Jorge-Monteiro Maria F, Ornelas José H
ISPA - Instituto Universitário, Rua Jardim do Tabaco, No. 34, 1149-041, Lisbon, Portugal.
Department of Clinical and Health Psychology, ISPA - Instituto Universitário, Lisbon, Portugal.
Community Ment Health J. 2016 Oct;52(7):821-33. doi: 10.1007/s10597-016-0004-8. Epub 2016 Apr 12.
This cross-sectional group comparison aimed to examine whether personal empowerment, recovery and community integration were associated with the individual's participation in an empowering community-centered model of intervention. Ninety-three participants from an empowering community-centered community mental health organization were compared with a matched group of individuals from standard interventions of four equivalent organizations. Results showed that participants taking advantage of the empowering community-centered approach were more involved in high recovery-oriented programs; and attained higher levels of personal goals and hope, empowerment, and of community integration. An involvement in high recovery-oriented programs (supported employment or independent housing) revealed improved outcomes for the individual. In conclusion, the findings suggested a transformative impact of the empowering community-centered model both at the individual and the program level by altering the resource accessibility and social conditions for people who experience mental illness. The implications of findings for transforming community mental health practice are discussed in detail.
这项横断面组间比较旨在研究个人赋权、康复及社区融入是否与个体参与以社区为中心的赋权干预模式有关。来自一个以社区为中心的赋权社区心理健康组织的93名参与者与来自四个同等组织的标准干预措施的匹配个体组进行了比较。结果表明，采用以社区为中心的赋权方法的参与者更多地参与了以康复为导向的高目标项目；并实现了更高水平的个人目标和希望、赋权及社区融入。参与以康复为导向的高目标项目（支持性就业或独立住房）对个体而言显示出更好的结果。总之，研究结果表明，以社区为中心的赋权模式通过改变精神疾病患者的资源可及性和社会条件，在个体和项目层面都产生了变革性影响。文中详细讨论了研究结果对转变社区心理健康实践的意义。
