Understanding consumer participation in mental health: Issues of power and change
Understanding consumer participation in mental health: Issues of power and change
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DOI：
10.1111/j.1447-0349.2010.00719.x
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发表时间：
2011-06-01
影响因子：
5.6
通讯作者：
Bloomer, Melissa
中科院分区：
文献类型：
--
作者：
Bennetts, Wanda;Cross, Wendy;Bloomer, Melissa
消费者参与维多利亚州所有公共精神卫生服务。地区心理健康服务聘请消费者顾问，以提高整个网络的消费者参与。管理层的持续支持对消费者参与的成功至关重要。本课题旨在从管理者的角度探讨对消费者参与的理解。半结构化访谈进行了七名参与者在这个定性，解释性研究。专题分析揭示了界定消费者参与的复杂性，并说明了管理者、服务提供者和消费者之间为什么没有真实的明确消费者参与应该是什么样子的困难和可能的原因。权力和变革是主要的主题。权力和压倒性的共识，即医学模式和那些在其中工作的人拥有最大的权力，在这项研究中得到了强烈的体现。立法和工作场所环境被认为是在已经丧失权能的精神卫生系统中进一步削弱消费者权能的重要因素。变化是出现的另一个主题，旧的“制度化”思想的文化和态度仍然弥漫在一些心理健康服务领域，被视为变化的主要障碍。消费者顾问的作用是一个突出的次主题，他们在培训和教育工人方面的作用被视为促进消费者参与的一个重要和积极的途径。这些调查结果表明，管理人员认为，通过集体行动和游说，并通过消费者参与服务的限制较少的部分（社区设置），消费者有希望。
Consumer participation occurs in all Victorian public mental health services. Area mental health services employ consumer consultants to enhance consumer participation across the network. Ongoing support of management is essential to the success of consumer participation. This project aimed to explore understandings of consumer participation from a manager's perspective. Semistructured interviews were conducted with seven participants in this qualitative, interpretive study. The thematic analysis revealed the complexities around defining consumer participation and demonstrated the difficulties and possible reasons as to why there is no real clarity between managers, service providers, and consumers as to what consumer participation should look like. Power and change were the primary themes. Power and the overwhelming consensus that the medical model and those working within it hold the most power was strongly represented in this study. Legislation and workplace settings were seen as considerable factors adding to the disempowerment of consumers within an already disempowering mental health system. Change was the other main theme that emerged, with culture and attitudes of the old 'institutionalized' thinking that still pervades some pockets of mental health services being seen as the major barriers to change. The role of the consumer consultant was a prominent subtheme, with their role in training and the education of workers seen as an essential and positive way to progress consumer participation. These findings demonstrate that managers consider there to be hope for consumers, brought about by collective action and lobbying, and through consumer participation in less-restrictive parts of the service (community settings).