``Getting People Back Into the Community'': Forensic Mental Health Nurses' Perceptions and Experiences of the Recovery Model Within a High-Secure Hospital.

Casey Roberts, Michael Luder, Crystal McMullen, Rosalind Cole, Nicole Ward, Paul Dignam, Michael Ireland
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Abstract

Background: The implementation of the recovery model into forensic mental health care promotes hope and has important implications for inpatients' community reintegration.

Aim: This study aimed to describe forensic mental health nurses' perceptions and experiences of providing care using the recovery model within a high-secure forensic hospital in Queensland, Australia.

Methods: Twenty-seven forensic mental health nurses were interviewed regarding their perceptions and experiences of providing recovery-oriented care within a high-secure forensic hospital.

Results: The participants described an individualized approach to recovery, both in the goals developed and in the level of support they required. There was an overarching shared goal across the participant group, which was focused on supporting patients to reintegrate back into the community. Inadequate resources (both internal and external), the severity of patient psychopathology, legal constraints, and the nursing role within the broader treating team were all perceived to present challenges to utilizing the recovery model within a high-secure forensic hospital.

Implications for clinical forensic nursing practice: To fully realize the potential of the recovery model, a system-wide reconceptualization is necessary.

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让人们重返社区":法医精神健康护士对高度戒备医院内康复模式的看法和体验。
背景:目的:本研究旨在描述澳大利亚昆士兰州一家高度戒备的法医医院中,法医精神健康护士对使用康复模式提供护理的看法和经验:对 27 名法医精神健康护士进行了访谈,了解他们在一家高度戒备的法医医院内提供以康复为导向的护理的看法和经验:结果:参与者描述了一种个性化的康复方法,既包括制定的目标,也包括他们所需的支持程度。整个参与者群体有一个共同的总体目标,即重点支持病人重返社区。资源不足(包括内部和外部资源)、病人精神病理学的严重程度、法律限制以及护理人员在更广泛的治疗团队中的角色,都被认为是在高度戒备的法医医院中使用康复模式所面临的挑战:临床法医护理实践的启示:要充分发挥康复模式的潜力,有必要对整个系统进行重新认识。
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