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并发障碍康复的意义:来自“住房优先”项目中生活和工作的消费者及工作人员的观点。

The Meaning of Recovery from Co-Occurring Disorder: Views from Consumers and Staff Members Living and Working in Housing First Programming.

作者信息

Watson Dennis P, Rollins Angela L

机构信息

Center for Health Policy, Department of Health Policy and Management, Indiana University Fairbanks School of Public Health, Indianapolis, IN, USA.

VA Health Services Research and Development Center for Health Information and Communication, Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA. ACT Center of Indiana, Psychology Department, Indiana University-Purdue University Indianapolis, Indianapolis, IN, USA.

出版信息

Int J Ment Health Addict. 2015 Oct;13(5):635-649. doi: 10.1007/s11469-015-9549-y.

Abstract

The current study seeks to understand the concept of recovery from the perspectives of consumers and staff living and working in a supportive housing model designed to serve those with co-occurring disorder. Interview and focus group data were collected from consumers and staff from four housing programs. Data analyzed using an approach that combined case study and grounded theory methodologies demonstrate that: consumers' and staff members' views of recovery were highly compatible and resistant to abstinence-based definitions of recovery; recovery is personal; stability is a foundation for recovery; recovery is a process; and the recovery process is not linear. These themes are more consistent with mental health-focused conceptions of recovery than those traditionally used within the substance abuse field, and they help demonstrate how recovery can be influenced by the organization of services in which consumers are embedded.

摘要

当前研究旨在从消费者以及居住和工作在旨在服务患有共病障碍者的支持性住房模式中的工作人员的角度,理解康复的概念。从四个住房项目的消费者和工作人员那里收集了访谈和焦点小组数据。使用结合了案例研究和扎根理论方法的方法进行数据分析,结果表明:消费者和工作人员对康复的看法高度一致,且抵制基于禁欲的康复定义;康复是个人化的;稳定是康复的基础;康复是一个过程;并且康复过程不是线性的。这些主题与以心理健康为重点的康复概念比与传统上在药物滥用领域使用的概念更为一致,它们有助于说明康复如何受到消费者所处服务机构组织方式的影响。

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