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cover of episode Lost Patients Live: First-Person Stories from Seattle's Mental Health Crisis

Lost Patients Live: First-Person Stories from Seattle's Mental Health Crisis

2024/6/26
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Lost Patients

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C
Carolyn Pinzoa
D
Dr. Paul Borghesani
E
Esme Jimenez
S
Sydney Brownstone
W
Will James
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Sydney Brownstone: 美国精神卫生保健系统中许多当前问题源于过时的优生学思想,这些思想影响了对生产力和生命价值的认知。历史背景的理解对于解决当前问题至关重要。强制收治的讨论过于两极化,应关注其根本原因,即系统未能及时提供有效的帮助。 Esme Jimenez: 对受访者进行采访时,应采用创伤知情的方式,尊重受访者的感受,并给予充分的自主权。一些社区健康系统,例如Soteria模型,在帮助精神疾病患者方面非常有效,值得推广和借鉴。 Will James: 亚当的悲剧并非个体责任,而是系统性问题的体现,应避免将责任归咎于单一人物或法律。高质量的精神卫生保健需要大量的资金投入,这需要社会各界的共同努力和资金支持。 Laura Vantosh: 精神疾病患者需要拥有自主决定权,才能有效地进行康复。强制治疗并非解决精神卫生危机的有效途径,反而会增加患者的恐惧和焦虑。西雅图危机护理中心项目的实施,将有助于改善精神卫生服务体系。 Carolyn Pinzoa: 针对青少年的治疗项目并不适用于成年人,强制剥夺成年患者的自主决定权是不合理的。在报道精神疾病患者的故事时,应该更多地关注患者本人的视角和声音。理想的精神卫生服务体系应以社区为基础,提供整合性的支持和服务。社会支持对精神病患者的康复至关重要,而孤立则会加剧症状的严重性。精神卫生服务提供者应学习如何有效地与精神病患者沟通,避免误解和伤害。 Timothy Jolliff: 药物滥用和精神疾病之间存在复杂的相互作用,难以明确区分。加强危机后干预和过渡性护理服务,对于防止患者再次陷入危机至关重要。 Dr. Paul Borghesani: 美国的现行精神卫生保健系统支离破碎,缺乏整体性。医院床位有限,迫使医护人员在患者的长期住院和为更多患者提供服务之间做出艰难的抉择。药物滥用和精神疾病并非相互排斥,而是相互作用的复杂关系。人们普遍误认为精神疾病患者的危机仅仅是由于停药造成的,这忽略了其他因素的影响。要减少强制治疗的必要性,需要从改善早期干预和治疗服务入手,这是一个长期而复杂的过程。

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Lost Patients compares the system for treating mental illness in America to an elaborate house, where every room, hallway and staircase was designed independently by a different architect. So what is it like to be shuttled from room to room? What sorts of tradeoffs are doctors working within this system forced to make every day? And what might it look like to design care around the needs of patients?KUOW and the Seattle Times convened a forum at the Seattle Public Library to hear perspectives and answer questions. Featured guests included:Laura Van Tosh, patient advocate and founder and convener of Mental Health Policy Roundtable * Carolynn Ponzoha, patient advocate and content creator who goes by @psychotic.in.seattle on TikTok* Timothy Jolliff, acting senior director of clinical programs at the Downtown Emergency Service Center in Seattle*Dr. Paul Borghesani, associate professor in the Department of Psychiatry and Behavioral Sciences at the University of Washington School of MedicineYou can find resources for people with mental illness and related stories from The Seattle Times and KUOW here:https://www.seattletimes.com/component/lost-patients-podcast/https://www.kuow.org/podcasts/lost-patientsLearn more about sponsor message choices: podcastchoices.com/adchoices)NPR Privacy Policy)