Sweet Mother: evaluation of a pilot mental health service for asylum-seeking mothers and babies
Sweet Mother: evaluation of a pilot mental health service for asylum-seeking mothers and babies
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DOI：
10.1108/17465721211289392
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发表时间：
2012-01-01
影响因子：
1.4
通讯作者：
Rahman, Atif
中科院分区：
文献类型：
--
作者：
O'Shaughnessy, Ruth;Nelki, Julia;Rahman, Atif
目的--本文件旨在描述对寻求庇护的母亲及其婴儿第一年的创新试点精神健康服务的评估，并强调在干预这一群体时面临的挑战和可能性。设计/方法/方法--基于参与性行动研究框架设计了一种混合方法评估，将母亲及其婴儿视为研究过程的积极参与者。评估包括反思性婴儿主导的会议评估、关怀指数视频微观分析和反思性焦点小组讨论。护理指数分析由一名训练有素的心理学家和一名外部编码员进行，以确保结果的可靠性。对重点小组的讨论进行了主题分析，并对以婴儿为主导的反思会议的评价进行了评分，以供比较。定性数据为这一群体的治疗干预的益处提供了丰富的叙述，CARE指数分析和会议评估重申了这一点。研究限制/影响-作为一项试点服务，这项评估涉及的人数很少。此外，缺乏以英语以外的语言验证的测量工具，迫使人们依赖自己设计的工具，如反思性婴儿主导的会议评估，旨在补充干预的“把婴儿放在心上”的精神。这一点得到了CARE指数分析和定性焦点小组讨论的补充。计量工具和数据分析工具的结合全面显示了这一试点干预措施的影响。实际影响--为难民和寻求庇护的妇女及其婴儿建立早期干预治疗服务的好处和挑战被详细介绍和思考。希望通过记录经验和调查结果，正在建立一个证据基础，以支持未来创新服务模式的发展。社会影响--满足难民和寻求庇护妇女及其婴儿的需要的政策愿望确定了提供以权利为基础、人道和以人为中心的服务的必要性。这里描述的试点模式满足了这些愿望，并可用作其他服务可借鉴的适应性和响应性模式。原创性/价值--本白皮书提供了一项全面的服务评估，强调了支持提供针对难民和寻求庇护的妇女及其婴儿的保健和社会护理服务的关键政策和实践影响。
Purpose - This paper aims to describe the evaluation of an innovative pilot mental health service for asylum seeking mothers and their babies in their first year of life, and to highlight the challenges and possibilities when intervening with this group.Design/methodology/approach - A mixed-methods evaluation was designed based upon the participatory action research framework, viewing mothers and their infants as active participants in the research process. Evaluation comprised reflective infant-led session evaluations, CARE Index video microanalysis, and reflective focus group discussions. CARE Index analysis was conducted by a trained Psychologist and an external coder to ensure reliability of findings. Focus group discussions were thematically analysed, and reflective infant-led session evaluations scored for comparison.Findings - Evaluation has highlighted the imperative of designing responsive service models able to adapt to cultural nuances and the realities of asylum seekers' lives. Qualitative data provide a rich narrative of the benefits of therapeutic interventions for this group, which are reaffirmed by CARE Index analysis and session evaluations.Research limitations/implications - As a pilot service the numbers involved in this evaluation are small. Furthermore, a paucity of measurement tools validated in languages other than English forced reliance upon self-designed tools such as the reflective infant-led session evaluation designed to complement a "keeping the baby in mind'' ethos of the intervention. This has been complemented by CARE Index analysis and qualitative focus group discussions. The combination of measurement instruments and data analysis tools provides a comprehensive indication of the impact of this pilot intervention.Practical implications - The benefits and challenges of establishing an early-intervention therapeutic service for refugee and asylum seeking women and their infants are detailed and reflected upon. It is hoped that by chronicling the experience and findings an evidence base is being built to support development of future innovative service models.Social implications - Policy aspirations to meet the needs of refugee and asylum seeking women and their infants identify the need to provide rights-based, humane and person-centred services. The pilot model described here meets these aspirations and can be used as an adaptable and responsive model upon which other services can draw.Originality/value - The paper provides a comprehensive service evaluation, highlighting key policy and practice implications to support the delivery of health and social care services targeting refugee and asylum seeking women and their infants.