Fabiana Engelsbel, Nanette Waterhout, Marty Dijkstra, René Keet, Annet Nugter
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引用次数: 0
摘要
以康复为导向的入院治疗（ROI）与通常的入院治疗（IAU）不同，它从治疗一开始就融入了康复原则，并有同行专家的参与。这项研究比较了 127 名客户和 391 名专业人员（包括从业人员和朋辈专家）在 "以康复为导向的接纳 "和 "以康复为导向的接纳 "方面的经验。通过问卷调查来衡量接纳的质量，结果显示 ROI 和 IAU 服务对象的体验没有差异。不过，从业人员认为 ROI 比 IAU 更注重康复。投资回报忠诚度检查（RFC）显示，客户的 RFC 分数，而不是从业人员的 RFC 分数，可以预测他们对接纳质量的评价。这强调了对专业人员进行（再）培训和同行监督的必要性，以确保他们遵守投资回报原则。受试者和专业人员在治疗开始时的经历存在差异，这与有关工作联盟和共同决策（SDM）的文献一致。ROI 和 IAU 专业人员之间的差异可能是由于接受了培训以及在接受治疗时有同行专家在场，从而提高了对康复原则的认识。
Experiences of Clients and Professionals with the Recovery Oriented Intake.
The Recovery Oriented Intake (ROI) integrates recovery principles from the start of treatment, and involves peer experts, unlike the intake as usual (IAU). This study compared experiences with ROI and IAU among 127 clients and 391 professionals, consisting of practitioners and peer experts. Intake's quality, measured with questionnaires, showed no differences in experiences between ROI and IAU clients. However, practitioners experienced ROI as more recovery-oriented than IAU. The ROI Fidelity Check (RFC) revealed that clients' RFC-scores, but not practitioners', predicted their valuation of intake's quality. This underscores the need for (re)training and peer supervision for professionals to ensure adherence to ROI's principles. Discrepancies between clients' and professionals' experiences at the start of treatment are consistent with literature on working alliance and Shared Decision Making (SDM). Differences between ROI and IAU professionals may stem from heightened awareness of recovery principles due to training and the presence of peer experts during intake.
期刊介绍：
Community Mental Health Journal focuses on the needs of people experiencing serious forms of psychological distress, as well as the structures established to address those needs. Areas of particular interest include critical examination of current paradigms of diagnosis and treatment, socio-structural determinants of mental health, social hierarchies within the public mental health systems, and the intersection of public mental health programs and social/racial justice and health equity. While this is the journal of the American Association for Community Psychiatry, we welcome manuscripts reflecting research from a range of disciplines on recovery-oriented services, public health policy, clinical delivery systems, advocacy, and emerging and innovative practices.
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