The impact of organizational factors on mental health professionals' involvement with families.
The impact of organizational factors on mental health professionals' involvement with families.
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组织因素对心理健康专业人员参与家庭的影响。
DOI：
10.1176/ps.48.7.921
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发表时间：
1997
期刊：
影响因子：
--
通讯作者：
Wright,ER
中科院分区：
文献类型：
--
作者：
Wright,ER
目的运用组织行为学框架，探讨态度、职业和组织因素对心理健康专业人员家庭参与的影响。方法数据来自于1991年至1993年间对印第安纳波利斯最大的公立医院和最大的私立医院的精神科工作人员进行的一项调查，该调查是印第安纳波利斯网络心理健康研究的一部分。对184名提供直接护理的临床医生的反馈进行多元回归分析，以评估他们对家庭的态度、工作特征和组织工作环境对他们与来访者家庭接触数量的影响。结果医务人员对家庭的态度对其与家庭接触的频率无显著影响。工作和组织因素是最强的预测因素。具体来说，作为一名社会工作者或治疗师，在白班和夜班上工作，与家庭的关系就会增加。工作人员对其单位运作好坏的看法也与与家人接触的频率呈正相关。结论心理健康机构的组织环境对专业人员参与来访者家庭的程度有显著影响。管理人员和政策制定者应该仔细考虑工作环境如何鼓励或限制心理健康专业人员更多地参与客户家庭的能力和意愿。
ObjectiveDrawing on an organizational behavior framework, this study explored the impact of attitudinal, occupational, and organizational factors on mental health professionals' involvement with clients' families.MethodsData came from a survey conducted with psychiatric staff at the largest public hospital and the largest private hospital in Indianapolis between 1991 and 1993 as part of the Indianapolis network mental health study. Responses of 184 clinicians who provided direct care were analyzed using multiple regression to assess the impact of their attitudes toward families, job characteristics, and organizational work environment on the amount of contact they had with clients' families.ResultsProviders' attitudes toward families had no significant effect on the frequency of their contact with families. Job and organizational factors were the strongest predictors. Specifically, being a social worker or therapist and working on day and evening shifts were associated with increased involvement with families. Staff members' perceptions of how well their unit functioned were also positively correlated with frequency of contact with families.ConclusionsThe organizational environment in mental health agencies has a significant influence on the extent to which professionals become involved with clients' families. Administrators and policy makers should give careful consideration to how the work environment encourages or limits mental health professionals' abilities and willingness to get more involved with clients' families.