提供以康复为导向的服务的专业视角：一项定性研究。
Professional perspectives on providing recovery-oriented services in Taiwan: a qualitative study.
机构信息
Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Institute of Allied Health Science, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
出版信息
BMC Psychiatry. 2021 Mar 16;21(1):154. doi: 10.1186/s12888-021-03152-y.
BACKGROUND
The experiences of professionals in well-established recovery-oriented programs are valuable for professionals in similar practice settings. This study explored professionals' experiences with providing recovery-oriented services in community psychiatric rehabilitation organizations.
METHODS
Semi-structured interviews were conducted with 14 professionals from five recovery-oriented psychiatric rehabilitation organizations in Taiwan. The interviews were recorded and transcribed verbatim. Thematic analysis was used for the qualitative data analysis.
RESULTS
The analyses documented three main themes with 13 subthemes. Recovery-oriented service implementation included seven subthemes: Enabling clients to set their own goals and make decisions, using a strengths-based approach, establishing partnerships with clients, improving individuals' self-acceptance, encouraging community participation, seeking family, peer, and organizational support, and building team collaboration. Problems with implementing recovery-oriented services included limited policy and organizational support, a lack of understanding of recovery among professionals, stigma, clients' lack of motivation or self-confidence in their own ability to achieve recovery, and passive or overprotective family members. Strategies to resolve implementation problems included policy changes and organizational support, improving the recovery competence and confidence of professionals, and family and public education.
CONCLUSIONS
To date, this is the first known study examining the perspectives of mental health professionals who have experience implementing recovery-oriented services in Asia. The participants identified family collaboration, anti-stigma efforts, and changes in policy and attitudes as critical to successful implementation and delivery of recovery-oriented services.
背景
在成熟的以康复为导向的项目中工作的专业人员的经验对于在类似实践环境中的专业人员来说是有价值的。本研究探讨了专业人员在社区精神康复组织中提供以康复为导向的服务的经验。
方法
对来自台湾五个以康复为导向的精神康复组织的 14 名专业人员进行了半结构化访谈。访谈进行了录音并逐字记录。使用主题分析对定性数据分析。
结果
分析记录了三个主题，包括 13 个子主题。以康复为导向的服务实施包括七个子主题：使客户能够设定自己的目标并做出决策，采用基于优势的方法，与客户建立伙伴关系，提高个人的自我接受能力，鼓励社区参与，寻求家庭、同伴和组织支持，以及建立团队合作。实施以康复为导向的服务存在问题，包括政策和组织支持有限，专业人员对康复的理解有限，污名化，客户缺乏动力或对自己实现康复的能力缺乏信心，以及被动或过度保护的家庭成员。解决实施问题的策略包括政策改变和组织支持、提高专业人员的康复能力和信心，以及家庭和公众教育。
结论
到目前为止，这是第一个已知的研究，考察了在亚洲实施以康复为导向的服务的精神健康专业人员的观点。参与者确定了家庭合作、反污名化努力以及政策和态度的改变对成功实施和提供以康复为导向的服务至关重要。
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