Abstract：
Although Northern Ireland has high levels of mental health problems, there has been a relative lack of systematic research on mental health services that can provide an evidence base for legal, policy, and service developments. This article aims to provide a review of the central issues relating to mental health service provision in Northern Ireland, and to gather the perceptions of different stakeholders of these services. The study utilised in-depth qualitative interviews, focus groups, and an online survey to collect data from respondents throughout the region. This method involved the completion of semistructured interviews with significant mental health commissioners and senior managers, and with service-users and their key workers. Focus groups sessions were also completed with mental health professionals, service-users, and carers. Data collection occurred between December 2014 and June 2015. Thematic analysis was used to identify key issues. The findings identified that considerable progress had been made not only in the development of mental health services in the last decade, but also highlighted the significant limitations in current services. Most notably, strengths in provision included the transition from long-stay hospital care to community-based services and person-centred approaches. The researchers identified the need to improve funding, address problems with fragmentation, and gaps in service provision. Based on these findings, the authors consider the implications for practice and policy relating to the human and organisational aspects of service development. In particular, services should be developed focusing on a recovery ethos and on person-centred and relationship-based approaches. The needs of carers should additionally be considered and programmes developed to tackle stigma.
摘要：
尽管北爱尔兰存在严重的心理健康问题，关于精神卫生服务的系统研究相对缺乏，这些研究可以为法律提供证据基础，政策,和服务发展。本文旨在对北爱尔兰与精神卫生服务提供有关的中心问题进行审查，并收集这些服务的不同利益相关者的看法。这项研究利用了深入的定性访谈，焦点小组,以及一项在线调查，从整个地区的受访者那里收集数据。这种方法包括完成与重要的心理健康专员和高级管理人员的半结构化访谈，以及服务用户和他们的关键员工。焦点小组会议也与精神卫生专业人员一起完成，服务用户，和照顾者。数据收集发生在2014年12月至2015年6月之间。使用主题分析来确定关键问题。调查结果发现，过去十年来，不仅在精神卫生服务的发展方面取得了相当大的进展，但也强调了当前服务的重大局限性。最值得注意的是,提供的优势包括从长期住院护理过渡到基于社区的服务和以人为本的方法。研究人员发现需要改善资金，解决碎片化问题，以及服务提供方面的差距。基于这些发现,作者考虑了与服务发展的人和组织方面有关的实践和政策的含义。特别是,服务的开发应侧重于恢复精神和以人为本和基于关系的方法。还应考虑护理人员的需求，并制定解决污名的方案。
