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Experiences and challenges faced by community mental health workers when providing care to people with mental illness: a qualitative study
BACKGROUND: Mental illness is a major burden of disease worldwide. Community Mental Health Services (CMHS) are key to achieving community-based recovery for people with mental illness. In China, even though the community management of patients with mental illness is improving, the barriers faced by...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9490980/ https://www.ncbi.nlm.nih.gov/pubmed/36131269 http://dx.doi.org/10.1186/s12888-022-04252-z |
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author | Li, Chaoyang Yang, Fen Yang, Bing Xiang Chen, Wencai Wang, Qinyu Huang, Haishan Liu, Qian Luo, Dan Wang, Xiao Qin Ruan, Juan |
author_facet | Li, Chaoyang Yang, Fen Yang, Bing Xiang Chen, Wencai Wang, Qinyu Huang, Haishan Liu, Qian Luo, Dan Wang, Xiao Qin Ruan, Juan |
author_sort | Li, Chaoyang |
collection | PubMed |
description | BACKGROUND: Mental illness is a major burden of disease worldwide. Community Mental Health Services (CMHS) are key to achieving community-based recovery for people with mental illness. In China, even though the community management of patients with mental illness is improving, the barriers faced by Community Mental Health Workers (CMHWs) are unclear. This study explores the difficulties and challenges in CMHS from the perspective of CMHWs. The results of this study may provide a practical basis for the training of CMHWs. METHODS: We carried out a qualitative study using an empirical phenomenological approach. Nine CMHWs were recruited from nine communities in Wuhan, Hubei Province, using purposive and snowball sampling. Face to face semi-structured in-depth interviews were conducted with them from December 27 to 28, 2019. Interview recordings were converted to text content by Nvivo 11.0 software and analyzed using Colaizzi’s phenomenological method. RESULTS: Three main themes were identified in this study: 1) Lack of role orientation leads to role ambiguity, 2) Failure to establish a therapeutic trust relationship with patients, and 3) Lack of communication and collaboration with various departments and peers. Seven sub themes were also identified. In these themes, CMHWs emphasized the importance of role clarity, therapeutic trusting relationships, and effective communication and coordination mechanisms. CONCLUSION: Although China has made great efforts on the road to improving the quality of CMHS, several salient issues regarding CMHWs must be addressed to optimize the quality of services provided by CMHWs. Community mental health institutions should help CMHWs overcome these difficulties, by maximizing its value and promoting the development of CMHS. |
format | Online Article Text |
id | pubmed-9490980 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-94909802022-09-22 Experiences and challenges faced by community mental health workers when providing care to people with mental illness: a qualitative study Li, Chaoyang Yang, Fen Yang, Bing Xiang Chen, Wencai Wang, Qinyu Huang, Haishan Liu, Qian Luo, Dan Wang, Xiao Qin Ruan, Juan BMC Psychiatry Research BACKGROUND: Mental illness is a major burden of disease worldwide. Community Mental Health Services (CMHS) are key to achieving community-based recovery for people with mental illness. In China, even though the community management of patients with mental illness is improving, the barriers faced by Community Mental Health Workers (CMHWs) are unclear. This study explores the difficulties and challenges in CMHS from the perspective of CMHWs. The results of this study may provide a practical basis for the training of CMHWs. METHODS: We carried out a qualitative study using an empirical phenomenological approach. Nine CMHWs were recruited from nine communities in Wuhan, Hubei Province, using purposive and snowball sampling. Face to face semi-structured in-depth interviews were conducted with them from December 27 to 28, 2019. Interview recordings were converted to text content by Nvivo 11.0 software and analyzed using Colaizzi’s phenomenological method. RESULTS: Three main themes were identified in this study: 1) Lack of role orientation leads to role ambiguity, 2) Failure to establish a therapeutic trust relationship with patients, and 3) Lack of communication and collaboration with various departments and peers. Seven sub themes were also identified. In these themes, CMHWs emphasized the importance of role clarity, therapeutic trusting relationships, and effective communication and coordination mechanisms. CONCLUSION: Although China has made great efforts on the road to improving the quality of CMHS, several salient issues regarding CMHWs must be addressed to optimize the quality of services provided by CMHWs. Community mental health institutions should help CMHWs overcome these difficulties, by maximizing its value and promoting the development of CMHS. BioMed Central 2022-09-21 /pmc/articles/PMC9490980/ /pubmed/36131269 http://dx.doi.org/10.1186/s12888-022-04252-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Li, Chaoyang Yang, Fen Yang, Bing Xiang Chen, Wencai Wang, Qinyu Huang, Haishan Liu, Qian Luo, Dan Wang, Xiao Qin Ruan, Juan Experiences and challenges faced by community mental health workers when providing care to people with mental illness: a qualitative study |
title | Experiences and challenges faced by community mental health workers when providing care to people with mental illness: a qualitative study |
title_full | Experiences and challenges faced by community mental health workers when providing care to people with mental illness: a qualitative study |
title_fullStr | Experiences and challenges faced by community mental health workers when providing care to people with mental illness: a qualitative study |
title_full_unstemmed | Experiences and challenges faced by community mental health workers when providing care to people with mental illness: a qualitative study |
title_short | Experiences and challenges faced by community mental health workers when providing care to people with mental illness: a qualitative study |
title_sort | experiences and challenges faced by community mental health workers when providing care to people with mental illness: a qualitative study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9490980/ https://www.ncbi.nlm.nih.gov/pubmed/36131269 http://dx.doi.org/10.1186/s12888-022-04252-z |
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