Eliciting Recovery Narratives in Global Mental Health: Benefits and Potential Harms in Service User Participation
Eliciting Recovery Narratives in Global Mental Health: Benefits and Potential Harms in Service User Participation
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DOI：
10.1037/prj0000384
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发表时间：
2020-06-01
影响因子：
1.9
通讯作者：
Kohrt, Brandon A.
中科院分区：
文献类型：
--
作者：
Kaiser, Bonnie N.;Varma, Saiba;Kohrt, Brandon A.
目的：在心理健康临床、教育和研究活动中，同伴和服务使用者的参与日益受到重视。参与的一个核心手段是分享康复叙述，通过这种方式，服务用户展示他们从精神残疾到康复的个人历史。我们批判性地考察了在全球精神健康中引发康复叙事的背景和目的的范围。方法：我们提出了4个案例研究，它们代表了恢复性叙事的启发、目的的变异性。和地理：尼泊尔心理健康差距行动计划临床医生培训计划。印控克什米尔的一项住院临床服务，这是澳大利亚城市的一个以康复为导向的护理项目。以及美国农村的本科教育项目。在每个案例研究中，我们探讨了启发式学习的背景、目的、过程和内容。以及纳入复苏叙事的影响。结果：在每种情况下，聘用服务使用者的组织都有一个具体的意图，即“恢复”应该构成什么。这是受复苏故事预期观众的影响。这些期望影响了用户所包括的服务类型、叙事内容以及为服务用户提供的准备和分享叙事的培训。我们的案例说明了这些共同构成的叙述的好处以及在某些情况下对服务用户的潜在负面影响，特别是当作为获得或出院临床护理的先决条件时。结论和对实践的影响：在充分查明潜在风险和挑战并对其作出反应的情况下，复苏叙述有可能在各种目的和背景下有效地使用。
Objective: The engagement of peers and service users is increasingly emphasized in mental health clinical, educational, and research activities. A core means of engagement is via the sharing of recovery narratives, through which service users present their personal history of moving from psychiatric disability to recovery. We critically examine the range of contexts and purposes for which recovery narratives are elicited in global mental health. Method: We present 4 case studies that represent the variability in recovery narrative elicitation, purpose. and geography: a mental health Gap Action Programme clinician training program in Nepal. an inpatient clinical service in Indian-controlled Kashmir, a recovery-oriented care program in urban Australia. and an undergraduate education program in the rural United States. In each case study, we explore the context, purpose, process of elicitation, content. and implications of incorporating recovery narratives. Results: Within each context, organizations engaging service users had a specific intention of what "recovery" should constitute. This was influenced by the anticipated audience for the recovery stories. These expectations influenced the types of service users included, narrative content, and training provided for service users to prepare and share narratives. Our cases illustrate the benefit of these coconstructed narratives and potential negative impacts on service users in some contexts, especially when used as a prerequisite for accessing or being discharged from clinical care. Conclusions and Implications for Practice: Recovery narratives have the potential to be used productively across purposes and contexts when there is adequate identification of and responses to potential risks and challenges.