Exploring the potential of civic engagement to strengthen mental health systems in Indonesia (IGNITE): a study protocol.
Exploring the potential of civic engagement to strengthen mental health systems in Indonesia (IGNITE): a study protocol.
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DOI：
10.1186/s13033-018-0227-x
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发表时间：
2018
影响因子：
3.6
通讯作者：
Lovell K
中科院分区：
文献类型：
--
作者：
Brooks H;James K;Irmansyah I;Keliat BA;Utomo B;Rose D;Colucci E;Lovell K
印度尼西亚因残疾或因精神分裂症过早死亡而损失的寿命年数比世界上任何其他国家都高。超过90%的精神病患者没有得到任何治疗，数以万计的精神病患者被非法拘留在家里。公民参与是世界卫生组织最近全球战略的核心部分，有可能通过发展以人为中心的护理模式来应对其中一些挑战。这项研究的目的是开发一个可测试的系统水平，文化上适当的公民参与框架，用于印度尼西亚雅加达和茂物，以加强当地的精神卫生服务。将在印度尼西亚的两个研究地点(雅加达和茂物)分四个阶段进行以现实主义方法为基础的混合方法研究。第一阶段将通过对现有证据进行系统审查，探讨在整个东南亚地区公民参与的使用情况。通过对300名精神卫生专业人员的调查，第二阶段将确定利益相关者、合作来源和专业人员在当地精神卫生系统内制定决策时使用的证据，并确定该系统内公民参与的潜在机会。为了探索公民参与在印度尼西亚精神卫生服务中的潜在用途，并确定文化上合适的框架的优先事项，第三阶段将开展两个重点小组，参与者包括有精神病经历或照顾精神病患者的人(n = 20-30)。国家(n = 5)和地方一级(n = 10-15/站点)的专业人员和其他关键决策者也将参加半结构化面试。第四阶段将通过与主要利益攸关方协作综合第一阶段至第三阶段的证据，共同制定供印度尼西亚使用的公民参与框架。公民参与是低收入和中等收入国家的保健服务可以通过发展以人为中心的护理模式来解决精神健康问题负担的一种潜在方式。然而，这种方法在印度尼西亚还没有得到充分的探索。这项研究将与当地利益攸关方合作，设计一个可测试的公民参与框架，用于印度尼西亚的精神健康服务。本文的在线版本(10.1186/s13033-0180227-x)包含补充材料，可供授权用户使用。
Indonesia has the highest rate of years of life lost to disability or early death from Schizophrenia than any other country in the world. More than 90% of people with mental illness do not get any treatment and tens of thousands of people with psychosis are illegally detained (‘pasung’) in the family home. Civic engagement, a core part of the recent World Health Organisation global strategy, has the potential to address some of these challenges through the development of person-centered models of care. The aim of the study is to develop a testable systems level, culturally appropriate, civic engagement framework for use in Jakarta and Bogor, Indonesia to strengthen local mental health services. A mixed methods study underpinned by a realist approach will be undertaken across four phases in two study sites in Indonesia (Jakarta and Bogor). Phase 1 will explore the use of civic engagement across South East Asia by conducting a systematic review of existing evidence. By surveying 300 mental health professionals, phase 2 will identify the stakeholders, the sources of collaboration and the evidence used by professionals in decision making within local mental health systems and identify potential opportunities for civic engagement within the system. In order to explore the potential use of civic engagement within Indonesian mental health services and identify priorities for a culturally appropriate framework, phase 3 will undertake two focus groups with participants with experience of psychosis or caring for someone with psychosis (n = 20–30). Professionals and other key decision makers in a range of roles across the system at a national (n = 5) and local level (n = 10–15/site) will also take part in semi-structured interviews. Phase 4 will co-produce a civic engagement framework for use in Indonesia by synthesising evidence from phases 1–3 collaboratively with key stakeholders. Civic engagement is a potential way in which health services in low and middle income countries can address the burden of mental health conditions through the development of person-centred models of care. However, such approaches are underexplored in Indonesia. This study will work with local stakeholders to design a testable civic engagement framework for use in mental health services in Indonesia. The online version of this article (10.1186/s13033-018-0227-x) contains supplementary material, which is available to authorized users.
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影响因子：
3.2
作者：
Chong HY;Teoh SL;Wu DB;Kotirum S;Chiou CF;Chaiyakunapruk N
通讯作者：
Chaiyakunapruk N
DOI：
10.1080/13645579.2016.1144401
发表时间：
2017-01-01
影响因子：
3.3
作者：
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通讯作者：
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DOI：
10.1136/bmj.a1655
发表时间：
2008-09-29
期刊：
BMJ (Clinical research ed.)
影响因子：
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作者：
Craig P;Dieppe P;Macintyre S;Michie S;Nazareth I;Petticrew M;Medical Research Council Guidance
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影响因子：
3.7
作者：
Godin K;Stapleton J;Kirkpatrick SI;Hanning RM;Leatherdale ST
通讯作者：
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影响因子：
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作者：
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