PDF(Pubmed)
Abstract：
BACKGROUND: Psychotic symptoms may be less common than anxiety or affective symptoms, but they are still frequent and typically highly debilitating. Community members can have a role in helping to identify, offer initial help and facilitate access to mental health services of individuals experiencing psychosis. Mental health first aid guidelines for helping a person experiencing psychosis have been developed for the global north. This study aimed to adapt the English- language guidelines for Chile and Argentina.
METHODS: A Delphi expert consensus study was conducted with two panels of experts, one of people with lived experience of psychosis (either their own or as a carer; n = 29) and another one of health professionals (n = 29). Overall, 249 survey items from the original English guidelines and 26 items suggested by the local team formed a total of 275 that were evaluated in the first round. Participants were invited to rate how essential or important those statements were for Chile and Argentina, and encouraged to suggest new statements if necessary. These were presented in a second round. Items with 80% of endorsement by both panels were included in the guidelines for Chile and Argentina.
RESULTS: Data were obtained over two survey rounds. Consensus was achieved on 244 statements, including 26 statements locally generated for the second round. Almost 20% of the English statements were not endorsed (n = 50), showing the applicability of the original guidelines but also the importance of culturally adapting them. Attributions and tasks expected to be delivered by first aiders were shrunk in favour of a greater involvement of mental health professionals. Self-help strategies were mostly not endorsed and as were items relating to respecting the person\'s autonomy.
CONCLUSIONS: While panellists agreed that first aiders should be aware of human rights principles, items based on recovery principles were only partially endorsed. Further research on the dissemination of these guidelines and development of a Mental Health First Aid training course for Chile and Argentina is still required.
METHODS: A Delphi expert consensus study was conducted with two panels of experts, one of people with lived experience of psychosis (either their own or as a carer; n = 29) and another one of health professionals (n = 29). Overall, 249 survey items from the original English guidelines and 26 items suggested by the local team formed a total of 275 that were evaluated in the first round. Participants were invited to rate how essential or important those statements were for Chile and Argentina, and encouraged to suggest new statements if necessary. These were presented in a second round. Items with 80% of endorsement by both panels were included in the guidelines for Chile and Argentina.
RESULTS: Data were obtained over two survey rounds. Consensus was achieved on 244 statements, including 26 statements locally generated for the second round. Almost 20% of the English statements were not endorsed (n = 50), showing the applicability of the original guidelines but also the importance of culturally adapting them. Attributions and tasks expected to be delivered by first aiders were shrunk in favour of a greater involvement of mental health professionals. Self-help strategies were mostly not endorsed and as were items relating to respecting the person\'s autonomy.
CONCLUSIONS: While panellists agreed that first aiders should be aware of human rights principles, items based on recovery principles were only partially endorsed. Further research on the dissemination of these guidelines and development of a Mental Health First Aid training course for Chile and Argentina is still required.
摘要：
背景：精神病症状可能不如焦虑或情感症状常见，但它们仍然很频繁，通常会使人非常虚弱。社区成员可以在帮助识别，提供初步帮助，并为患有精神病的人提供心理健康服务。已经为全球北方制定了帮助患有精神病的人的心理健康急救指南。这项研究旨在适应智利和阿根廷的英语语言指南。
方法：由两个专家小组进行了Delphi专家共识研究，一个有精神病生活经验的人（他们自己或作为照顾者；n=29）和另一个卫生专业人员（n=29）。总的来说,最初的英语指南中的249个调查项目和当地团队建议的26个项目组成了总共275个在第一轮中进行了评估。与会者应邀评价这些发言对智利和阿根廷的重要性，并鼓励在必要时提出新的声明。这些是在第二轮中提出的。得到两个小组认可的80%的项目被列入智利和阿根廷的准则。
结果：数据是通过两轮调查获得的。就244项声明达成共识，包括第二轮本地生成的26项声明。几乎20%的英文陈述没有得到认可(n=50)，显示原始指南的适用性，以及在文化上适应它们的重要性。预计由急救人员提供的归因和任务减少了，有利于精神卫生专业人员的更多参与。自助策略大多没有得到认可，与尊重个人自主权有关的项目也没有得到认可。
结论：虽然小组成员同意急救人员应了解人权原则，基于回收原则的项目仅得到部分认可。仍然需要进一步研究这些准则的传播和为智利和阿根廷开发心理健康急救培训课程。
方法：由两个专家小组进行了Delphi专家共识研究，一个有精神病生活经验的人（他们自己或作为照顾者；n=29）和另一个卫生专业人员（n=29）。总的来说,最初的英语指南中的249个调查项目和当地团队建议的26个项目组成了总共275个在第一轮中进行了评估。与会者应邀评价这些发言对智利和阿根廷的重要性，并鼓励在必要时提出新的声明。这些是在第二轮中提出的。得到两个小组认可的80%的项目被列入智利和阿根廷的准则。
结果：数据是通过两轮调查获得的。就244项声明达成共识，包括第二轮本地生成的26项声明。几乎20%的英文陈述没有得到认可(n=50)，显示原始指南的适用性，以及在文化上适应它们的重要性。预计由急救人员提供的归因和任务减少了，有利于精神卫生专业人员的更多参与。自助策略大多没有得到认可，与尊重个人自主权有关的项目也没有得到认可。
结论：虽然小组成员同意急救人员应了解人权原则，基于回收原则的项目仅得到部分认可。仍然需要进一步研究这些准则的传播和为智利和阿根廷开发心理健康急救培训课程。
