Slade Mike
Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK.
Isr J Psychiatry Relat Sci. 2010;47(3):206-12.
An international policy goal is to orientate mental health services around the support of 'recovery': the development of new meaning and purpose in one's life, irrespective of the presence or absence of symptoms of mental illness. Current progress towards a recovery orientation in mental health services is summarized, indicating that pro-recovery policy is in advance of both scientific evidence and clinical practice. Key evaluation challenges are outlined, and indicators of a recovery focus are described. These include quality standards, consumer-clinician interaction styles, and belief and discourse markers. This underpins a proposal for a new approach to service evaluation, which combines attainment of objectively-valued social roles and of subjective-valued personal goals. This approach has applicability as a methodology both for clinical trials and routine practice.
一项国际政策目标是围绕“康复”支持来定位心理健康服务：即在一个人的生活中发展新的意义和目标，无论是否存在精神疾病症状。本文总结了当前心理健康服务在以康复为导向方面取得的进展，表明促进康复的政策在科学证据和临床实践之前。概述了关键的评估挑战，并描述了以康复为重点的指标。这些指标包括质量标准、消费者与临床医生的互动方式以及信念和话语标记。这为一种新的服务评估方法提案奠定了基础，该方法将客观有价值的社会角色的实现与主观有价值的个人目标的实现相结合。这种方法作为一种方法学在临床试验和常规实践中都具有适用性。
