Background There is consensus that services supporting people with complex emotional needs are part of a mental health care system in which change is needed. To date, service users views and co-production exercises have had little impact on the development of treatment and care. This needs to change, and our paper evidences the experiences and perspectives of a diverse range of people on how community services can best address the needs of people with complex emotional needs. Methods A co-produced qualitative research study. Lived experience researchers led data collection and analysis. Individual interviews were conducted with 30 people across England who had a diverse range of experiences and perspectives of using community services for complex emotional needs. Participants were asked about their experiences of using community services for their mental health, and views on how community services can best address their needs. Thematic analysis was used to analyse the data. Results Participants reported some experiences of good practice but also of experiences of severely stigmatising treatment, a lack of effective support and service fragmentation. Relational Practice was identified as the central overarching theme and describes how community services can best support people with complex emotional needs. This approach involves care delivered in a non-stigmatising, individualised, compassionate and trauma-informed manner. It involves care that is planned collaboratively with service users to ensure their multiple needs are addressed in a flexible, holistic and consistent way which accounts for the long-term and fluctuating nature of their needs. Conclusions Relational practice approaches have potential to facilitate better community care for people with complex emotional needs. Research and service development are needed to examine how best to implement such approaches across the mental health service system. This work must be co-produced with people with relevant lived experience, their carers and the professionals who support them. Keywords Qualitative research, personality disorders, community mental health services, co-production

中文翻译：

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针对复杂情感需求人群的社区心理健康服务的服务用户视角：一项联合制作的定性访谈研究

背景 一致认为支持具有复杂情感需求的人的服务是需要改变的精神卫生保健系统的一部分。迄今为止，服务用户的观点和联合制作练习对治疗和护理的发展几乎没有影响。这种情况需要改变，我们的论文证明了各种不同人群的经验和观点，即社区服务如何最好地满足具有复杂情感需求的人的需求。方法 一项共同制作的定性研究。生活经验研究人员领导数据收集和分析。对英格兰各地的 30 人进行了个人访谈，他们在使用社区服务满足复杂的情感需求方面拥有各种不同的经验和观点。参与者被问及他们使用社区服务促进心理健康的经验，以及对社区服务如何最好地满足他们需求的看法。使用专题分析来分析数据。结果 参与者报告了一些良好做法的经验，但也报告了严重污名化治疗、缺乏有效支持和服务碎片化的经验。关系实践被确定为中心总体主题，并描述了社区服务如何最好地支持具有复杂情感需求的人。这种方法涉及以非污名化、个性化、富有同情心和创伤知情的方式提供护理。它涉及与服务用户合作计划的护理，以确保他们的多种需求以灵活、考虑到他们需求的长期性和波动性的整体和一致的方式。结论 关系实践方法有可能促进对具有复杂情感需求的人更好的社区护理。需要研究和服务开发来检查如何最好地在整个精神卫生服务系统中实施这些方法。这项工作必须与具有相关生活经验的人、他们的照顾者和支持他们的专业人士共同制作。关键词 定性研究，人格障碍，社区心理健康服务，合作生产 需要研究和服务开发来检查如何最好地在整个精神卫生服务系统中实施这些方法。这项工作必须与具有相关生活经验的人、他们的照顾者和支持他们的专业人士共同制作。关键词 定性研究，人格障碍，社区心理健康服务，合作生产 需要研究和服务开发来检查如何最好地在整个精神卫生服务系统中实施这些方法。这项工作必须与具有相关生活经验的人、他们的照顾者和支持他们的专业人士共同制作。关键词 定性研究，人格障碍，社区心理健康服务，合作生产