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Supervised community treatment: Does it facilitate social inclusion? A perspective from approved mental health professionals (AMHPs)(Review)

机译:有监督的社区待遇:这是否有助于社会包容?获批准的精神卫生专业人员(AMHP)的观点(综述)

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Purpose-This paper aims to set out the views of approved mental health professionals (AMHPs) on the impact of supervised community treatment (SCT) on their work and their patients' lives in the community. Design/methodology/ approach-The study covered a total of 56 community treatment order (CTO)-related activities undertaken in 2010 in a local social services authority (LSSA) in the north west of England, and looked at data from the records of 25 CTO patients. Nine AMHPs responded to a CTO outcomes questionnaire and five participated in a focus group. Findings-The characteristics of CTO patients in this LSSA study were consistent with national data. AMHPs were often undecided about the benefits of CTOs to their patients. A majority agreed that CTOs could benefit patients by earlier identification of relapse, improving access to housing and reducing the risk of avoidable harm to self or others. However, a majority also agreed that CTOs had not improved patients' access to employment, education, training or recreational activities; nor had they helped reduce the stigma and discrimination that patients faced. Research limitations/ implications-This was a relatively small-scale study. However, its findings are consistent with previous work in this area, and provide pointers to how SCT can be more effectively implemented across England. Originality/value-There is very little published research into the impact of SCT in England. Although small in scale, this study provides valuable insights into the views of AMHPs, who play a core role in the CTO process.
机译:目的-本文旨在针对经监督的社区治疗(SCT)对他们的工作和患者在社区中生活的影响,提出认可的心理健康专业人员(AMHP)的观点。设计/方法/方法-该研究涵盖了2010年在英格兰西北部的地方社会服务局(LSSA)中进行的总共56项与社区治疗令(CTO)相关的活动,并查看了25项记录中的数据CTO患者。 9名AMHP对CTO结果问卷进行了回复,其中5人参加了焦点小组。调查结果-这项LSSA研究中CTO患者的特征与国家数据一致。 AMHP通常对CTO对患者的益处尚无定论。多数人同意,CTO可以通过及早发现复发,改善获得住房的机会并减少对自身或他人造成可避免伤害的风险而使患者受益。但是,大多数人还同意,首席技术官并没有改善患者获得就业,教育,培训或娱乐活动的机会;他们也没有帮助减少患者面临的污名和歧视。研究局限性/影响-这是一个相对较小的研究。但是,其发现与该领域的先前工作相一致,并为如何在整个英格兰更有效地实施SCT提供了指导。原创性/价值-关于SCT在英国的影响的已发表研究很少。尽管规模很小,但这项研究为AMHP的观点提供了宝贵的见解,而AMHP在CTO流程中起着核心作用。

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