The University of Sydney, Sydney, Australia.
University of Technology, Sydney, Sydney, Australia.
BMC Psychiatry. 2018 May 4;18(1):121. doi: 10.1186/s12888-018-1703-1.
The aim of this study was to better understand early-stage mental health recovery experiences of people living with severe and persistent mental illness and complex needs.
Semi-structured, in-depth interviews were conducted with 13 people engaged in an Australian program specifically designed for people facing complex barriers to their recovery. Interview data were analysed thematically using constant comparative methods.
Participants described engaging with seven interconnecting aspects of early recovery: (1) engaging with the challenge of recovery; (2) struggling for a secure and stable footing; (3) grieving for what was and what could have been; (4) seeking and finding hope; (5) navigating complex relationships; (6) connecting with formal and informal support, and finally, (7) juggling a complexity of health issues.
This study illuminated the complexity of earlier-stage recovery which was characterised both by challenging personal circumstances and a hope for the future. It illustrated that even at an early point in their recovery journey, and amidst these challenging circumstances, people still actively engage with support, draw on inner strengths, source resources and find accomplishments. Stability and security was foundational to the ability of participants to draw on their own strengths and move forward. Stability came when material needs, including housing, were addressed, and an individual was able to connect with a supportive network of workers, carers, friends and family.
本研究旨在深入了解患有严重和持续性精神疾病及复杂需求的人群的早期心理健康康复体验。
对 13 名参与澳大利亚专门为那些面临康复障碍的人设计的项目的人员进行了半结构化深入访谈。使用恒定性比较方法对访谈数据进行主题分析。
参与者描述了他们在早期康复过程中涉及到七个相互关联的方面：（1）应对康复挑战；（2）努力获得安全稳定的基础；（3）为过去的失去和可能的失去而悲伤；（4）寻找并发现希望；（5）驾驭复杂的人际关系；（6）与正式和非正式支持建立联系，最后，（7）应对一系列复杂的健康问题。
本研究阐明了早期康复的复杂性，其特点是个人环境具有挑战性，对未来充满希望。研究表明，即使在康复旅程的早期阶段，尽管面临这些具有挑战性的情况，人们仍然积极寻求支持，利用内在力量，寻找资源并取得成就。稳定和安全是参与者利用自身优势并向前发展的基础。当满足包括住房在内的物质需求，以及个人能够与支持性的工作人员、照顾者、朋友和家人网络建立联系时，稳定性就会出现。
