Consumer providers' experiences of recovery and concerns as members of a psychiatric multidisciplinary outreach team: A qualitative descriptive study from the Japan Outreach Model Project 2011-2014.
Consumer providers' experiences of recovery and concerns as members of a psychiatric multidisciplinary outreach team: A qualitative descriptive study from the Japan Outreach Model Project 2011-2014.
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DOI：
10.1371/journal.pone.0173330
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发表时间：
2017
期刊：
影响因子：
3.7
通讯作者：
Kayama M
中科院分区：
文献类型：
--
作者：
Kido Y;Kayama M
本研究的目的是澄清消费者提供者（CP）的主观经验，作为一个精神科多学科外展团队，提供服务的个人与精神疾病生活在社区的成员。定性描述性研究是通过半结构式访谈进行的。参与者是2011年9月至2014年3月期间在日本外联模式项目中被聘为合作伙伴的客户。在17名CP中，有9名参与了本研究。我们研究了CP对实现和困难的主观体验。在提供服务的过程中，社区协商者既有成就，也有关切。他们有一种成就感，照顾他们的客户，他们经历了他们自己正在恢复。他们亦关注到，他们缺乏足够的知识和技能，为病人提供精神科服务。此外，人们还担心他们在多学科团队中的双重角色，以及在他们自己仍在使用心理健康服务的同时作为支持人员。结果表明，合作伙伴的活动包括履行，恢复和困境。澄清可能有助于增进协商进程与其他专业人员之间的理解与合作。需要进一步的研究来调查与心理健康消费者相关的政策，他们也是心理健康服务的提供者。
The objective of this study was to clarify consumer providers (CPs) subjective experiences as members of a psychiatric multidisciplinary outreach team that provided services to individuals with a mental illness living in the community. A qualitative descriptive study was conducted through semi-structured interviews. Participants were clients hired as CPs in the Japanese Outreach Model Project from September 2011 until March 2014. Of the seventeen CPs, nine participated in this study. We looked at the CPs' subjective experiences of fulfillment and difficulty. In the process of providing services, CPs experienced both achievements and concerns. They had a sense of achievement by caring for their clients and they experienced that they themselves were recovering. They were also concerned about having inadequate knowledge and skills to provide psychiatric services to their clients. Further, there were concerns about their dual role on the multidisciplinary team and being support staff while they were still using mental health services themselves. The results show that the activities of CPs included fulfillment, recovery, and dilemmas. Clarifications will likely contribute to an increase in understanding and cooperation between CPs and other professionals with whom they work. Further studies are needed to investigate policies related to mental health consumers who are also providers of mental health services.