Byrne Louise, Happell Brenda, Reid-Searl Kerry
a Central Queensland University , School of Nursing and Midwifery , Rockhampton , Australia.
b University of Canberra and ACT Health , SYNERGY: Nursing and Midwifery Research Centre , Canberra , Australia.
Issues Ment Health Nurs. 2015;36(12):935-43. doi: 10.3109/01612840.2015.1076548.
Recovery is government mandated and a core facet of mental health reform. However, Recovery implementation in this country (Australia) has been inhibited by a lack of education of, and understanding from, clinicians. A grounded theory study was undertaken to explore the potential and existing role of lived experience practitioners in assisting meaningful implementations of Recovery within the Australian mental health sector. In-depth interviews were conducted with 13 people employed to work from a lived experience perspective. The findings suggest participants have experienced and observed significant barriers to the implementation of Recovery-focused practice while operating in lived experience roles. Three main issues emerged: (1) Recovery co-opted, (2) Recovery uptake, and (3) Recovery denial. For a genuine Recovery-focused mental health system to be developed, lived experience practitioners must be enabled to take their role as Recovery experts and leaders. Lived experience practitioners are the logical leaders of Recovery implementation due to their own internal experience and understandings of Recovery and the wider lived experience movement's development and championing of the concepts.
康复是政府强制要求的,也是心理健康改革的核心方面。然而,在这个国家(澳大利亚),康复的实施受到临床医生缺乏教育和理解的阻碍。开展了一项扎根理论研究,以探索有生活经验的从业者在协助澳大利亚心理健康部门切实实施康复方面的潜在作用和现有作用。对13名从生活经验角度受雇工作的人员进行了深入访谈。研究结果表明,参与者在以生活经验角色开展工作时,经历并观察到以康复为重点的实践实施存在重大障碍。出现了三个主要问题:(1)康复被挪用,(2)康复采用,(3)康复否认。要建立一个真正以康复为重点的心理健康系统,必须使有生活经验的从业者能够发挥其作为康复专家和领导者的作用。由于有生活经验的从业者自身对康复的内在体验和理解,以及更广泛的生活经验运动对这些概念的发展和倡导,他们是康复实施的合理领导者。