Abstract
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.
Highlights
The experiences of professionals in well-established recovery-oriented programs are valuable for professionals in similar practice settings
People with mental illness can recover with various support sources, and mental health professionals can be part of the support system
The categorizations are different, the implementation of recovery-oriented services described by Taiwanese professionals has many similarities
Summary
The experiences of professionals in well-established recovery-oriented programs are valuable for professionals in similar practice settings. Transforming the traditional medical model into recovery-oriented services requires the development of a new set of values, service goals, and practice implementations on the part of mental health professionals [6, 7] This includes establishing positive therapeutic relationships with people with mental illness, encouraging them to express their feelings, giving them hope, supporting their decisions, and encouraging them to take responsibility for their own recovery [4, 8, 9]. Such service models focus on internal changes in individuals, and on the determinants of environmental and social health [10]. Recovery-oriented services involve a wide range of areas, including medication, personal care, goal setting, and social interaction, all of which require collaboration among various mental health professions [4, 11]
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