Performing an Organizational Health Literacy Assessment in a Shelter Serving People with Mental Illness.
Performing an Organizational Health Literacy Assessment in a Shelter Serving People with Mental Illness.
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DOI：
10.3928/24748307-20220615-01
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发表时间：
2022-07
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健康素养研究和实践不断发展。最近的调查强调了严重精神疾病患者（SMI）面临的繁重的识字需求。系统、组织运作和结构可以在减少识字需求方面发挥作用，从而减少重度精神障碍患者不必要的挑战。进行了一次组织卫生知识评估，以探讨在一个精神卫生收容所的识字需求，并揭示了改善识字环境的最佳做法行动步骤。该评估包括使用健康素养环境活动包，第一次即时和步行采访，和一个常用的住房文件，使用简单的测量Gobbledygook（SMOG），材料的适用性评估（SAM）和疾病控制和预防中心（CDC）指数的住房环境的探索。收容所环境和常用文件的识字要求超过了重度精神障碍患者的识字能力。环境评估揭示了环境促进因素（例如，欢迎的气氛）和障碍（例如，标识不清）。文件评估还揭示了促进因素和障碍。SMOG得分范围为11.25至11.80（中位数：11.38），这意味着需要11至12年级水平的阅读技能来理解，使用和采取行动的文件的内容。SAM得分为50%（足够）和CDC指数得分为42.1（修订和改进）表明材料包含两个促进因素（例如，分块的部分）和屏障（例如，行话、不匹配的图形）来使用。系统需求和重度精神障碍患者的读写能力之间的不匹配比美国普通人群更严重。组织健康素养评估是可以实现的，对于旨在了解和改善心理健康空间的组织健康素养的短期和长期行动都是有用的。需要进一步开展工作，探索行为健康服务在解决抑制治疗和康复的机构和方案扫盲需求方面的作用。[HLRP健康素养研究与实践。2022;6（3）：e167-e174.]一个组织的健康素养评估揭示了如何系统的需求可以改变，以更好地服务于预期的用户。从事心理健康，康复和治疗服务需要复杂的识字技能。一般来说，美国成年人不具备满足这些需求的技能，在公共精神卫生服务使用者中尤其如此。
Health literacy research and practice are constantly evolving. Recent inquiry has highlighted the burdensome literacy demands faced by people with serious mental illness (SMI). Systems, organizational operations, and structures can play a role in decreasing literacy demand, thereby reducing unnecessary challenges for people with SMI. An organizational health literacy assessment was conducted to explore literacy demands in one mental health shelter and revealed best practice action steps for improving the literacy environment. The assessment included an exploration of the shelter environment using The Health Literacy Environment Activity Packet, First Impressions & Walking Interview, and a commonly used shelter document using the Simple Measure of Gobbledygook (SMOG), Suitability Assessment of Materials (SAM), and Centers for Disease Control and Prevention (CDC) Index. The literacy demands of the shelter environment and a frequently used document exceeded the literacy skills of people with SMI. Environment assessment revealed environmental facilitators (e.g., welcoming atmosphere) and barriers (e.g., unclear signage). Document assessment also revealed facilitating factors and barriers. SMOG scores ranged from 11.25 to 11.80 (median: 11.38), meaning 11th to 12th grade-level reading skills are required to understand, use, and take action on the document's content. A SAM score of 50% (adequate) and a CDC Index score of 42.1 (revise and improve) reveal materials contain both facilitating factors (e.g., chunked sections) and barriers (e.g., jargon, mismatched graphics) to use. The mismatch between system demands and the literacy skills of people with SMI is more profound than that of the general United States population. Organizational health literacy assessments are achievable and useful for both immediate and long-term action aimed at understanding and improving the organizational health literacy of mental health spaces. Further work is needed to explore the role of behavioral health services in addressing the institutional and programmatic literacy demands that inhibit treatment and recovery. [HLRP: Health Literacy Research and Practice. 2022;6(3):e167–e174.] An organizational health literacy assessment reveals how system demands can be changed to better serve intended users. Engaging in mental health, recovery, and treatment services requires complex literacy skills. Generally, the U.S. adult population does not have the skills to meet such demands, and this is especially true among public mental health service users.