Rosen A, O'Halloran P
Professorial Fellow, School of Public Health, Faculty of Health and Behavioural Sciences, University of Wollongong; Clinical Associate Professor, Brain and Mind Research Institute, Sydney Medical School, University of Sydney; Deputy Commissioner, Mental Health Commission of New South Wales, Australia.
Director MHINDS (Mental Health International Networks for Developing Services); Senior Clinical Psychologist, Consultant Assertive Community Treatment, Western Sydney Local Health District, Australia.
East Asian Arch Psychiatry. 2014 Sep;24(3):104-9.
While mental health recovery is a very personal process, the approach also offers possibilities as a meta-framework for improving quality of services to support people with severe and enduring mental illness. This paper explores how a recovery paradigm offers opportunities to better understand how efforts within the personal, clinical, and psychosocial disability domains of well-being relate and need bridging and integration with an evidence-based framework of practice to optimise outcomes. Recovery from a severe and persisting mental illness such as schizophrenia is optimised by a holistic approach integrating the domains of clinical treatment and psychosocial rehabilitation with the personal efforts of individuals. For service providers, a monolithic or single paradigm approach with an exclusive or predominant biological, psychological, social, or cultural focus is unable to offer effective guidance on the treatment and rehabilitation support needed to enable community participation and ameliorate the impact which problems associated with mental illness have on individuals, their families, and their wider communities. Moreover, recovery-oriented services need to be effective, embracing evidence-based policy, practice and service delivery by providing treatment and support which actually work to improve outcomes for consumers and families.
虽然心理健康康复是一个非常个人化的过程,但这种方法作为一种元框架,也为提高服务质量以支持患有严重和持续性精神疾病的人提供了可能性。本文探讨了康复范式如何提供机会,以更好地理解个人、临床和心理社会残疾福祉领域内的努力如何相互关联,以及需要如何与基于证据的实践框架进行衔接和整合,以优化结果。通过将临床治疗和心理社会康复领域与个人努力相结合的整体方法,可以优化从精神分裂症等严重和持续性精神疾病中康复的效果。对于服务提供者来说,单一或仅专注于生物、心理、社会或文化的单一范式方法,无法为实现社区参与以及减轻与精神疾病相关的问题对个人、其家庭和更广泛社区的影响所需的治疗和康复支持提供有效指导。此外,以康复为导向的服务需要有效,通过提供切实有效的治疗和支持来改善消费者和家庭的结果,从而采用基于证据的政策、实践和服务提供方式。