorders: the registration threshold, the competence threshold and the threshold of effectiveness. In addition to these, we suggest that a fourth threshold is of importance for this group: the threshold of trust. In the low-threshold centre we studied, we observed that for the clients, crossing the threshold of trust seemed to be an essential precondition for subsequently being able to cross the other thresholds in order to receive the help they need. We suggest that focus on the four thresholds can improve our understanding of clients' access to services. We also suggest that processes of recovery may be improved if increased attention is given to the barriers that clients experience. Conclusion: The threshold of trust seems to be particularly important for people suffering from drug problems and mental health disorders. The results have implications both for practice and policy because if taken seriously into consideration, more clients could access the services they need. Services for this group may be improved by focusing on the fourth threshold: trust.
机译：背景：一些针对精神疾病患者的服务可以称为低门槛服务。这些旨在使无法向更高级别的服务寻求帮助的人们可以轻松获得帮助。在这项研究中，我们研究了低阈值中心的客户经历了什么样的阈值。方法：采用人种学现场工作，包括参加者观察，在低阈值中心针对奥斯陆最脆弱吸毒者的客户和员工进行的个人访谈和焦点小组访谈。结果：我们的分析与其他研究一致，显示以下三个阈值很重要，对于精神健康障碍的吸毒者服务也是如此：注册阈值，能力阈值和有效性阈值。除了这些，我们建议第四个阈值对该组很重要：信任阈值。在我们研究的低门槛中心中，我们观察到对于客户而言，跨越信任门槛似乎是随后能够越过其他门槛以便获得他们所需帮助的必要前提。我们建议专注于这四个阈值可以增进我们对客户获得服务的了解。我们还建议，如果更多地关注客户遇到的障碍，可以改善恢复过程。结论：信任的门槛对于患有毒品问题和精神疾病的人们似乎尤其重要。结果对实践和政策都有影响，因为如果认真考虑，更多的客户可以访问他们需要的服务。通过关注第四个阈值：信任，可以改善针对该组的服务。

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