Considerations when offering mental health first aid to a person with an intellectual disability: a Delphi study.
Considerations when offering mental health first aid to a person with an intellectual disability: a Delphi study.
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DOI：
10.1186/s40359-021-00518-5
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发表时间：
2021-02-12
期刊：
影响因子：
3.6
通讯作者：
Kelly CM
中科院分区：
文献类型：
--
作者：
Bond KS;Cottrill FA;Kelly L;Broughan J;Davies K;Ross AM;Kelly CM
智力残疾者的心理健康问题发生率较高，但在接受专业帮助方面存在重大障碍。增加支持他们的人的知识和技能有助于减少其中一些障碍。本研究旨在制定为智障人士提供心理健康急救的指导方针。使用德尔菲研究方法，进行了网站，书籍和期刊文章的系统搜索，以开发一个调查，包含项目的知识，技能和行动需要帮助一个人与智力残疾谁是经历心理健康问题。专家小组在三轮调查中根据这些项目是否应列入准则对它们进行了评级。53名专家完成了所有三轮调查（67%的留存率）。在三轮评估中，共对202个项目进行了评分，得出170个认可项目，并将其纳入准则。制定的准则强调需要认识到智障人士心理健康问题的独特迹象，并为智障人士提供适当的支持，沟通和尊重。这些准则还将建设照料者的能力，以解决令人关切的行为、社会限制行为或在需要时寻求专业帮助。该指南将用于开发心理健康急救课程。该指南和由此产生的心理健康急救课程将是一个有用的资源，有可能解决智力残疾者寻求心理健康帮助的一些障碍。
People with an intellectual disability experience higher rates of mental health problems, but experience significant barriers to receiving professional help. Increasing the knowledge and skills of those who support them can help to reduce some of these barriers. This study aimed to develop guidelines for offering mental health first aid to a person with an intellectual disability. Using the Delphi research method, a systematic search of websites, books and journal articles was conducted to develop a survey containing items about the knowledge, skills and actions needed for assisting a person with an intellectual disability who is experiencing mental health problems. These items were rated over three survey rounds by an expert panel according to whether they should be included in the guidelines. Fifty-three experts completed all three survey rounds (67% retention rate). A total of 202 items were rated over the three rounds to yield 170 endorsed items that were incorporated into the guidelines. The developed guidelines emphasise the need to recognise the unique signs of mental health problems in people with an intellectual disability, and provide appropriate support, communication and respect for people with an intellectual disability. The guidelines will also build the capacity of carers to address behaviours of concern, socially limiting behaviours or seeking professional help when the need arises. The guidelines will be used to develop a mental health first aid course. The guidelines and the resultant mental health first aid course will be a helpful resource with the potential to address some of the barriers to mental health help-seeking that people with an intellectual disability experience.
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