An explanatory model of factors enabling sustainability of let's talk in an adult mental health service: a participatory case study
An explanatory model of factors enabling sustainability of let's talk in an adult mental health service: a participatory case study
复制标题
DOI：
10.1186/s13033-020-00380-9
复制
发表时间：
2020-07-09
影响因子：
3.6
通讯作者：
Goodyear, Melinda
中科院分区：
文献类型：
--
作者：
Allchin, Becca;O'Hanlon, Brendan;Goodyear, Melinda
背景虽然已经制定了有效的干预措施，以支持父母有精神疾病的家庭在成人精神卫生服务，嵌入和维持它们是具有挑战性的，导致家庭无法获得支持。这项研究开发了一个解释模型的影响者，使可持续性的让我们谈谈干预一个服务。方法采用参与式案例研究，建立一个解释性的模型，在服务的可持续性，使用理论框架。定性和定量数据收集从业者的做法和组织的实施过程和能力，以支持实践。当地的一个研究小组与研究人员合作，通过描述、分析和解释，使用转换数据的方法。结果影响者可分为四大类：（1）外部社会、政治和金融环境，（2）资源，（3）先前的组织能力和（4）可持续性因素，最后一类可持续性因素又分为三个亚类：（4.1）从业者，（4.2）组织和（4.3）家长-客户。这些类别构成了持续从业者实践和组织能力的关键影响者的解释模型的一部分，以支持实践。结论和实践的影响在这个案例研究中，预先存在的组织环境沿着从业者，组织和家长-客户因素一起影响可持续性。结果表明，可持续性更有可能得到支持，既连接让我们谈谈现有的组织身份，能力，结构和关系，并支持相互适应，以提高适合。此外，通过理解挫折是常见的，需要不断调整，实施者能够对可持续性有现实的期望。
Background While effective interventions have been developed to support families where a parent has a mental illness in Adult Mental Health Services, embedding and sustaining them is challenging resulting in families not having access to support. This study developed an explanatory model of influencers that had enabled sustainability of the Let's Talk intervention in one service. Methods A participatory case study was used to build an explanatory model of sustainability at the service using theoretical frameworks. Qualitative and quantitative data was collected about practitioner's practice and the organisation's implementation process and capacity to support practice. A local research group worked with the researcher using a transforming data approach through description, analysis and interpretation. Results Influencers were grouped into four major categories: (1)External social, political and financial context,(2)Resources,(3)Prior organisational capacityand (4)Sustainability Factors.The last category,Sustainability factors,was divided into three subcategories:(4.1)Practitioner(4.2) Organisationand (4.3) Parent-Client. These categories form part of an explanatory model for the key influencers of continued practitioner practice and organisational capacity to support practice. Conclusions and implications for practice In this case study, the pre-existing organisational context along with practitioner, organisation and parent-client factors operated together to influence sustainability. The results suggest that sustainability is more likely to be supported by both linking Let's Talk to existing organisational identity, capacity, structures and relationships and by supporting mutual adaptations to improve the fit. Additionally, by understanding that setbacks are common and ongoing adjustments are needed, implementers are able to have realistic expectations of sustainability.