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从医学模式到恢复模式:心理学家在公共心理健康领域参与倡导和社会正义行动议程。

From the medical model to the recovery model: Psychologists engaging in advocacy and social justice action agendas in public mental health.

机构信息

Department of Psychiatry.

Oregon State Hospital.

出版信息

Am J Orthopsychiatry. 2023;93(2):120-130. doi: 10.1037/ort0000656. Epub 2023 Feb 13.

Abstract

There is increasing recognition of the need for civil rights advocacy for people with mental illness, as basic human rights continue to be violated in mental health systems. Relatedly, an elevated call for recovery-oriented care creates new opportunities for psychologists to act as social change agents and advocates for patients in state hospital and community settings. Despite lack of specific preparation and training to take on this role, psychologists' overall training places them in a unique position to advocate in many ways. This can be for individuals in the system (patients or staff), for the discipline of psychology, as well as acting as advocates for the continued growth of recovery-oriented approaches, more socially just practices in systems of care, and by engaging in public policy transformation. Psychologists, through creating cultural change, can work to advocate for a transformation from a medical model to a recovery-oriented care model, which focuses on building meaningful lives, autonomy, and rights of the individual. We discuss the many ways in which psychologists can act as advocates in state hospitals and community settings via diverse mechanisms, including at a policy level, the challenges that they encounter, and ways to overcome these. Future directions and ways to increase the effectiveness of advocacy efforts are also discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

摘要

越来越多的人认识到,需要为精神病患者争取公民权利,因为精神卫生系统仍在不断侵犯基本人权。相关地,以康复为导向的护理的呼声日益高涨,这为心理学家在州立医院和社区环境中充当社会变革推动者和患者代言人创造了新的机会。尽管缺乏承担这一角色的具体准备和培训,心理学家的整体培训使他们能够以多种方式进行倡导。这可以是为系统中的个人(患者或工作人员)、为心理学学科,也可以倡导继续发展以康复为导向的方法、在护理系统中采取更公正的做法,并参与公共政策改革。心理学家可以通过进行文化变革,努力倡导从医学模式向以康复为导向的护理模式转变,后者注重建立有意义的生活、自主性和个人权利。我们讨论了心理学家可以通过各种机制,包括在政策层面,在州立医院和社区环境中充当倡导者的多种方式,以及他们遇到的挑战和克服这些挑战的方法。还讨论了未来的方向和提高倡导工作效果的方法。

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