Implementing recovery oriented evidence based programs: Identifying the critical dimensions

Implementing recovery oriented evidence based programs: Identifying the critical dimensions
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DOI:
10.1007/s10597-005-2649-6
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发表时间:
2005-04-01
影响因子:
2.7
通讯作者:
Chamberlin, J
Chamberlin, J
中科院分区:
医学4区
文献类型:
--
作者:
Farkas, M;Gagne, C;Chamberlin, J

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在20世纪90年代的几十年里,许多心理健康项目和资助这些项目的系统都认为自己是以康复为导向的。一个植根于康复愿景的项目基于这样一个理念,即大多数人都可以超越严重精神疾病的灾难,在自己的社区过上有意义的生活。对复苏的第一人称描述和实证研究导致了对复苏背后的服务提供价值的不断发展的共识。在强调注重复原的方案拟订的同时,外地也注重循证做法。我们建议以与恢复相适应的方式实施基于证据的做法。循证实践的计划维度,如计划使命、政策、程序、记录保存和人员配备,应与恢复价值保持一致,才能将计划视为以恢复为导向。本文描述了这种基于价值的实践的关键维度,而不考虑以康复为导向的精神健康计划提供的服务(例如,治疗、病例管理、康复)。
In the decades of the 1990s many mental health programs and the systems that fund these programs have identified themselves as recovery-oriented. A program that is grounded in a vision of recovery is based on the notion that a majority of people can grow beyond the catastrophe of a severe mental illness and lead a meaningful life in their own community. First person accounts of recovery and empirical research have led to a developing consensus about the service delivery values underlying recovery. The emphasis on recovery-oriented programming has been concurrent with a focus in the field on evidence-based practices. We propose that evidence based practices be implemented in a manner that is recovery compatible. Program dimensions for evidence based practice, such as program mission, policies, procedures, record keeping and staffing should be consistent with recovery values in order for a program to be considered to be recovery-oriented. This article describes the critical dimensions of such value based practice, regardless of the service the recovery oriented mental health programs provide (e.g., treatment, case management, rehabilitation).