ABSTRACT

Limited evidence exists for the effectiveness of psychological interventions that target the mental health needs of people who use forensic mental health services. Capturing service users’ perspectives and experiences may provide information helpful to understanding why this is the case. It may also provide information that could help to improve the effectiveness of such interventions with this population. This paper aimed to address this and reviewed qualitative studies to identify the factors that are considered important to the effectiveness of interventions from the perspectives of service users. A review of the literature was conducted and eleven papers were identified as meeting the inclusion criteria. A meta-ethnography approach was used to synthesize the data. Six super-ordinate themes emerged which were synthesized into a hierarchy of treatment based on two main categories: “Treatment Foundations” and “Treatment Benefits.” The findings suggested that addressing the Treatment Foundation factors such as enabling informed decision-making; developing trusting therapeutic relationships; and providing accessible materials whilst considering service user preferences can in turn result in service users benefitting from treatment in a number of ways. The findings have significant implications for future research, mental health service providers, clinicians and therapists, and for those who design therapeutic interventions.

摘要

针对使用法医心理健康服务的人的心理健康需求进行心理干预的有效性的证据有限。捕捉服务用户的观点和经验可能会提供有助于理解为什么会这样的信息。它还可能提供有助于提高此类干预措施对这一人群的有效性的信息。本文旨在解决这一问题，并回顾了定性研究，以从服务使用者的角度确定被认为对干预措施的有效性很重要的因素。对文献进行了审查，并确定了 11 篇论文符合纳入标准。使用元民族志方法来合成数据。治疗基础”和“治疗益处”。研究结果表明，解决治疗基金会因素，例如能够做出明智的决策；发展信任的治疗关系；并在考虑服务用户偏好的同时提供可访问的材料反过来可以使服务用户以多种方式从治疗中受益。这些发现对未来的研究、心理健康服务提供者、临床医生和治疗师以及那些设计治疗干预措施的人具有重要意义。