Academic journal article East Asian Archives of Psychiatry

Recovery Entails Bridging the Multiple Realms of Best Practice: Towards a More Integrated Approach to Evidence-Based Clinical Treatment and Psychosocial Disability Support for Mental Health Recovery

Academic journal article East Asian Archives of Psychiatry

Recovery Entails Bridging the Multiple Realms of Best Practice: Towards a More Integrated Approach to Evidence-Based Clinical Treatment and Psychosocial Disability Support for Mental Health Recovery

Article excerpt

Abstract

While mental health recovery is a very personal process, the approach also offers possibilities as a metaframework for improving quality of services to support people with severe and enduring mental illness. This paper explores how a recovery paradigm offers opportunities to better understand how efforts within the personal, clinical, and psychosocial disability domains of well-being relate and need bridging and integration with an evidence-based framework of practice to optimise outcomes. Recovery from a severe and persisting mental illness such as schizophrenia is optimised by a holistic approach integrating the domains of clinical treatment and psychosocial rehabilitation with the personal efforts of individuals. For service providers, a monolithic or single paradigm approach with an exclusive or predominant biological, psychological, social, or cultural focus is unable to offer effective guidance on the treatment and rehabilitation support needed to enable community participation and ameliorate the impact which problems associated with mental illness have on individuals, their families, and their wider communities. Moreover, recovery-oriented services need to be effective, embracing evidence-based policy, practice and service delivery by providing treatment and support which actually work to improve outcomes for consumers and families.

Key words: Psychosocial deprivation; Rehabilitation; Therapeutics

...

(ProQuest: ... denotes non-US-ASCII text omitted.)

Introduction

Complexity is a normal part of the mental health arena and the treatment, care and resolution of such complexity should be the "bread and butter" of all mental health service providers. In this way, we encompass the full gamut of bio- psycho-socio-cultural-environmental factors and domains in our endeavours for supporting recovery. As most mental illnesses have been found to be multifactorial in aetiology, it should be no surprise that their most effective remedies are multimodal.1 Severe mental illness, its treatment, rehabilitation, and personal efforts to recovery do not easily lend themselves to explanation by a single paradigm. An exclusively biological, psychological, social, or cultural model of care is unable to satisfactorily explain or guide intervention into the complexities of mental illness and the impact these problems have on individuals, their families, and their wider communities. While each domain can be a necessary component of care and treatment, overall, a singular and narrow approach is not sufficient to guide recovery-oriented care and practice. Many elements of a person's life can be impacted by mental illness; consequently, treatment and support require a holistic approach focused on need. For many individuals, this may involve simply supporting self-help capabilities. For many others, this will extend to a wider system of responses made up of clinical and disability support services, family and carer support, as well as government and non-governmental organisation (NGO) service provision.

Attempts at coming to grips with this inherent complexity can often lead to fracturing in our understanding and a fragmenting of our ways of working into separate compartments, which may hinder us from adopting the integrative and more holistic approach needed. We see this in the many artificial divides that emerge, including the way service-level models of care are organised, at the level of individual clinical and rehabilitation practice and even in our conceptual understanding of mental health problems. This is readily apparent in the divides that often exist between clinical treatment and the need for psychosocial rehabilitation and disability support, between hospital- and community-based service models, between the priorities of public, private and NGO sub-systems and, now even more worryingly, between the recovery approach and evidence- based practice.

Recovery Concepts and Practices

Recovery can be an elusive concept. …

Search by... Author
Show... All Results Primary Sources Peer-reviewed

Oops!

An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.