de Jong Gideon, Meijer Ellen, Schout Gert
Psychiatry. 2018 Summer;81(2):101-115. doi: 10.1080/00332747.2018.1492850. Epub 2018 Sep 10.
Recovery is a journey not only of personal change but also of social reengagement. It underlines the essence of social environments that are supportive to the recovery of people with ongoing mental health issues. The process of recovery also affects other actors, and likewise these actors exert their influence on the recovery of their family member or friend.
Since 2009, we have been studying whether the decision-making model called family group conferencing (FGC) helps mental health clients increase their self-reliance. The essence of FGC is that individuals who experience problems have the opportunity to develop a plan together with people from their social network. Clients in mental health have to deal with different forms of disempowerment, especially when they are threatened with compulsory measures. It is an aim to help them regain ownership over their problems as well as over the potential solutions.
From 2011 to 2013, we evaluated 41 family group conferences that were organized for clients in a public mental health care setting in the north of the Netherlands. Each conference was analyzed in a qualitative case study framework.
This article highlights two case portraits. It gives insight into how ownership was restored and what this meant regarding clients' recovery process.
FGC seems a promising tool to shift the attention from disorders and inabilities to capacities and the rediscovery of social resources.
康复不仅是个人改变的旅程,也是重新融入社会的过程。它突显了对有持续心理健康问题的人康复具有支持作用的社会环境的本质。康复过程也会影响其他参与者,同样,这些参与者也会对其家庭成员或朋友的康复产生影响。
自2009年以来,我们一直在研究一种名为家庭小组会议(FGC)的决策模式是否有助于心理健康服务对象增强自立能力。家庭小组会议的本质是,遇到问题的个人有机会与来自其社交网络的人共同制定计划。心理健康服务对象必须应对不同形式的权力剥夺,尤其是当他们面临强制手段的威胁时。其目的是帮助他们重新掌控自己的问题以及潜在的解决方案。
2011年至2013年期间,我们对在荷兰北部一家公共心理健康机构为服务对象组织的41次家庭小组会议进行了评估。每次会议都在定性案例研究框架内进行了分析。
本文重点介绍了两个案例描述。它深入探讨了如何恢复掌控权以及这对服务对象的康复过程意味着什么。
家庭小组会议似乎是一个很有前景的工具,可将注意力从疾病和无能转移到能力以及对社会资源的重新发现上。