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Offering mental health first aid to a person experiencing psychosis: a Delphi study to redevelop the guidelines published in 2008
BMC Psychology ( IF 2.588 ) Pub Date : 2021-02-12 , DOI: 10.1186/s40359-021-00532-7
Fairlie A. Cottrill , Kathy S. Bond , Fiona L. Blee , Claire M. Kelly , Betty A. Kitchener , Anthony F. Jorm , Nicola J. Reavley

Psychotic illnesses can have a major impact on those who experience them. Timely treatment for psychosis is important and friends, family members and the public can be a facilitating factor in social support and professional help-seeking. Expert consensus guidelines on how to provide mental health first aid to a person experiencing psychosis were developed in 2008. This Delphi study aimed to redevelop the guidelines to reflect current evidence. The Delphi consensus method was used to determine which helping strategies should be included in the redeveloped guidelines. A systematic search of grey and academic literature was undertaken to identify strategies on how a member of the public can assist someone experiencing psychosis. These strategies were organised into questionnaire statements. Two expert panels—one comprising people with lived experience (Carers and Consumers) and one of professionals—completed three consecutive rounds of online survey questionnaires to rate the importance of each helping statement for inclusion in the guidelines. Statements were included in the guidelines if they were endorsed by at least 80% of each panel. The expert panels rated 515 statements across three rounds of surveys, with 325 statements meeting the criteria for inclusion in the redeveloped guidelines. 59 panel participants completed all three surveys. The redeveloped guidelines outline a general set of strategies for providing initial assistance to a person who is experiencing psychosis. Compared to the original guidelines, these redeveloped guidelines provide more detailed instruction for members of the public on how to provide mental health first aid to assist a person experiencing psychosis. The guidelines are available to the public and will be used to update the Mental Health First Aid courses.

中文翻译:

为患有精神病的人提供心理健康急救:一项德尔福研究,以重新制定2008年发布的指南

精神病可能会对经历者产生重大影响。及时治疗精神病很重要,朋友,家人和公众可以成为社会支持和寻求专业帮助的促进因素。关于如何为精神病患者提供心理健康急救的专家共识准则于2008年制定。Delphi的这项研究旨在重新制定准则,以反映当前的证据。德尔菲共识方法用于确定哪些帮助策略应包括在重新制定的指南中。对灰色和学术文献进行了系统的搜索,以确定有关公众如何帮助患有精神病的人的策略。这些策略被组织成问卷表。两个专家小组(一个由经验丰富的人员(护理人员和消费者)组成,一个由专业人员组成)完成了三轮连续的在线调查问卷,以评估将每个帮助声明纳入指南的重要性。如果每个小组的声明至少得到80%的认可,则该声明包括在指南中。专家小组在三轮调查中对515条陈述进行了评分,其中325条陈述符合纳入重新制定的准则的标准。59名小组成员完成了所有三个调查。重新制定的指南概述了为患有精神病的人提供初步帮助的一般策略。与原始指南相比,这些重新制定的指南为公众提供了更详细的指导,说明如何提供心理健康急救来帮助患有精神病的人。指南可供公众使用,并将用于更新心理健康急救课程。
更新日期:2021-02-15
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