期刊论文详细信息
International Journal of Mental Health Systems
A qualitative exploration of the recovery experiences of consumers who had undertaken shared management, person-centred and self-directed services
Torbjorn Falkmer2  Sunila Peterson1  Angus Buchanan1 
[1] School of Occupational Therapy & Social Work, Curtin University, Perth, WA, Australia;School of Occupational Therapy, La Trobe University, Melbourne, Vic., Australia
关键词: Self-direction;    Mental health reformation;    Grounded theory;   
Others  :  800874
DOI  :  10.1186/1752-4458-8-23
 received in 2013-12-12, accepted in 2014-05-27,  发布年份 2014
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【 摘 要 】

Background

The mental health sector across states in Australia is moving to offering individualised funds and shared management, person-centred and self-directed (SPS) services. However, little is known about the recovery experiences of consumers with mental illness who had used a SPS service that was recently introduced in Western Australia. This study explored the recovery experiences of these consumers.

Methods

Data relating to sixteen consumers’ lived experiences were analysed using an abbreviated grounded theory approach. These data had been developed in the past by consumers, the Guides (staff) and an independent evaluator.

Results

Four over-arching categories, and related sub-categories, emerged. These suggested that consumers’ recovery experiences included them gaining: 1) a greater sense of empowerment; 2) expanded connections with the community, others and ‘the self’; 3) an enriched sense of ‘the self’; and 4) an enhanced quality of life.

Conclusions

Access to SPS services, including having access to individualised funds, high quality shared management and person-centred relationships with the Guides, and a chance to self-direct services enabled consumers to have control over all aspects of their recovery journey, facilitated change and growth, and improved their capacity to self-direct services. Most consumers encountered a number of positive recovery experiences at varied levels that enhanced their lived experiences.

【 授权许可】

   
2014 Buchanan et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]World Health Organization: World Conference on Social Determinant of Health – Summary Paper. Switzerland: WHO Press; 2012.
  • [2]Borg M, Karlsson B, Tondora J, Davidson L: Implementing person-centred care in psychiatric rehabilitation: what does this involve? Isr J Psychiatr Relat Sci 2009, 46:84-93.
  • [3]Mental Health Commission of Western Australia: Informing the Development of a Quality Assurance Framework for Mental Health in Western Australia: Interim Report May / June 2011. [http://www.mentalhealth.wa.gov.au/Libraries/pdf_docs/WA_QA_Interim_Report_FINAL_DRAFT_12_June_2011_2.sflb.ashx]
  • [4]Wade DT, Halligan PW: Do biomedical models of illness make for good healthcare systems? BMJ 2004, 329:1398-1401.
  • [5]Deacon BJ: The biomedical model of mental disorder: a critical analysis of its validity, utility, and effects on psychotherapy research. Clin Psychol Rev 2013, 33:846-861.
  • [6]Ogden J: An introduction to health psychology. [http://www.mcgraw-hill.co.uk/openup/chapters/0335214878.pdf]
  • [7]Angermeyer MC, Matschinger H, Schomerus G: Attitudes towards psychiatric treatment and people with mental illness: changes over two decades. Br J Psychiatr 2013, 203:146-151.
  • [8]Alakeson V: The contribution of self-direction to improving the quality of mental health services. [http://aspe.hhs.gov/daltcp/reports/2007/MHslfdir.pdf]
  • [9]Leadbeater C, Bartlett J, Gallagher N: Making it Personal. [http://www.partnerships.org.au/Making%20It%20Personal.pdf]
  • [10]Siu BWM, Ng BFL, Li VCK, Yeung YM, Lee MKL, Leung AYH: Mental health recovery for psychiatric inpatient services: perceived importance of the elements of recovery. East Asian Arch Psychiatr 2012, 22:39-48.
  • [11]Andresen R, Oades L, Caputi P: The experience of recovery from schizophrenia: towards and empirically validated stage model. Aust New Zeal J Psychiatr 2003, 37:586-594.
  • [12]Anderson KK, Fuhrer R, Malla AK: There are too many steps before you get to where you need to be: Help seeking by patients with first episode psychosis. Journal of Mental Health 2013, 22:384-395.
  • [13]Engel GL: The need for a new medical model: a challenge for biomedicine. Science 1977, 196:129-135.
  • [14]Mental Health Commission of Western Australia: Mental Health 2020: Making it Personal and Everybody’s Business – Reforming Western Australia’s Mental Health System. [http://www.mentalhealth.wa.gov.au/media_resources/policies.aspx]
  • [15]Slade M: Measuring recovery in mental health services. Isr J Psychiatr Relat Sci 2010, 47:206-212.
  • [16]Bradshaw W, Roseborough D, Peterson-Armour M: Recovery from severe mental illness: the lived experience of the initial phase of treatment. Int J Psychosoc Rehabil 2006, 10:123-131.
  • [17]Peterson S, Buchanan A, Falkmer T: The impact of services that offer individualised funds, shared management, person-centred relationships, and self-direction on the lived experiences of consumers with mental illness. Int J Ment Health Syst 2014, 8:20. BioMed Central Full Text
  • [18]Cook JA, Russell C, Grey DD, Jonikas JA: Economic grand rounds - a self-directed care model for mental health recovery. Psychiatr Serv 2008, 59:600-602.
  • [19]Hewitt-Taylor J: How personal health budgets may affect community nursing teams. Br J Community Nurs 2008, 13:362-366.
  • [20]Disability Services Commission: Shared Management Policy. [http://www.disability.wa.gov.au/reform1/reform/sector_development/shared_management/]
  • [21]Coyle D: Impact of person-centred thinking and personal budgets in mental health services: reporting a UK pilot. J Psychiatr Ment Health Nurs 2011, 18:796-803.
  • [22]Bernier A, Dozier M: The client-counselor match and the corrective emotional experience: evidence from interpersonal and attachment research. Psychother Theor Res Pract 2002, 39:32-43.
  • [23]Miller RC: The somatically preoccupied patient in primary care: use of attachment theory to strengthen physician-patient relationships. Osteopathic Med Prim Care 2008, 2:6-16. BioMed Central Full Text
  • [24]Teyber E: Interpersonal Process in Therapy: An Integrative Model. USA: Brooks/Cole; 2006.
  • [25]Mental Health Coordinating Council: Self-Directed Funding and the Community Managed Mental Health Sector: Opportunities and Challenges. 201, Sydney Australia: Mental Health Coordinating Council; [http://www.mhcc.org.au/media/11952/self-directed-funding-cmos-opportunities-challenges-14-11-2011.pdf]
  • [26]Glendinning C, Challis D, Fernandez J, Jacobs S, Jones K, Knapp M, Manthorpe J, Moran N, Netten A, Stevens M, Wilberforce M: Evaluation of the Individual Budgets Pilot Programme – Final Report. London: University of York Kings College; 2008.
  • [27]Shen C, Smyer MA, Mahoney KJ, Loughlin DM, Simon-Rusinowitz L, Mahoney EK: Does mental illness affect consumer direction of community-based care – lessons from the Arkansas cash and counseling program. Gerontologist 2008, 48:93-104.
  • [28]National Steering Group: Self-directed services and personal budgets strategy paper 2012–2013. [http://www.partnerships.org.au/Strategy%20Paper%20Self-Directed%20Services%20and%20Personal%20Budgets.pdf]
  • [29]Jorm A: Mental health literacy: empowering the community to take action for better mental health. Am Psychol 2012, 67:231-243.
  • [30]Kartalova-O’Doherty Y, Stevenson C, Higgins A: Reconnecting with life: a grounded theory study of mental health recovery in Ireland. J Ment Health 2012, 21:136-144.
  • [31]Roe D, Lysaker PH: Concerns and issues that have emerged with the evolution of evidence-based practice. J Ment Health 2012, 21:427-429.
  • [32]Australian Bureau of Statistics: 4326.0 – National Survey of Mental Health and Wellbeing: Summary of Results. Canberra: Australian Bureau of Statistics; 2007. [http://www.abs.gov.au/ausstats/abs@.nsf/Latestproducts/4326.0Main%20Features32007?opendocument&tabname=Summary&prodno=4326.0&issue=2007&num=&view]
  • [33]Charmaz K: Grounded theory. In Rethinking Methods in Psychology. Edited by Smith JA, Harre R, Van Langenhove L. London: SAGE Publications; 2001:27-49.
  • [34]Langdridge D: Grounded theory. In Langdridge, Introduction to Research Methods and Data Analysis in Psychology. Edinburgh Gale: Pearson Education Limited; 2004:293-306.
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