Department of Health Promotion and Disability Studies, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
School of Health, University of New England, Armidale, Australia.
BMC Psychiatry. 2020 Jul 6;20(1):355. doi: 10.1186/s12888-020-02768-w.
In the past decades, considerable global attention has been drawn to recovery services that seek to promote the personal recovery journey of consumers with mental illness. However, in most settings, including Ghana, limited empirical studies have attempted to explore, from the perspectives of Mental Health Professionals (MHPs) and consumers, the effectiveness of recovery services and expectation towards the recovery. This study, therefore, explored consumers' and MHPs perspectives concerning recovery services and expectations towards recovery in two community-based residential facilities in Ghana.
A qualitative method, involving in-depth interviews and observations, were used to collect data from 24 participants (5 MHPs and 19 consumers). Thematic analysis was used to analyze the data.
The study identified three global themes and nine organizing themes. The global themes were recovery services offered to consumers, expectation regarding personal recovery and challenges in achieving recovery. The study found that recovery services were expected to improve the internal and external recovery processes of consumers. The internal recovery process was independent living whilst the external recovery process were management of illness, economic empowerment and social inclusion. Several systemic and consumer-related factors influenced consumers' and MHPs expectation concerning the recovery journey.
The study concludes that the government should prioritize the use of recovery services through policies, financial incentives, infrastructure support, and adequate training of MHPs.
在过去几十年中,全球相当关注旨在促进精神疾病患者个人康复之旅的康复服务。然而,在大多数环境中,包括加纳,很少有实证研究试图从心理健康专业人员(MHPs)和消费者的角度探索康复服务的有效性以及对康复的期望。因此,本研究探讨了加纳的两个社区居住设施中消费者和 MHPs 对康复服务的看法以及对康复的期望。
采用定性方法,包括深入访谈和观察,从 24 名参与者(5 名 MHPs 和 19 名消费者)中收集数据。使用主题分析对数据进行分析。
研究确定了三个全球主题和九个组织主题。全球主题是为消费者提供的康复服务、个人康复的期望以及实现康复的挑战。研究发现,康复服务有望改善消费者的内部和外部康复过程。内部康复过程是独立生活,而外部康复过程是疾病管理、经济赋权和社会包容。一些系统和消费者相关因素影响了消费者和 MHPs 对康复之旅的期望。
该研究得出结论,政府应通过政策、财务激励、基础设施支持和对 MHPs 的充分培训,优先使用康复服务。