Hungerford Catherine, Fox Catherine
Disciplines of Nursing and Midwifery, Faculty of Health, University Canberra, Canberra, Australian Capital Territory, Australia.
Nurs Health Sci. 2014 Jun;16(2):209-15. doi: 10.1111/nhs.12088. Epub 2013 Aug 29.
Recovery approaches to health care now feature in the mental health policies of many Western countries. There are, however, continuing challenges to the operationalization of these approaches. This study aimed to identify the nature of these challenges for a public mental health service organization located in a major urban center in southeastern Australia, where Recovery-oriented services have been implemented; and to develop recommendations to address these challenges. These aims were achieved by asking mental health consumers about their experiences of the implementation of Recovery-oriented services. Research participants described an uncertainty in health professionals and consumers alike about how to practice within a Recovery model, with many health professionals taking a "hands off" approach in the name of Recovery, rather than working in partnership with consumers and other stakeholders, including the community managed organizations. Solutions to these challenges included more targeted, practice-focused education for consumers and health professionals, with this education provided by consumer representatives. Insights derived from this research add to the growing body of evidence related to the implementation of Recovery-oriented services in Western countries.
如今，康复型医疗保健方法已成为许多西方国家心理健康政策的特色。然而，将这些方法付诸实践仍面临持续挑战。本研究旨在确定澳大利亚东南部一个主要城市中心的一家公共心理健康服务机构在实施以康复为导向的服务时所面临挑战的性质；并提出应对这些挑战的建议。这些目标是通过询问心理健康服务使用者关于他们对以康复为导向的服务实施情况的体验来实现的。研究参与者描述了卫生专业人员和服务使用者在如何在康复模式下开展工作方面都存在不确定性，许多卫生专业人员以康复之名采取“不干涉”的方式，而不是与服务使用者以及包括社区管理组织在内的其他利益相关者合作。应对这些挑战的解决方案包括由消费者代表为消费者和卫生专业人员提供更具针对性、注重实践的教育。从这项研究中获得的见解为西方国家实施以康复为导向的服务的相关证据增添了内容。
