Parc Sanitari Sant Joan de Déu, Barcelona, Spain.
Etiopatogènia i tractament dels trastorns mentals greus (MERITT), Institut de Recerca Sant Joan de Déu (IRSJD), Esplugues de Llobregat Institut de Recerca Sant Joan de Déu, Fundació Sant Joan de Déu, Barcelona, Spain.
Health Soc Care Community. 2022 Nov;30(6):e5819-e5830. doi: 10.1111/hsc.14013. Epub 2022 Sep 8.
Profile of Community Recovery Services users has changed over the years and has become more diverse. To explore the evolution of treatment needs, this study aimed to identify users' needs, from the point of view of different agents implicated in the recovery process. We explored the consistency between the agents using the focus group technique. We defined four groups (n = 58): service users, family members, professionals, and referring professionals. We pre-identified topics related to recovery, such as illness-related losses, imaginary of CRS, expectations, activities, and life goals. All agents recognised losses related to the mental illness, the need for carrying activities out of the Community Recovery Services, and for including families in the recovery process. The groups differed in some areas, such as the identification of activities that should be encouraged, or the importance of promoting vital expectations. Our findings suggest that it is important to identify the needs of different agents involved in the recovery process. There is consistency in the service users' needs, but there are some differences that need to be considered. Interventions should be personalised, covering functional, cognitive, and relational losses related to the mental illness.
多年来，社区康复服务使用者的群体结构发生了变化，变得更加多样化。为了探索治疗需求的演变，本研究旨在从参与康复过程的不同利益相关者的角度，确定使用者的需求。我们使用焦点小组技术探索了各利益相关者之间的一致性。我们定义了四个组（n=58）：服务使用者、家庭成员、专业人员和转诊专业人员。我们预先确定了与康复相关的主题，例如与疾病相关的损失、社区康复服务的想象、期望、活动和生活目标。所有利益相关者都认识到与精神疾病相关的损失、需要开展社区康复服务之外的活动，以及让家庭参与康复过程的必要性。这些组在一些方面存在差异，例如确定应鼓励的活动，或者促进重要期望的重要性。我们的研究结果表明，确定参与康复过程的不同利益相关者的需求非常重要。服务使用者的需求存在一致性，但也存在一些需要考虑的差异。干预措施应该是个性化的，涵盖与精神疾病相关的功能、认知和关系损失。
