دانلود رایگان مقاله نقشه مفهومی مراقبت از سلامت روان

Abstract

About 25 years ago, concept mapping was introduced in the Netherlands and applied in different fields. A collection of concept mapping projects conducted in the Netherlands was identified, in part in the archive of the Netherlands Institute of Mental Health and Addiction (Trimbos Institute). Some of the 90 identified projects are internationally published. The 90 concept mapping projects reflect the changes in mental health care and can be grouped into 5-year periods and into five typologies. The studies range from conceptualizing the problems of the homeless to the specification of quality indicators for treatment programs for patients with cystic fibrosis. The number of concept mapping projects has varied over time. Growth has been considerable in the last 5 years compared to the previous 5 years. Three case studies are described in detail with 12 characteristics and graphical representations. Concept mapping aligns well with the typical Dutch approach of the “Poldermodel.” A broad introduction of concept mapping in European countries in cooperation with other countries, such as the United States and Canada, would strengthen the empirical basis for applying this approach in health care policy, quality, and clinical work.

4. Conclusion

This article demonstrates that concept mapping has been a popular, effective, and efficient strategy to clarify complex topics of mental health care in the Netherlands. The 90 concept mapping projects contribute to the evidence base for this approach with respect to building theories and models, developing policy, clarifying management decisions, improving planning and evaluation, structuring quality topics, and designing classifications for clinical work. Twenty-five years of experience have uncovered variations in how the methodology is used. The popularity of concept mapping appears to depend on the coordination of projects and facilitators, the dissemination of findings, and statistical and technical support. In the beginning, the Dutch Trimbos Institute provided the necessary support, and academic institutions now offer some help, but a strong support service is needed in the future so that concept mapping can contribute to faster and more fair and democratic decision making. Three concept maps were selected to demonstrate the variations and innovations. In the first case study, the representation of the maps was changed to a geographical format to deepen understanding and generate an attractive visual for easy communication. A colorful map of the ideal future culture, showing entities such as the Kingdom of Clients, was created and was helpful in transferring the findings. The stakeholders who participate and generate a concept map agree on the conceptual framework but often have different priorities. In the second case study, a statistical analysis of the position of the stakeholders on the map was carried out. The preferences of the stakeholders determined their position on the conceptual framework. Clients and providers were positioned close to “Attitude of staff,” “Treatment approach,” and “Client orientation” whereas the public emphasis was close to “Result orientation.”