PDF(Pubmed)
Abstract：
BACKGROUND: Substance use problems have a major impact on the physical and mental health of individuals, families and communities. Early intervention may have a positive effect on recovery and treatment outcomes for those with substance use problems, reducing related risk and harm. Separate mental health first aid guidelines on how a member of the public could assist someone experiencing or developing alcohol use and drug use problems in high income Western countries were developed using Delphi expert consensus in 2009 and 2011, respectively. This study aimed to synthesise and update these two original guidelines to reflect current evidence and best practice.
METHODS: The Delphi expert consensus method was used to determine the inclusion of statements in the redeveloped guidelines. A questionnaire was developed using previously endorsed helping statements from the original guidelines on alcohol and drug use problems, as well as relevant content identified in systematic searches of academic and grey literature. Three panels of experts (people with lived experience, support people and professionals) rated statements over three consecutive online survey rounds to determine the importance of their inclusion in the guidelines. Statements endorsed by at least 80% of each panel were included.
RESULTS: 103 panellists completed all three survey rounds. They rated 469 statements and endorsed 300 of these for inclusion in the redeveloped guidelines.
CONCLUSIONS: This study has developed a broader and more comprehensive set of guidelines for how to support a person experiencing or developing a substance use problem. The redeveloped guidelines provide more detail on knowledge about and recognition of substance use problems, approaching and assisting people who want to change or are not ready to change, harm reduction, community-based supports and professional help, but have less on physical first aid actions. Mental Health First Aid International will use these guidelines in future updates of their training courses.
METHODS: The Delphi expert consensus method was used to determine the inclusion of statements in the redeveloped guidelines. A questionnaire was developed using previously endorsed helping statements from the original guidelines on alcohol and drug use problems, as well as relevant content identified in systematic searches of academic and grey literature. Three panels of experts (people with lived experience, support people and professionals) rated statements over three consecutive online survey rounds to determine the importance of their inclusion in the guidelines. Statements endorsed by at least 80% of each panel were included.
RESULTS: 103 panellists completed all three survey rounds. They rated 469 statements and endorsed 300 of these for inclusion in the redeveloped guidelines.
CONCLUSIONS: This study has developed a broader and more comprehensive set of guidelines for how to support a person experiencing or developing a substance use problem. The redeveloped guidelines provide more detail on knowledge about and recognition of substance use problems, approaching and assisting people who want to change or are not ready to change, harm reduction, community-based supports and professional help, but have less on physical first aid actions. Mental Health First Aid International will use these guidelines in future updates of their training courses.
摘要：
背景：物质使用问题对个体的身心健康产生重大影响，家庭和社区。早期干预可能对有物质使用问题的患者的康复和治疗结果产生积极影响。减少相关风险和伤害。分别在2009年和2011年使用Delphi专家共识制定了关于公众如何帮助在高收入西方国家遇到或发展酒精使用和毒品使用问题的心理健康急救指南。本研究旨在综合和更新这两个原始指南，以反映当前的证据和最佳实践。
方法：使用Delphi专家共识方法来确定重新开发的指南中是否包含陈述。使用先前认可的关于酒精和药物使用问题的原始指南中的帮助声明制定了问卷，以及在对学术和灰色文献的系统搜索中确定的相关内容。三个专家小组(有生活经验的人，支持人员和专业人员)对连续三轮在线调查的陈述进行评级，以确定将其纳入指南的重要性。包括每个小组至少80％的声明。
结果：103名小组成员完成了所有三轮调查。他们对469项声明进行了评级，并认可了其中的300项，以纳入重新制定的准则。
结论：本研究制定了一套更广泛，更全面的指南，以指导如何支持经历或发展药物使用问题的人。重新制定的准则提供了有关物质使用问题的知识和认识的更多细节，接近和帮助那些想要改变或没有准备好改变的人，减少危害,基于社区的支持和专业帮助，但在身体急救行动上较少。心理健康急救国际将在未来的培训课程更新中使用这些指南。
方法：使用Delphi专家共识方法来确定重新开发的指南中是否包含陈述。使用先前认可的关于酒精和药物使用问题的原始指南中的帮助声明制定了问卷，以及在对学术和灰色文献的系统搜索中确定的相关内容。三个专家小组(有生活经验的人，支持人员和专业人员)对连续三轮在线调查的陈述进行评级，以确定将其纳入指南的重要性。包括每个小组至少80％的声明。
结果：103名小组成员完成了所有三轮调查。他们对469项声明进行了评级，并认可了其中的300项，以纳入重新制定的准则。
结论：本研究制定了一套更广泛，更全面的指南，以指导如何支持经历或发展药物使用问题的人。重新制定的准则提供了有关物质使用问题的知识和认识的更多细节，接近和帮助那些想要改变或没有准备好改变的人，减少危害,基于社区的支持和专业帮助，但在身体急救行动上较少。心理健康急救国际将在未来的培训课程更新中使用这些指南。
