Abstract

Based upon academic and clinical experience from Denmark, this article aims to highlight international research-based knowledge concerning challenging aspects about the understanding and implementation of recovery-oriented practice. Three key points are located: (a) An integrative biopsychosocial approach considering both the clinical and personal recovery perspectives is relevant for research and practice. (b) Barriers in implementing a recovery-oriented approach include both individual and systemic challenges. This is well documented in the research-based literature, highlighting the need for changes. (c) A shift from professional control to a service-user orientation is seen as crucial. Examples of a positive shift are seen, helping the health professionals in their development and practicing of skills and competences through education and personal formation. Within these perspectives, a paradigm shift from a one-dimensional biomedical approach to a biopsychosocial approach is suggested. Instead of focusing on rapid stabilisation and symptom relief as a clinical outcome, a humanistic approach building on social- and person-oriented values is fundamental for social and personal recovery leading to a meaningful life.

Highlights

  • Based upon academic and clinical experience from Denmark, this article aims to highlight international research-based knowledge concerning challenging aspects about the understanding and implementation of recovery-oriented practice

  • The literature documents that people with mental illnesses can lead productive lives even while having symptoms and that many may recover

  • The psychosocial perspective has shown all-importantly to pave the way for participation in society, even when suffering from mental health challenges [11,31], especially because people can be assisted to overcome even the most serious mental illnesses if their case is understood from a personal development and lifeworld perspective instead of viewing them as chronic cases of disease [9,32]

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Summary

The Shortcomings of Clinical Treatment

Evidence-based knowledge emphasises the importance of including other treatments and perspectives in regard to understanding mental health illnesses [15,16]. The psychosocial perspective has shown all-importantly to pave the way for participation in society, even when suffering from mental health challenges [11,31], especially because people can be assisted to overcome even the most serious mental illnesses if their case is understood from a personal development and lifeworld perspective instead of viewing them as chronic cases of disease [9,32] This alternative professional view is based on existential and psychosocial rehabilitation, which includes a more societal responsibility in relation to citizens’ mental health and mutual effort to support recovery

The Shift from Clinical Recovery to Personal Recovery
What Needs to Be Done to Achieve Personal Recovery?
What Has Been Achieved in Rendering Care That Is More Recovery-Oriented?
How Can It Be Achieved?
Key Points
Findings
Conclusions

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