Zomer Lieke J C, Voskes Yolande, van Weeghel Jaap, Widdershoven Guy A M, van Mierlo Tom F M M, Berkvens Bram S, Stavenuiter Bert, van der Meer Lisette
Department of Ethics, Law and Humanities, Amsterdam UMC, Amsterdam, Netherlands.
Tranzo Scientific Center for Care and Wellbeing, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, Netherlands.
Front Psychiatry. 2020 Nov 5;11:592228. doi: 10.3389/fpsyt.2020.592228. eCollection 2020.
Unlike developments in short-term clinical and community care, the recovery movement has not yet gained foothold in long-term mental health services. In the Netherlands, approximately 21,000 people are dependent on long-term mental health care and support. To date, these people have benefited little from recovery-oriented care, rather traditional problem-oriented care has remained the dominant approach. Based on the view that recovery is within reach, also for people with complex needs, a new care model for long-term mental health care was developed, the active recovery triad (ART) model. In a period of 2.5 years, several meetings with a large group of stakeholders in the field of Dutch long-term mental health care took place in order to develop the ART model. Stakeholders involved in the development process were mental health workers, policy advisors, managers, directors, researchers, peer workers, and family representatives. The ART model combines an role for professionals, service users, and significant others, with focus on and cooperation between service users, family, and professionals in the . The principles of ART are translated into seven crucial steps in care and a model fidelity scale in order to provide practical guidelines for teams implementing the ART model in practice. The ART model provides guidance for tailored recovery-oriented care and support to this "low-volume high-need" group of service users in long-term mental health care, aiming to alter their perspective and take steps in the recovery process. Further research should investigate the effects of the ART model on quality of care, recovery, and autonomy of service users and cooperation in the triad.
与短期临床和社区护理领域的发展不同，康复运动在长期心理健康服务中尚未站稳脚跟。在荷兰，约有21000人依赖长期心理健康护理和支持。迄今为止，这些人从以康复为导向的护理中获益甚微，相反，传统的以问题为导向的护理仍然是主要方法。基于康复对有复杂需求的人也触手可及这一观点，开发了一种新的长期心理健康护理模式——积极康复三联体（ART）模式。在2.5年的时间里，与荷兰长期心理健康护理领域的一大群利益相关者举行了多次会议，以开发ART模式。参与开发过程的利益相关者包括心理健康工作者、政策顾问、管理人员、主任、研究人员、同伴工作者和家庭代表。ART模式将专业人员、服务使用者和重要他人的作用结合起来，重点关注服务使用者、家庭和专业人员在……中的……和合作。ART的原则被转化为护理中的七个关键步骤和一个模式保真度量表，以便为在实践中实施ART模式的团队提供实用指南。ART模式为长期心理健康护理中这一“低数量高需求”的服务使用者群体提供了量身定制的以康复为导向的护理和支持指导，旨在改变他们的观念并在康复过程中采取行动。进一步的研究应调查ART模式对护理质量、康复、服务使用者的自主性以及三联体中的合作的影响。
