Happell Brenda
Department of Health Innovation, Faculty of Science, Engineering and Health, Central Queensland University, Rockhampton, Queensland, Australia.
Int J Ment Health Nurs. 2008 Apr;17(2):116-22. doi: 10.1111/j.1447-0349.2008.00519.x.
The routine use of standardized instruments to measure consumer outcomes is now part of mental health policy throughout Australia. However, it has been broadly criticized for (i) not involving consumer input into the design of instruments; and (ii) not reflecting the aspects of care and treatment considered beneficial for recovery by consumers themselves. The importance of the concept of recovery is increasingly considered in the literature. Despite this, there is a paucity of research describing the effectiveness of services in promoting recovery from the perspective of consumers of mental health services. The aim of this study is to explore consumer perspectives in relation to the factors that promote and impede recovery, and the principles that ideally should underpin the evaluation of services. Focus group interviews were conducted with consumers of mental health services (n = 16) from one rural and one metropolitan mental health service in Victoria, Australia. This paper presents Part 1 of the findings, pertaining to aspects of mental health services that enhance recovery. Two main themes arose during the data analysis process: (i) treatment; and (ii) support and social connectedness. Various treatment strategies, including medication and spiritual involvement, were considered helpful. However, support from both staff and peers emerged as a more important and influential factor.
在澳大利亚，常规使用标准化工具来衡量消费者的治疗效果现已成为心理健康政策的一部分。然而，它受到了广泛批评，原因如下：（i）在工具设计过程中未纳入消费者的意见；（ii）未反映出消费者自身认为对康复有益的护理和治疗方面。康复概念的重要性在文献中得到了越来越多的关注。尽管如此，从心理健康服务消费者的角度描述服务促进康复效果的研究却很少。本研究的目的是探讨消费者对促进和阻碍康复的因素以及理想情况下应作为服务评估基础的原则的看法。对来自澳大利亚维多利亚州一家农村和一家城市心理健康服务机构的心理健康服务消费者（n = 16）进行了焦点小组访谈。本文呈现了研究结果的第一部分，涉及增强康复效果的心理健康服务方面。在数据分析过程中出现了两个主要主题：（i）治疗；（ii）支持与社会联系。包括药物治疗和精神参与在内的各种治疗策略都被认为是有帮助的。然而，来自工作人员和同伴的支持成为了一个更重要且有影响力的因素。
