有严重心理健康问题的人的康复过程和获得社会资本的途径:对英格兰五个社区心理健康团队六个月随访研究的二次分析。

Dr Kayonda Hubert Ngamaba, Dr Nicola Moran, Professor Martin Webber
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引用次数: 0

摘要

背景:许多发达国家已经将以康复为导向的实践作为其心理健康政策的核心部分,尽管人们对心理健康门诊患者获得社会资本是否能改善他们的康复过程知之甚少。目的:本研究调查了患有严重心理健康状况的人的康复过程与获得社会资本之间的关系。方法:这是一项为期六个月的随访研究的二次分析。服务使用者从英格兰的五个社区心理健康团队中招募,并在基线(n=151)和六个月的随访(n=127)中进行访谈。使用关于恢复过程的问卷(QPR)对恢复过程进行评估。所有统计分析(Pearson相关和多元回归)都是在两个不同的时间点进行的(p<0.05)。结果:从基线(M=45.2,SD=12.18)到六个月的随访(M=49.72,SD=12.52),参与者的康复体验略有增加,这表明他们已经康复。在随访中,他们获得社会资本的机会与服务用户的康复体验呈正相关(B=0.40 p<0.01)。心理健康分数较高、社会关系较多的人有更好的康复体验。结论:这项研究支持这样一种观点,即康复体验可以衡量,应该由服务用户来定义。心理健康分数较高、社会关系较多的人有更好的康复体验。这项研究有助于国际社会认可以康复为导向的实践,该实践侧重于为患有严重心理健康状况的人开发一种以人为中心而非以临床医生为中心的康复模式。
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The recovery process and access to the social capital of people with severe mental health problems: a secondary analysis of a six months follow-up study in five Community Mental Health Teams in England.
Background: Many developed nations have made recovery-oriented practice a central part of their mental health policy, though less is known about whether mental health outpatients’ access to social capital can improve their recovery process. Aims: This study investigates the relationship between the recovery process and access to social capital for people with severe mental health conditions. Methods: This is a secondary analysis of a six-month follow-up study. Service users were recruited from five Community Mental Health Teams in England and interviewed at baseline (n=151) and six-month follow-up (n=127). The recovery process was assessed using the Questionnaire about the Process of Recovery (QPR). All statistical analyses (Pearson’s correlations and multiple regression) were conducted at two different points in time (p< 0.05). Results: The participants’ experience of recovery increased slightly from baseline (M=45.2, SD=12.18) to six-month follow-up (M=49.72, SD=12.52), which is indicative of recovery. At follow-up, their access to social capital was positively associated with service users’ experience of recovery (B=0.40 p<0.01). People with higher mental well-being scores and more social connections had a better experience of recovery. Conclusions: This study supports the idea that the experience of recovery can be measured and should be defined by service users. People with higher mental well-being scores and more social connections had a better experience of recovery. This study is a contribution to the international endorsement of recovery-oriented practice which focuses on developing a person-centred rather than a clinician-centred model of recovery for people with severe mental health conditions.
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