Professional perspectives on providing recovery-oriented services in Taiwan: a qualitative study

BMC Psychiatry

Yen-Ching Chang¹  Ling-Hui Chang²  Meng-Wen Huang³  Su-Ting Hsu⁴ 

[1] Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan;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;Department of Rehabilitation Science, Jenteh Junior College of Medicine, Nursing and Management, Miaoli, Taiwan;Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan;

关键词: Recovery-oriented services;    Professionals;    Attitudes;   

DOI  :  10.1186/s12888-021-03152-y

来源: Springer

【 摘 要 】

BackgroundThe 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.MethodsSemi-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.ResultsThe 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.ConclusionsTo 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.

【 授权许可】

CC BY