Meehan Tom J, King Robert J, Beavis Pam H, Robinson Jacqueline D
Department of Psychiatry, University of Queensland, Royal Brisbane Hospital, Herston, Qld, Australia.
Aust N Z J Psychiatry. 2008 Mar;42(3):177-82. doi: 10.1080/00048670701827234.
The concept of recovery is now widely promoted as the guiding principle for the provision of mental health services in Australia and overseas. While there is increasing pressure on service providers to ensure that services are recovery oriented, the way in which recovery-based practice is operationalized at the coalface presents a number of challenges. These are discussed in the context of five key questions that address (i) the appropriateness of recovery as a focus for service delivery, (ii) the distinction between recovery as a process and an outcome, (iii) the assessment of recovery initiatives, (iv) the alignment of recovery with current service delivery models, and (v) the risks associated with recovery-based practice. It is argued that these questions provide a framework for a debate that must extend beyond patients and providers of mental health services to the broader public, whose attitudes will ultimately determine the possibilities and limits of recovery-oriented practice.
在澳大利亚和海外，康复理念如今被广泛推崇为提供心理健康服务的指导原则。尽管服务提供者面临着越来越大的压力，要确保服务以康复为导向，但在实际工作中实施基于康复的实践却面临诸多挑战。本文将结合五个关键问题来探讨这些挑战，这五个问题涉及：（i）将康复作为服务提供重点的适当性；（ii）康复作为过程与结果的区别；（iii）对康复举措的评估；（iv）康复与当前服务提供模式的契合度；（v）基于康复的实践所带来的风险。本文认为，这些问题为一场辩论提供了一个框架，这场辩论必须超越心理健康服务的患者和提供者，扩展到更广泛的公众，公众的态度最终将决定以康复为导向的实践的可能性和局限性。
