背景:心理健康是社会应对心理健康问题的重要组成部分。尽管世界卫生组织强调可用性,可访问性,医疗保健的可接受性和质量是重要的基石,许多欧洲人缺乏高质量的精神保健。从有生活经验的人的角度探索心理健康的定性研究将通过深入了解心理健康使用者来增加以前的研究和知识。这可能对心理健康的发展具有重要意义。因此,本研究的目的是描述有心理健康问题的成年欧洲人的心理健康经验。
方法:总共,在每个国家招募了50名具有各种心理健康问题经验的参与者进行单独的焦点小组访谈。他们有来自私营和公共部门的经验,以及门诊和门诊精神保健。焦点小组访谈(N=7)是音频记录,逐字转录,并通过主题分析进行分析。分析得出5个主题和13个次主题。
结果:寻求和试图寻求帮助的主题包含三个子主题,描述了寻求专业帮助的个人门槛,不知道去哪里寻求帮助,以及及时接受帮助的重要性。等待评估和治疗的主题包含两个子主题,包括在通常漫长的转诊过程中被优先考虑与否的感觉和被抛弃的感觉。主题治疗:一个由各个部分组成的计划包含三个子主题,其中包括对量身定制的治疗计划的需求以及药物和人力资源以及治疗协议。主题持续和尊重的护理关系包含两个子主题,描述了以同理心和尊重为特征的持续护理关系的重要性。主题“改进建议”包含三个子主题,强调了促进护理联系和提高对心理健康问题认识的冲动,并希望被视为有潜力的个人。
结论:促进与精神保健的接触,在转诊过程中保持稳定的联系,量身定制的治疗、同理心和尊重是改善精神保健的重要方面。建议包括发展利益相关者之间的合作实践,以提高社会对心理健康问题的普遍认识。
BACKGROUND: Mental healthcare is an important component in societies\' response to mental health problems. Although the World Health Organization highlights availability, accessibility, acceptability and quality of healthcare as important cornerstones, many Europeans lack access to mental healthcare of high quality. Qualitative studies exploring mental healthcare from the perspective of people with lived experiences would add to previous research and knowledge by enabling in-depth understanding of mental healthcare users, which may be of significance for the development of mental healthcare. Therefore, the aim of the current study was to describe experiences of mental healthcare among adult Europeans with mental health problems.
METHODS: In total, 50 participants with experiences of various mental health problems were recruited for separate focus group interviews in each country. They had experiences from both the private and public sectors, and with in- and outpatient mental healthcare. The focus group interviews (N = 7) were audio recorded, transcribed verbatim and analysed through thematic analysis. The analysis yielded five themes and 13 subthemes.
RESULTS: The theme Seeking and trying to find help contained three subthemes describing personal thresholds for seeking professional help, not knowing where to get help, and the importance of receiving help promptly. The theme Awaiting assessment and treatment contained two subthemes including feelings of being prioritized or not and feelings of being abandoned during the often-lengthy referral process. The theme Treatment: a plan with individual parts contained three subthemes consisting of demands for tailored treatment plans in combination with medications and human resources and agreement on treatment. The theme Continuous and respectful care relationship contained two subthemes describing the importance of continuous care relationships characterised by empathy and respect. The theme Suggestions for improvements contained three subthemes highlighting an urge to facilitate care contacts and to increase awareness of mental health problems and a wish to be seen as an individual with potential.
CONCLUSIONS: Facilitating contacts with mental healthcare, a steady contact during the referral process, tailored treatment and empathy and respect are important aspects in efforts to improve mental healthcare. Recommendations included development of collaborative practices between stakeholders in order to increase general societal awareness of mental health problems.