医务社会工作参与精神卫生多学科治疗的路径研究  

Thepath of medical social work participating in multidisciplinary treatment of mental health

作　　者：沈昶邑 张文欣 薛莉莉[1] SHEN Changyi;ZHANG Wenxin;XUE Lili(Master Shanghai Mental Health Center,Shanghai 200030,China;Bachelor East China University of Science and Technology,Shanghai 200237,China)

机构地区：[1]上海市精神卫生中心,上海200030 [2]华东理工大学,上海200237

出　　处：《现代医院》2024年第3期438-443,448,共7页Modern Hospitals

基　　金：上海市医院协会医院管理研究基金(X2023186);2019年上海市“医苑新星”青年医学人才培养资助计划“医务社工项目”(沪卫人事[2020]87号)。

摘　　要：随着我国精神卫生服务理念与模式转型,社会工作参与精神卫生多学科团队协作成为一个重要的发展趋势。为探索社会工作参与精神卫生多学科综合治疗模式与路径,本研究通过双案例研究方法,选取了上海市精神卫生中心两个典型病区作为典型案例并对病区医疗团队的深度访谈与参与式观察。结果显示医务社工通过“服务嵌入-关系嵌入-制度嵌入”的路径,实现社工参与到多学科综合治疗。在这个过程中,“资源-需求”响应模式、权力获取、日常互动、话语融合、服务机制再建构是实现社工服务嵌入的重要行动策略,不同的策略方式决定了最终不同的服务模式。未来医务社会工作参与多学科综合治疗模式不仅要加强微观实践,更要形成宏观制度保障。With the transformation of the concept and model of mental health service in China,the participation of social work in multidisciplinary team cooperation in mental health has become an important development trend.In order to explore the mode and path of multidisciplinary treatment involving social work in mental health,this study selected two typical wards of Shanghai Mental Health Center as typical cases through the double-case study method,and conducted in-depth interviews and participatory observation of the medical teams in the wards.The results show that medical social workers can participate in multidisciplinary comprehensive treatment through the path of“service embedding-relationship embedding-system embedding”.In this process,the“resource-demand”response mode,power acquisition,daily interaction,discourse integration,and service mechanism reconstruction are important action strategies to achieve the service embeddedness of social workers.Different strategies determine the final different service modes.In the future,the participation of medical social work in multidisciplinary comprehensive treatment mode should not only strengthen micro-practice,but also form macro-institutional guarantee.

关 键 词：多学科团队协作 嵌入路径 医务社会工作 

分 类 号：C916.2[经济管理] R74[社会学]