Recovery: an international perspective
Recovery: an international perspective
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DOI：
10.1017/s1121189x00002827
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发表时间：
2008-04-01
期刊：
影响因子：
--
通讯作者：
Oades, Lindsay
中科院分区：
文献类型：
--
作者：
Slade, Mike;Amering, Michaela;Oades, Lindsay
目的-检讨国际上以康复为重点的精神健康服务的发展。方法-两种形式的“恢复”已被用于文献中被认为是，和国际上的例子，以恢复为重点的举措审查。一个'试金石'的恢复为重点的服务提出。结果-“临床恢复”已经出现在专业文献中，侧重于持续缓解和功能恢复，在个体之间是不变的，并已被用于建立恢复率。“个人康复”是从消费者的叙述中出现的，侧重于过上满意、有希望和有贡献的生活，即使有疾病造成的限制，因人而异，经验证据基础与变化阶段的关系大于总体流行率。临床和个人康复是不同的。两个创新的，可推广的和实证研究的例子给出了实施一个专注于个人恢复：在澳大利亚的合作恢复模式，在德语欧洲的Trialogues。药物的作用是一个指标：所有服务用户都被处方药物的服务，其中使用术语“依从性”，其中存在将改善归因于药物而将恶化归因于个人的推理偏见，以及与服务用户的接触和讨论围绕药物问题，不是以个人康复为重点的服务。结论--“恢复”一词有不同的用法，因此概念清晰很重要。发展对个人康复的关注不仅仅是表面上的改变--它将需要心理健康服务价值观的根本转变。
Aims - To review developments in recovery-focussed mental health services internationally. Methods - Two forms of 'recovery' which have been used in the literature are considered, and international examples of recovery-focussed initiatives reviews. A 'litmus test' for a recovery-focussed service is proposed. Results - 'Clinical recovery' has emerged from professional literature, focuses on sustained remission and restoration of functioning, is invariant across individuals, and has been used to establish rates of recovery. 'Personal recovery' has emerged from consumer narratives, focuses on living a satisfying, hopeful and contributing life even with limitations caused by the illness, varies across individuals, and the empirical evidence base relates to stages of change more than overall prevalence rates. Clinical and personal recovery are different. Two innovative, generalisable and empirically investigated examples are given of implementing a focus on personal recovery: the Collaborative Recovery Model in Australia, and Trialogues in German-speaking Europe. The role of medication is an indicator: services in which all service users are prescribed medication, in which the term 'compliance' is used, in which the reasoning bias is present of attributing improvement to medication and deterioration to the person, and in which contact with and discussion about the service user revolves around medication issues, are not personal recovery-focussed services. Conclusions - The term 'Recovery' has been used in different ways, so conceptual clarity is important. Developing a focus on personal recovery is more than a cosmetic change - it will entail fundamental shifts in the values of mental health services.