Abstract：
OBJECTIVE: To explore the preparedness and training needs of a regional public mental health workforce to support people with intellectual disability and mental ill health.
METHODS: Staff from a regional public mental health service in Victoria, Australia.
METHODS: A mixed-methods design comprised a survey, interviews and a focus group to collect data about staff attitudes, confidence, education and professional development regarding supporting people with intellectual disability and mental ill health. Descriptive and thematic analyses were used.
RESULTS: Data from 31 survey respondents, seven interviews and one focus group were analysed. Survey descriptive analyses showed participants believed treating people with intellectual disability was part of their role but reported areas of low confidence along with insufficient education and training in intellectual disability mental health. Thematic analyses from interviews showed that underpinning confidence, education and training were the themes (1) need for flexibility, such as having more time and (2) solutions but with challenges, such as limited opportunity to upskill and availability of experts. A need for collaborative problem-solving where staff share skills and information to work towards person-centred solutions was a key theme from the focus group analysis.
CONCLUSIONS: Professional development in intellectual disability mental health is required for the regional public mental health workforce but needs to account for the challenges experienced and reflect how teams function. Exploration of described preparedness offered a possible learning approach informed by workforce members. Collaborative learning approaches to supporting people with intellectual disability and mental ill health are suggested.
METHODS: Staff from a regional public mental health service in Victoria, Australia.
METHODS: A mixed-methods design comprised a survey, interviews and a focus group to collect data about staff attitudes, confidence, education and professional development regarding supporting people with intellectual disability and mental ill health. Descriptive and thematic analyses were used.
RESULTS: Data from 31 survey respondents, seven interviews and one focus group were analysed. Survey descriptive analyses showed participants believed treating people with intellectual disability was part of their role but reported areas of low confidence along with insufficient education and training in intellectual disability mental health. Thematic analyses from interviews showed that underpinning confidence, education and training were the themes (1) need for flexibility, such as having more time and (2) solutions but with challenges, such as limited opportunity to upskill and availability of experts. A need for collaborative problem-solving where staff share skills and information to work towards person-centred solutions was a key theme from the focus group analysis.
CONCLUSIONS: Professional development in intellectual disability mental health is required for the regional public mental health workforce but needs to account for the challenges experienced and reflect how teams function. Exploration of described preparedness offered a possible learning approach informed by workforce members. Collaborative learning approaches to supporting people with intellectual disability and mental ill health are suggested.
摘要：
目的：探讨区域公共精神卫生工作人员的准备和培训需求，以支持智力残疾和精神疾病患者。
方法：维多利亚州地区公共精神卫生服务机构的工作人员，澳大利亚。
方法：混合方法设计包括一项调查，访谈和一个焦点小组，以收集有关员工态度的数据，信心,关于支持智力残疾和精神病患者的教育和专业发展。使用描述性和主题分析。
结果：来自31名调查受访者的数据，分析了七次访谈和一个焦点小组。调查描述性分析显示，参与者认为治疗智障人士是他们角色的一部分，但报告的领域信心不足，以及智障心理健康方面的教育和培训不足。访谈的主题分析表明，支撑信心，教育和培训是主题(1)需要灵活性，例如有更多的时间和(2)解决方案，但面临挑战，例如提高技能的机会有限和专家的可用性。焦点小组分析的一个关键主题是需要协作解决问题，工作人员分享技能和信息，以寻求以人为本的解决方案。
结论：区域公共精神卫生队伍需要智力残疾精神卫生方面的专业发展，但需要考虑所经历的挑战并反映团队如何运作。对所描述的准备工作的探索提供了一种可能的学习方法，该方法由劳动力成员提供。建议采用协作学习方法来支持智障和精神疾病患者。
方法：维多利亚州地区公共精神卫生服务机构的工作人员，澳大利亚。
方法：混合方法设计包括一项调查，访谈和一个焦点小组，以收集有关员工态度的数据，信心,关于支持智力残疾和精神病患者的教育和专业发展。使用描述性和主题分析。
结果：来自31名调查受访者的数据，分析了七次访谈和一个焦点小组。调查描述性分析显示，参与者认为治疗智障人士是他们角色的一部分，但报告的领域信心不足，以及智障心理健康方面的教育和培训不足。访谈的主题分析表明，支撑信心，教育和培训是主题(1)需要灵活性，例如有更多的时间和(2)解决方案，但面临挑战，例如提高技能的机会有限和专家的可用性。焦点小组分析的一个关键主题是需要协作解决问题，工作人员分享技能和信息，以寻求以人为本的解决方案。
结论：区域公共精神卫生队伍需要智力残疾精神卫生方面的专业发展，但需要考虑所经历的挑战并反映团队如何运作。对所描述的准备工作的探索提供了一种可能的学习方法，该方法由劳动力成员提供。建议采用协作学习方法来支持智障和精神疾病患者。
