摘要
在深化基层社会治理建设阶段,精神障碍患者社区康复整合服务愈加注重风险管控与生活康复服务的融合,推动服务社会化,以及加强服务衔接的系统性和连续性,但仍然存在诸多问题,在整合服务上面临困难,亟须从实践中探寻整合路径。文章针对深圳市南山区社区精神卫生防治项目展开参与式行动研究,发现在将患者从医院向社区转移接续的过程中,面临整合风险管控与生活康复服务的挑战。而精神卫生防治专职社会工作者作为个案管理员开展整合服务,能够通过日常访视提供人文关怀,与精神障碍患者及其家属建立合作关系,提升服务机制的协调性。其在患者病情复发时,可联动“五位一体”机制及时将患者送院治疗,平时则深入社区生活环境,帮助患者重建生活康复所需的社会支持。这种整合服务的模式不同于传统临床导向的生理—心理—社会模式,而是基于临床—制度的整合逻辑,更加强调在“社会”维度开展整合,以此回应基层社会治理对以人为本和公共安全的双重要求。该模式扎根于社区生活场景,有助于推进精神障碍患者社区康复整合服务的精细化发展和社区公共安全空间建设。
During the phase of deepening grassroots social governance,mental health community rehabilitation services have emphasized on the integration of risk management and daily life recovery,the expansion of service socialization,and the strengthening of the systemic continuity of service connections.However,there are still numerous obstacles that make integration difficult within the interdepartmental,multidisciplinary community rehabilitation services.This study aims to explore the integration methodsbased on a participatory action research in Shenzhen Nanshan District Community Mental Health Project.The study suggests that the integration of services can be achieved by cultivating professional social workers of mental health prevention and treatment as case managers.These social workers can provide humanistic care through daily visits,establish cooperative relationships with patients and families,and improve the coordination of service mechanisms.This approach to integrated services is based on the logic of clinical-institutional integration,differing from the traditional clinically oriented biopsychosocial model by placing a stronger emphasis on the“social”dimension of integration.This approach meets the dual requirements of grassroots social governance for a person-centered approach and public safety.Moreover,because it is rooted in the community’s daily life scene,it contributes to advancing the refinement of mental health community services and the development of a secure community public space.
作者
许嘉祥
童敏
XU Jiaxiang;TONG Min(School of Sociology and Anthropology,Xiamen University,Xiamen,Fujian,361005,China)
出处
《社会工作与管理》
2024年第3期50-60,共11页
Social Work and Management
基金
国家社会科学基金一般项目“中国式现代化与社会工作自主知识体系建构研究”(23ASH002)。
关键词
基层社会治理
精神障碍患者
社区康复
整合服务
社会工作
个案管理
grassroots social governance
mental disorders
the community rehabilitation
integrated services
social work
case management
