Apostolopoulou Antigoni, Stylianidis Stelios, Issari Philia, Chondros Panagiotis, Alexiadou Amalia, Belekou Pepy, Giannou Charalambos, Karali Eleni K, Foi Vana, Tzaferou Fotini
Department of Psychology, National and Kapodistrian University of Athens, Athens, Greece.
Department of Psychology, Panteion University for Social and Political Sciences, Athens, Greece.
Front Psychiatry. 2020 Feb 13;11:24. doi: 10.3389/fpsyt.2020.00024. eCollection 2020.
In the context of the reform of psychiatric services in Greece, the debate about the concept of recovery is still growing. Recovery is defined as a path through which individuals facing mental health challenges are enabled to regain and further develop significant relationships with family, friends, the community, and themselves and at the same time to cope with the detrimental effects of stigma through empowerment. The present qualitative study aims to explore the experiences of people living in EPAPSY's (Association for Regional Development and Mental Health) community residential facilities focusing mainly upon the key concepts of the CHIME (connectivity, hope, identity, meaning, and empowerment) conceptual framework of recovery. To this end, semi-structured interviews were conducted with seven participants living and receiving mental health care in a residential facility of EPAPSY. The participants' accounts were analyzed using thematic analysis in a deductive and inductive manner. The research findings highlighted, among others, the challenges the participants faced during their early years in family and school, the experience of the revolving door effect, and the perceived turn their life took when they were transferred to a community residential facility, thus opening a new chapter in their lives. Of the five CHIME concepts, all are present in the participants' accounts, with emphasis given to a meaningful present, a need to feel "normal" again, and a positive outlook for the future, both for themselves and their relationships, despite the persistence of certain difficulties.
在希腊精神科服务改革的背景下，关于康复概念的争论仍在升温。康复被定义为一条途径，通过这条途径，面临心理健康挑战的个人能够重新获得并进一步发展与家人、朋友、社区以及他们自己的重要关系，同时通过赋权来应对耻辱感的有害影响。本定性研究旨在探索生活在EPAPSY（区域发展与心理健康协会）社区住宅设施中的人们的经历，主要关注康复的CHIME（连接性、希望、身份认同、意义和赋权）概念框架的关键概念。为此，对七名在EPAPSY的一个住宅设施中生活并接受精神卫生护理的参与者进行了半结构化访谈。使用主题分析法以演绎和归纳的方式对参与者的叙述进行了分析。研究结果突出了诸多方面，包括参与者早年在家庭和学校中面临的挑战、“旋转门效应”的经历，以及他们转到社区住宅设施后所感受到的生活转变，从而开启了他们生活的新篇章。在CHIME的五个概念中，所有概念都在参与者的叙述中有所体现，尽管仍存在某些困难，但重点强调了有意义的当下、再次感到“正常”的需求，以及对他们自己及其人际关系未来的积极展望。
