• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文OA文献 >Working effectively with patients with comorbid mental illness and substance abuse: a case study using a structured motivational behavioural approach
【2h】

Working effectively with patients with comorbid mental illness and substance abuse: a case study using a structured motivational behavioural approach

机译：与患有合并症的精神疾病和药物滥用患者有效合作：使用结构化动机行为方法的案例研究

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务，本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文，但由于OA文献来源多样且变更频繁，仍可能出现获取不到、文献不完整或与标题不符等情况，如果获取不到我们将提供退款服务。请知悉。
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

This case describes the use of innovative person-centred motivational behaviour change tools to enhance chronic condition self-management with a person with chronic paranoid schizophrenia, significant drug abuse and multiple psychosocial issues. In standard care, the complexity of this patient’s presentation, their cognitive impairment level and history of violence would likely exclude them from many therapies and treatment programs as unsuitable or in the “too hard” basket. In fact, using a motivational and highly person-centred approach proved to be extremely necessary and rewarding for the person and their mental health worker. This approach provided a clear structure, actual tools and a clear rationale for what many would argue, yet is often ill-defined, was “just good clinical practice”. However, it also facilitated the development of “something special” in the relationship between the person and their worker that is central to person-centred care. Through a semistructured, motivational, sequential process that encouraged gradual disclosure and greater self-awareness by the client and active listening by the worker, greater collaboration and shared responsibility was enhanced.
机译：本案例描述了以创新的以人为中心的动机行为改变工具的使用，以增强患有慢性偏执型精神分裂症，严重滥用毒品和多种社会心理问题的人的慢性病自我管理。在标准护理中，该患者陈述的复杂性，他们的认知障碍水平和暴力史可能会将他们排除在不合适或“过于艰苦”的治疗方案之外。实际上，使用激励性和高度以人为本的方法被证明是非常必要的，对个人及其精神卫生工作者是有益的。这种方法提供了清晰的结构，实际的工具和清晰的理由，许多人认为，“只是良好的临床实践”，但往往是不确定的。但是，这也促进了以人为本的护理至关重要的人与工人之间关系中“特殊事物”的发展。通过半结构化，激励性，顺序性的过程，鼓励客户逐步披露信息，增强客户的自我意识以及工人的积极倾听，从而增强了协作和共同承担责任。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

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