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会所康复:挑战、责任与角色成长。

Recovery at the Clubhouse: challenge, responsibility and growing into a role.

机构信息

Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway.

Department of Health Promotion and Development, Faculty of Psychology, University of Bergen, Bergen, Norway.

出版信息

Int J Qual Stud Health Well-being. 2021 Dec;16(1):1938957. doi: 10.1080/17482631.2021.1938957.

Abstract

To explore how people with mental illness experience recovery in the Clubhouse context, and which ingredients of the model they find active in promoting recovery. Hermeneutic-phenomenological design. Individual, semi-structured interviews with 18 Norwegian Clubhouse members. Systematic text condensation was used in analysis. Three main themes emerged: "Balancing unlimited support with meeting challenges", with two sub-themes: "Unlimited membership: space for self-agency or hindering development?" and "Becoming a Clubhouse member: concerns and positive experiences". The second main theme was: "Learning how to build new skills and roles in the community". The third main theme was: "Getting better through and for work", with two sub-themes: "Work at the Clubhouse as a means to recovery" and "Preparing for a working life in society". Overall, participants experienced improved mental and social wellbeing and work readiness. Recovery in the Clubhouse context requires members' personal initiative, thus people having poor mental health might struggle with utilizing the Clubhouse. However, participants reported that lack of challenges within the community thwarted their recovery. Based on Salutogenesis, conscious application of challenge in Clubhouse activities might enhance members' recovery. Furthermore, participants' all-round involvement in their recovery journeys suggests the importance of shared decision-making in recovery-oriented services.

摘要

为了探索精神疾病患者在会所背景下的康复体验,以及他们认为模型中的哪些要素有助于促进康复,我们采用了阐释现象学的设计。对 18 名挪威会所成员进行了个体、半结构化访谈。分析中使用了系统文本浓缩。出现了三个主要主题:“在无限支持和迎接挑战之间取得平衡”,有两个副标题:“无限会员资格:自我代理的空间还是阻碍发展?”和“成为会所成员:关注和积极体验”。第二个主要主题是:“在社区中学习如何建立新的技能和角色”。第三个主要主题是:“通过工作和为工作而变得更好”,有两个副标题:“在会所工作作为康复的一种手段”和“为在社会中工作生活做准备”。总的来说,参与者体验到了心理健康和社会福利的改善以及工作准备度的提高。在会所背景下的康复需要成员的个人主动性,因此,心理健康状况较差的人可能难以利用会所。然而,参与者报告说,社区内缺乏挑战阻碍了他们的康复。基于健康新论,在会所活动中有意识地应用挑战可能会增强成员的康复。此外,参与者全面参与他们的康复之旅表明,在以康复为导向的服务中,共同决策的重要性。

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Salutogenesis as a theoretical framework for psychosocial rehabilitation: the case of the Clubhouse model.
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