Nugent Alexandra, Hancock Nicola, Honey Anne
The University of Sydney, Cumberland Campus, 74 East St., Lidcombe, NSW 2141, Australia.
Occup Ther Int. 2017 Feb 26;2017:5190901. doi: 10.1155/2017/5190901. eCollection 2017.
BACKGROUND/AIM: Internationally, mental health policy requires clinicians to shift from a medical to a recovery-oriented approach. However, there is a significant lag in the translation of policy into practice. Occupational therapists have been identified as ideally situated to be recovery-oriented yet limited research exploring how they do this exists. This study aimed to explore Australian occupational therapists' experiences of developing and sustaining recovery-orientation in mental health practice.
Semistructured, in-depth interviews were conducted with twelve occupational therapists working across different mental health service types. Participants identified themselves as being recovery-oriented. Data were analysed using constant comparative analysis.
Occupational therapists described recovery-oriented practice as an active, ongoing, and intentional process of seeking out knowledge, finding fit between understandings of recovery-oriented practice and their professional identity, holding hope, and developing confidence through clinical reasoning. Human and systemic aspects of therapists' workplace environment influenced this process.
Being a recovery-oriented occupational therapist requires more than merely accepting a specific framework. It requires commitment and ongoing work to develop and sustain recovery-orientation. Occupational therapists are called to extend current leadership activity beyond their workplace and to advocate for broader systemic change.
背景/目的：在国际上，心理健康政策要求临床医生从医学模式转向以康复为导向的模式。然而，政策转化为实践的过程存在显著滞后。职业治疗师被认为处于理想位置，能够以康复为导向开展工作，但探索他们如何做到这一点的研究却很有限。本研究旨在探讨澳大利亚职业治疗师在心理健康实践中发展和维持以康复为导向的经验。
对12名在不同心理健康服务类型机构工作的职业治疗师进行了半结构化的深入访谈。参与者认为自己是以康复为导向的。采用持续比较分析法对数据进行分析。
职业治疗师将以康复为导向的实践描述为一个积极、持续且有意识的过程，即寻求知识，在对以康复为导向的实践的理解与他们的职业身份之间找到契合点，怀抱希望，并通过临床推理增强信心。治疗师工作场所环境的人员和系统方面影响了这一过程。
成为一名以康复为导向的职业治疗师不仅仅是接受一个特定的框架。它需要投入精力并持续努力来发展和维持以康复为导向的模式。职业治疗师被呼吁将当前的领导活动扩展到工作场所以外，并倡导更广泛的系统性变革。
