The concept of recovery as an organizing principle for integrating mental health and addiction services
The concept of recovery as an organizing principle for integrating mental health and addiction services
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DOI：
10.1007/s11414-007-9053-7
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发表时间：
2007-04-01
影响因子：
1.9
通讯作者：
White, William
中科院分区：
文献类型：
--
作者：
Davidson, Larry;White, William
尽管存在一系列长期存在的历史、政治、意识形态、专业、结构和实践障碍，但已经并将继续存在一个明确的共识，即精神卫生和成瘾服务之间的整合是迫切需要和早就应该实现的。本文着重于挑战的一个维度，即从几个领域中进行整合——概念层面——并提出构建恢复作为弥合这两个领域之间鸿沟的组织原则。在简要回顾了两种传统的平行历史及其向康复方向转变的共同需要之后，作者为患有共同发生的疾病的人提供了一个康复的综合模型。然后，他们从这个模型中得出了以康复为导向的护理系统的潜在价值、指导原则、关键策略和基本成分，这些系统包括一种针对成瘾和精神疾病的通用方法，为实现以病理学为重点的方法失败的整合提供了一种基于优势的解决方案。
Despite a range of long-standing historical, political, ideological, professional, structural, and practical barriers, there has been, and continues to be, a clear consensus that integration between mental health and addiction services is sorely needed and long overdue. This paper focuses on one dimension of the challenge, of integration from among the several - the conceptual - and proposes the construct of recovery as an organizing principle for bridging the divide between the two domains. After reviewing briefly the parallel history of the two traditions and their shared need for transformation to a recovery orientation, the authors offer an integrated model of recovery for persons with co-occurring disorders. They then derive from this model the underlying values, guiding principles, key strategies, and essential ingredients of recovery-oriented systems of care that comprise a common approach across both addictions and mental illness, offering a strengths-based solution to achieving integration where pathology-focused approaches have failed.