Illness Management and Recovery in State Psychiatric Hospitals
Illness Management and Recovery in State Psychiatric Hospitals
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DOI：
10.1080/15487761003756977
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发表时间：
2010-01-01
期刊：
影响因子：
--
通讯作者：
Kensler, David
中科院分区：
文献类型：
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作者：
Bartholomew, Tom;Kensler, David
美国各地的州立精神病院继续使用在循证实践运动出现和广泛采用康复模式之前的方法。国家精神病院的文化遗产往往受到拘留治疗时代的严重影响，该时代强调药物治疗和医疗模式的首要地位。采用康复和健康理念，结合基于证据的实践，代表了这些机构未来的愿景（Smith & Bartholomew, 2006）。本文描述了在一家州立精神病院实施基于证据的疾病管理和康复实践（SAMHSA， 2008年）。除了讨论了一些成功的实施策略和项目障碍外，还讨论了这个以证据为基础的项目的作用，作为实施恢复和健康理念的一种方式。并对今后的研究方向进行了讨论。
State psychiatric hospitals across the United States continue to use methodologies that predate the emergence of the evidenced-based practices movement and widespread adoption of the recovery model. The cultural legacy of state psychiatric hospitals is often heavily influenced by the era of custodial treatment with an emphasis on medication and the primacy of the medical model of care. Using a recovery and wellness philosophy, combined with practices that are evidence based, represents a vision for the future of these institutions (Smith & Bartholomew, 2006). This article describes the implementation of the evidence-based practice of illness management and recovery (SAMHSA, 2008) in a state psychiatric hospital. The role of this evidence-based program, as a way of operationalizing a recovery and wellness philosophy, is discussed in addition to some of the successful implementation strategies and program barriers. Directions for future work in this area are also discussed.