Service Providers' Experiences and Perspectives on Recovery-Oriented Mental Health System Reform
Service Providers' Experiences and Perspectives on Recovery-Oriented Mental Health System Reform
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DOI：
10.2975/35.4.2012.289.296
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发表时间：
2012-03-01
影响因子：
1.9
通讯作者：
Lal, Shalini
中科院分区：
文献类型：
--
作者：
Piat, Myra;Lal, Shalini
目的：本研究采用定性方法，重点关注服务提供商对复苏导向型改革的经验和观点。方法：对从加拿大三个地点招募的 68 名服务提供商进行了 9 个焦点小组抽样调查。结果：确定了三大主题：1）对复苏型改革的积极态度； 2）对复苏型改革持怀疑态度； 3) 与实施以恢复为导向的实践相关的挑战。这些挑战与恢复含义的概念不确定性和一致性有关；在某些人群和某些情况下应用以恢复为导向的做法；以恢复为导向的工具的官僚化；领导支持有限；以及精神疾病患者的社会耻辱和社会排斥。结论和对实践的启示：研究结果指出，随着系统规划者在精神卫生系统内努力实施康复，可能会出现挑战。在这方面，我们为支持实施以恢复为导向的实践的组织和教育实践的规划提供了几项建议。
Objective: With the use of a qualitative approach, this study focuses on service providers' experiences and perspectives on recovery-oriented reform. Methods: Nine focus groups were conducted with a sample of 68 service providers recruited from three Canadian sites. Results: Three major themes were identified: 1) positive attitudes towards recovery-oriented reform; 2) skepticism towards recovery-oriented reform; and 3) challenges associated with implementing recovery-oriented practice. These challenges pertained to conceptual uncertainty and consistency around the meanings of recovery; application of recovery-oriented practice with certain populations and in certain contexts; bureaucratization of recovery-oriented tools; limited leadership support; and, societal stigma and social exclusion of persons with mental illnesses. Conclusions and Implications for Practice: The findings point towards challenges that might arise as system planners move ahead in their efforts toward implementing recovery within the mental health system. In this regard, we offer several recommendations for the planning of organizational and educational practices that support the implementation of recovery-oriented practice.