Weitere Kapitel dieses Buchs durch Wischen aufrufen
The mental health field is currently operating with two distinctly different meanings of the concept of “recovery.” While the traditional, clinical sense of having recovered from a serious mental illness has been around since the eighteenth century, the more recent meaning of living a full, self-directed life with an on-going serious mental illness emerged from the Mental Health Consumer/Survivor Movement in the late 1980s. Based on a disability rights framework, this new meaning of recovery has since spawned a movement of its own, promising to push mental health services beyond symptom reduction to a restoration of functioning and community inclusion in the face of a psychiatric disability. This chapter explores both meanings of the term recovery, argues for their complementarity in addressing different situations, and reviews the evidence that exists for interventions to promote community inclusion. Evidence suggests that persons with serious mental illnesses can function in a range of valued social roles and are more likely to do so when provided person-centered care that promotes self-management. More work remains in transforming care to this orientation, and additional work is needed to address the social determinants of mental health in creating more supportive and inclusive communities, comprising an interface between the concepts of personal recovery and citizenship.
Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten
Sie möchten Zugang zu diesem Inhalt erhalten? Dann informieren Sie sich jetzt über unsere Produkte:
Davidson, L. (2016). The recovery movement: Implications for mental health care and enabling people to participate fully in life. Health Affairs, 35(6), 1091–1097. CrossRef
U.S. Department of Health and Human Services. (2003). Achieving the promise: Transforming mental health care in America. Rockville, MD: U.S. Substance Abuse and Mental Health Services Administration.
Weiner, D. B. (1992). Pinel’s “Memoir on Madness” of December 11, 1794: A fundamental text of modern psychiatry. American Journal of Psychiatry, 149, 725–732. CrossRef
Kraepelin, E. (1904). Lectures on clinical psychiatry (T. Johnstone, Ed.). New York, NY: William Wood & Company.
Kraepelin, E. (1907). Clinical psychiatry: A textbook for students and physicians (A. R. Diefendorf, Trans.). New York, NY: Macmillan.
Harding, C. M., Brooks, G. W., Ashikaga, T., Strauss, J. S., & Breier, A. (1987). The Vermont longitudinal study of persons with severe mental illness, II: Long-term outcome of subjects who retrospectively met DSM-III criteria for schizophrenia. American Journal of Psychiatry, 144(6), 727–735.
Harding, C. M., Zubin, J., & Strauss, J. S. (1987). Chronicity in schizophrenia: Fact, partial fact, or artifact? Hospital and Community Psychiatry, 38(5), 477–486.
Ciompi, L. (1980). The natural history of schizophrenia in the long term. British Journal of Psychiatry, 136(5), 413–420. CrossRef
Lin, K. M., & Kleinman, A. M. (1988). Psychopathology and clinical course of schizophrenia: A cross-cultural perspective. Schizophrenia Bulletin, 14(4), 555–567. CrossRef
Bleuler, M. (1978). The schizophrenic disorders: Long-term patient and family studies (S. M. Clemens, Trans.). New Haven, CT: Yale University Press.
Carpenter, W. T., & Kirkpatrick, B. (1988). The heterogeneity of the long-term course of schizophrenia. Schizophrenia Bulletin, 14, 645–652. CrossRef
Davidson, L., & McGlashan, T. H. (1997). The varied outcomes of schizophrenia. Canadian Journal of Psychiatry, 42(1), 34–43. CrossRef
Slade, M. (2009). Personal recovery and mental illness: A guide for mental health professionals. Cambridge: Cambridge University Press. CrossRef
Deegan, P. E. (1988). Recovery: The lived experience of rehabilitation. Psychosocial Rehabilitation Journal, 11(4), 11–19. CrossRef
Anthony, W. A. (1993). Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal, 16(4), 11–23. CrossRef
Chamberlin, J. (1978). On our own: Patient controlled alternatives to the mental health system. New York: McGraw Hill.
Cohen, P., & Cohen, J. (1984). The clinician’s illusion. Archives of General Psychiatry, 41, 1178–1182. CrossRef
Strauss, J. S., & Carpenter, W. T., Jr. (1972). Prediction of outcome in schizophrenia. I: Characteristics of outcome. Archives of General Psychiatry, 27, 739–746. CrossRef
Strauss, J. S., & Carpenter, W. T., Jr. (1974). The prediction of outcome in schizophrenia. II: Relationships between predictor and outcome variables: A report from the WHO international pilot study of schizophrenia. Archives of General Psychiatry, 31(1), 37–42. CrossRef
Strauss, J. S., & Carpenter, W. T., Jr. (1977). Prediction of outcome in schizophrenia. III: Five-year outcome and its predictors. Archives of General Psychiatry, 34(2), 159–163. CrossRef
Strauss, J. S., Hafez, H., Lieberman, P., & Harding, C. M. (1985). The course of psychiatric disorder, III: Longitudinal principles. American Journal of Psychiatry, 142(3), 289–296. CrossRef
Onken, S. J., Craig, C. M., Ridgway, P., Ralph, R. O., & Cook, J. A. (2007). An analysis of the definitions and elements of recovery: A review of the literature. Psychiatric Rehabilitation Journal, 31(1), 9–22. CrossRef
Slade, M., Leamy, M., Bacon, F., Janosik, J., Le Boutillier, C., & Bird, V. (2012). International differences in understanding recovery: Systematic review. Epidemiology & Psychiatric Sciences, 1–12.
Drake, R. E., Becker, D. R., Clark, R. E., & Mueser, K. T. (1999). Research on the individual placement and support model of supported employment. Psychiatric Quarterly, 70(4), 289–301. CrossRef
Ridgway, P., & Zipple, A. M. (1990). The paradigm shift in residential services: From the linear continuum to supported housing approaches. Psychosocial Rehabilitation Journal, 13(4), 11–31. CrossRef
Unger, K. V., Anthony, W. A., Sciarappa, K., & Rogers, E. S. (1991). A supported education program for young adults with long-term mental illness. Hospital and Community Psychiatry, 42(8), 838–842.
Davidson, L., Haglund, K. E., Stayner, D. A., Rakfeldt, J., Chinman, M. J., & Tebes, J. K. (2001). “It was just realizing … that life isn’t one big horror”: A qualitative study of supported socialization. Psychiatric Rehabilitation Journal, 24, 275–292. CrossRef
David, D., Styron, T., & Davidson, L. (2011). Supported parenting as a way of meeting the parenting needs and concerns of mothers with severe mental illness. American Journal of Psychiatric Rehabilitation, 14(2), 137–153. CrossRef
Russinova, Z., & Blanch, A. (2007). Supported spirituality: A new frontier in the recovery-oriented mental health system. Psychiatric Rehabilitation Journal, 30(4), 247–249. CrossRef
U.S. Department of Health and Human Services. (1999). Mental health: A report of the surgeon general. Washington, DC: Author.
Substance Abuse and Mental Health Services Administration. (2011). Consensus definition of recovery in behavioral health. Retrieved from https://store.samhsa.gov/shin/content/PEP12-RECDEF/PEP12-RECDEF.pdf.
Geller, J. L. (2012). Patient-centered, recovery-oriented psychiatric care and treatment are not always voluntary. Psychiatric Services, 63, 493–495. CrossRef
Dickerson, F. B. (2006). Disquieting aspects of the recovery paradigm. Psychiatric Services, 57, 647. CrossRef
Davidson, L., O’Connell, M. J., Tondora, J., Styron, T., & Kangas, K. (2006). The top ten concerns about recovery encountered in mental health system transformation. Psychiatric Services, 57(5), 640–645. CrossRef
Slade, M., Amering, M., Farkas, M., Hamilton, B., O’Hagan, M., Panther, G., … Whitley, R. (2014). Uses and abuses of recovery: Implementing recovery oriented practices in mental health systems. World Psychiatry, 13(1), 12–20.
Braslow, J. T. (2013). The manufacture of recovery. Annual Review of Clinical Psychology, 9, 781–809. CrossRef
Harper, D., & Speed, E. (2014). Uncovering recovery: The resistible rise of recovery and resilience. In E. Speed, J. Moncrieff, & M. Rapley (Eds.), De-medicalizing misery, II: Society, politics and the mental health industry (pp. 40–57). London: Palgrave Macmillan. CrossRef
Morrow, M. (2013). Recovery: Progressive paradigm or neoliberal smokescreen. In G. Reaume, B. A. LeFrançois, & R. J. Menzies (Eds.), Mad matters: A critical reader in Canadian mad studies (pp. 323–333). Toronto: Canadian Scholars Press.
Davidson, L. (2006). What happened to civil rights? Psychiatric Rehabilitation Journal, 30(1), 11–14. CrossRef
Deegan, P. E. (1992). The Independent Living Movement and people with psychiatric disabilities: Taking back control over our own lives. Psychosocial Rehabilitation Journal, 15(3), 3–19. CrossRef
Onocko Campos, R. T., Costa, M., Pereira, M. B., Ricci, E. C., da Silva Tavares Enes, G., Janeth, L., … Davidson, L. (2017). Recovery, citizenship, and psychosocial rehabilitation: A dialog between Brazilian and American mental health care approaches. American Journal of Psychiatric Rehabilitation, 20(3), 311–326.
Davidson, L., Chan, B., & Rowe, M. (2013, April). Core elements of mental health transformation in an Asian context. Asia Health Care Journal, 3, 11–15.
Compton, M. T., & Shim, R. S. (Eds.). (2015). The social determinants of mental health. Washington, DC: American Psychiatric Association.
Rowe, M., & Davidson, L. (2016). Recovering citizenship. Israel Journal of Psychiatry and Related Sciences, 53(1), 14–21.
Carling, P. J. (1995). Return to community: Building support systems for people with psychiatric disabilities. New York: Guilford Press.
Tsemberis, S., & Eisenberg, R. F. (2000). Pathways to housing: Supported housing for street-dwelling homeless individuals with psychiatric disabilities. Psychiatric Services, 51(4), 487–493. CrossRef
Rog, D. J., Marshall, T., Dougherty, R. H., George, P., Daniels, A. S., Ghose, S. S., & Delphin-Rittmon, M. E. (2014). Permanent supportive housing: Assessing the evidence. Psychiatric Services, 65(3), 287–294.
Kinoshita, Y., Furukawa, T. A., Kinoshita, K., Honyashiki, M., Omori, I. M., Marshall, M., … Kingdon, D. (2013). Supported employment for adults with severe mental illness. Cochrane Database of Systematic Reviews, 13(9), CD008297.
Marshall, T., Goldberg, R. W., Braude, L., Dougherty, R. H., Daniels, A. S., Ghose, S. S., … Delphin-Rittmon, M. E. (2014). Supported employment: Assessing the evidence. Psychiatric Services, 65(1), 16–23.
Modini, M., Tan, L., Brinchmann, B., Wang, M., Killackey, E., Glozier, N., … Harvey, S. B. (2016). Supported employment for people with severe mental illness: Systematic review and meta-analysis of the international evidence. The British Journal of Psychiatry, 209(1), 14–22.
Mueser, K. T., Drake, R. E., & Bond, G. R. (2016). Recent advances in supported employment for people with serious mental illness. Current Opinion in Psychiatry, 29(3), 196–201. CrossRef
Charzyńska, K., Kucharska, K., & Mortimer, A. (2015). Does employment promote the process of recovery from schizophrenia? A review of the existing evidence. International Journal of Occupational Medicine, 28, 407–418.
Luciano, A., Bond, G. R., & Drake, R. E. (2014). Does employment alter the course and outcome of schizophrenia and other severe mental illnesses? A systematic review of longitudinal research. Schizophrenia Research, 159, 312–321. CrossRef
van Rijn, R. M., Carlier, B. E., Schuring, M., & Burdorf, A. (2016). Work as treatment? The effectiveness of re-employment programmes for unemployed persons with severe mental health problems on health and quality of life: A systematic review and meta-analysis. Occupational and Environmental Medicine, 73, 275–279. CrossRef
Leff, J., & Warner, R. (2006). Social inclusion of people with mental illness. Cambridge: Cambridge University Press. CrossRef
Dixon, L. B., Goldman, H. H., Bennett, M. E., Wang, Y., McNamara, K. A., Mendon, S. J., … Essock, S. M. (2014). Implementing coordinated specialty care for early psychosis: The RAISE Connection Program. Psychiatric Services, 66, 691–698.
Kane, J. M., Robinson, D. G., Schooler, N. R., Mueser, K. T., Penn, D. L., Rosenheck, R. A., … Marcy, P. (2015). Comprehensive versus usual community care for first-episode psychosis: 2-year outcomes from the NIMH RAISE early treatment program. American Journal of Psychiatry, 173(4), 362–372.
Srihari, V. H., Tek, C., Kucukgoncu, S., Phutane, V. H., Breitborde, N. J. K., Pollard, J., … Woods, S. W. (2015). First-episode services for psychotic disorders in the U.S. public sector: A pragmatic randomized controlled trial. Psychiatric Services, 66, 705–712.
Davidson, L., & Stern, E. (2013). Psychiatric/psychosocial rehabilitation (PSR) in relation to social and leisure environments: Friends and recreation. Current Psychiatry Reviews, 9, 207–213. CrossRef
McCorkle, B. H., Rogers, E. S., Dunn, E. C., Lyass, A., & Wan, Y. M. (2008). Increasing social support for individuals with serious mental illness: Evaluating the compeer model of intentional friendship. Community Mental Health Journal, 44(5), 359–366. CrossRef
Nicholson, J., & Deveney, W. (2009). Why not support(ed) parenting? Psychiatric Rehabilitation Journal, 33(2), 79–82. CrossRef
Schrank, B., Moran, K., Borghi, C., & Priebe, S. (2015). How to support patients with severe mental illness in their parenting role with children aged over 1 year? A systematic review of interventions. Social Psychiatry and Psychiatric Epidemiology, 50(12), 1765–1783. CrossRef
Davidson, L., Rakfeldt, J., & Strauss, J. S. (2010). The roots of the recovery movement in psychiatry: Lessons learned. London: Wiley-Blackwell. CrossRef
Davidson, L., Chinman, M., Kloos, B., Weingarten, R., Stayner, D. A., & Tebes, J. K. (1999). Peer support among individuals with severe mental illness: A review of the evidence. Clinical Psychology: Science and Practice, 6, 165–187.
Davidson, L., Chinman, M., Sells, D., & Rowe, M. (2006). Peer support among adults with serious mental illness: A report from the field. Schizophrenia Bulletin, 32, 443–450. CrossRef
Copeland, M., & Mead, S. (2003). WRAP and peer support: A guide to individual, group and program development. Dummerston, VT: Peach Press.
Copeland, M. (2002). WRAP: Wellness recovery action plan (2nd ed.). Dummerston, VT: Peach Press.
Druss, B. G., Zhao, L., Esenwein, S. A., Bona, J. R., Fricks, L., Jenkins-Tucker, S., … von Lorig, K. (2010). The Health and Recovery Peer (HARP) Program: A peer-led intervention to improve medical self-management for persons with serious mental illness. Schizophrenia Research, 118(1), 264–270.
Chinman, M., George, P., Dougherty, R. H., Daniels, A. S., Ghose, S. S., Swift, A., & Delphin-Rittmon, M. E. (2014). Peer support services for individuals with serious mental illnesses: Assessing the evidence. Psychiatric Services, 65(4), 429–441.
Davidson, L., Bellamy, C., Guy, K., & Miller, R. (2012). Peer support among persons with severe mental illnesses: A review of evidence and experience. World Psychiatry, 11(2), 123–128. CrossRef
Pitt, V., Lowe, D., Hill, S., Prictor, M., Hetrick, S. E., Ryan, R., & Berends, L. (2013). Consumer-providers of care for adult clients of statutory mental health services. Cochrane Database Systematic Reviews, 3(9), CD004807.
Lloyd-Evans, B., Mayo-Wilson, E., Harrison, B., Istead, H., Brown, E., Pilling, S., … Kendall, T. (2014). A systematic review and meta-analysis of randomised controlled trials of peer support for people with severe mental illness. BMC Psychiatry, 14(1), 39.
Fuhr, D. C., Salisbury, T. T., De Silva, M. J., Atif, N., van Ginneken, N., Rahman, A., & Patel, V. (2014). Effectiveness of peer-delivered interventions for severe mental illness and depression on clinical and psychosocial outcomes: A systematic review and meta-analysis. Social Psychiatry and Psychiatric Epidemiology, 49(11), 1691–1702.
Cabassa, L. J., Camacho, D., Vélez-Grau, C. M., & Stefanic, A. (2017). Peer-based health interventions for people with serious mental illness: A systematic literature review. Journal of Psychiatric Research, 84, 80–89. CrossRef
Walker, E. R., McGee, R. E., & Druss, B. G. (2015). Mortality in mental disorders and global disease burden implications: A systematic review and meta-analysis. JAMA Psychiatry, 72(4), 334–341. CrossRef
McGinty, E. E., Baller, J., Azrin, S. T., Juliano-Bult, D., & Daumit, G. L. (2016). Interventions to address medical conditions and health-risk behaviors among persons with serious mental illness: A comprehensive review. Schizophrenia Bulletin, 42(1), 96–124.
Suetani, S., Whiteford, H. A., & McGrath, J. J. (2015). An urgent call to address the deadly consequences of serious mental disorders. JAMA Psychiatry, 72(12), 1166–1167. CrossRef
Woltmann, E., Grogan-Kaylor, A., Perron, B., Georges, H., Kilbourne, A. M., & Bauer, M. S. (2012). Comparative effectiveness of collaborative chronic care models for mental health conditions across primary, specialty, and behavioral health care settings: Systematic review and meta-analysis. American Journal of Psychiatry, 169(8), 790–804. CrossRef
Miller, C. J., Grogan-Kaylor, A., Perron, B. E., Kilbourne, A. M., Woltmann, E., & Bauer, M. S. (2013). Collaborative chronic care models for mental health conditions: Cumulative meta-analysis and meta-regression to guide future research and implementation. Medical Care, 51(10), 922–930. CrossRef
Siantz, E., & Aranda, M. P. (2014). Chronic disease self-management interventions for adults with serious mental illness: A systematic review of the literature. General Hospital Psychiatry, 36(3), 233–244.
Nielsen, M., Gibson, A., Buelt, L., Grundy, P., & Grumbach, K. (2014). The patient-centered medical home’s impact on cost and quality: Annual review of evidence 2012–2013. Patient-Centered Primary Care Collaborative and Milbank Memorial Fund. Retrieved from https://www.milbank.org/wpcontent/uploads/2015/01/PCPCC_2014_Evidence_Report.pdf.
Nielsen, M., Gibson, A., Buelt, L., Grundy, P., & Grumbach, K. (2015). The patient-centered medical home’s impact on cost and quality: Annual review of evidence 2013–2014. Patient-Centered Primary Care Collaborative and Milbank Memorial Fund. Retrieved from https://www.milbank.org/wp-content/uploads/2015/01/PCPCC_2015_Evidence_Report.pdf.
Nielsen, M., Gibson, A., Buelt, L., Grundy, P., & Grumbach, K. (2017). The patient-centered medical home’s impact on cost and quality: Annual review of evidence 2015–2016. Patient-Centered Primary Care Collaborative and Milbank Memorial Fund. Retrieved from https://www.milbank.org/wpcontent/uploads/2017/08/pcmh_evidence_report_FINAL-1.jpg.
Deegan, P. E., & Drake, R. E. (2006). Shared decision making and medication management in the recovery process. Psychiatric Services, 57(11), 1636–1639. CrossRef
Welder, L. E., Maula, E. C., Diamond, B. W., Baron, R. C., & Salzer, M. S. (2015). A guide to creating self-directed care programming. Temple University Collaborative on Community Inclusion of Individuals with Psychiatric Disabilities.
Swanson, J. W., Tepper, M. C., Backlar, P., & Swartz, M. S. (2000). Psychiatric advance directives: An alternative to coercive treatment? Psychiatry, 63(2), 160–172. CrossRef
Coulter, A., Entwistle, V. A., Eccles, A., Ryan, S., Shepperd, S., & Perera, R. (2013). Personalised care planning for adults with chronic or long-term health conditions. Cochrane Database Systematic Reviews, 3(3), CD010523.
Davidson, L., Roe, D., Stern, E., Zisman-Ilani, Y., O’Connell, M., & Corrigan, P. (2012). If I choose it, am I more likely to use it? The role of choice in medication and service use. International Journal of Person Centered Medicine, 2(3), 577–592.
Slade, E. (2012). Feasibility of expanding self-directed services for people with serious mental illnesses. Washington, DC: Office of Assistant Secretary for Planning and Evaluation, US Department of Health and Human Services. Retrieved from https://aspe.hhs.gov/pdf-report/feasibility-expanding-self-directed-services-people-serious-mental-illnes.
Spalding-Givens, J., & Lacasse, J. (2015). Self-directed care: Participants’ service utilization and outcomes. Psychiatric Rehabilitation Journal, 38, 74–80. CrossRef
Webber, M., Treacy, S., Carr, S., Clark, M., & Parker, G. (2014). The effectiveness of personal budgets for people with mental health problems: A systematic review. Journal of Mental Health, 23, 146–155. CrossRef
Stovell, D., Morrison, A. P., Panayiotou, M., & Hutton, P. (2016). Shared treatment decision-making and empowerment-related outcomes in psychosis: Systematic review and meta-analysis. British Journal of Psychiatry, 209(1), 23–28.
Thomas, E. C., Despeaux, K. E., Drapalski, A. L., & Bennett, M. (2017, December 1). Person-oriented recovery of individuals with serious mental illnesses: A review and meta-analysis of longitudinal findings. Psychiatric Services. https://doi.org/10.1176/appi.ps.201700058.
Charles, J. L. K. (2013). Mental health provider-based stigma: Understanding the experience of clients and families. Social Work and Mental Health, 11(4), 360–375. CrossRef
Verhaeghe, M., & Bracke, P. (2012). Associative stigma among mental health professionals: Implications for professional and service user well-being. Journal of Health and Social Behavior, 53(1), 17–32. CrossRef
Nordt, C., Rossler, W., & Lauber, C. (2006). Attitudes of mental health professionals toward people with schizophrenia and major depression. Schizophrenia Bulletin, 32(4), 709–714. CrossRef
Schulze, B. (2007). Stigma and mental health professionals: A review of the evidence on an intricate relationship. International Review of Psychiatry, 19(2), 137–155. CrossRef
Goodare, H., & Lockwood, S. (1999). Involving patients in clinical research: Improves the quality of research. British Medical Journal, 319(7212), 724–725. CrossRef
Wallcraft, J., Amering, M., & Schrank, B. (Eds.). (2009). Handbook of service user involvement in mental health research. London: Wiley.
Borg, M., & Kristiansen, K. (Eds.). (2009). Collaborative research: Working together in developing knowledge about mental health. Oslo: Universitetsforlaget.
Davidson, L., Bellamy, C., Flanagan, E., Guy, K., & O’Connell, M. (2017). A participatory approach to person-centred research: Maximising opportunities for recovery. In B. McCormack, T. Eide, K. Skovdal, H. Eide, H. Kapstadand, & S. van Dulmen (Eds.), Person-centered healthcare research—‘The person in question’: The person-centered research handbook (pp. 69–83). London: Wiley. CrossRef
Longden, E., Corstens, D., Escher, S., & Romme, M. (2012). Voice hearing in a biographical context: A model for formulating the relationship between voices and life history. Psychosis, 4(3), 224–234. CrossRef
Corstens, D., Longden, E., McCarthy-Jones, S., Waddingham, R., & Thomas, N. (2014). Emerging perspectives from the hearing voices movement: Implications for research and practice. Schizophrenia Bulletin, 40(Suppl. 4), S285–S294.
Davidson, L., Ridgway, P., O’Connell, M. J., & Kirk, T. A. (2014). Transforming mental health care through the participation of the recovery community. In G. Nelson, B. Kloos, & J. Ornelas (Eds.), Community psychology and community mental health: Towards transformative change (pp. 90–107). New York: Oxford University Press.
Interdepartmental Serious Mental Illness Coordinating Committee. (2017). The way forward: Federal action for a system that works for all people living with SMI and SED and their families and caregivers. Rockville, MD: US Substance Abuse and Mental Health Services Administration. Retrieved from https://store.samhsa.gov/shin/content/PEP17-ISMICC-RTC/PEP17-ISMICC-RTC.pdf.
Costa, M., Baker, M., Davidson, L., Giard, J., Guillorn, L., González, … O’Connell, M. (2017). Provider perspectives on employment for persons with serious mental illness. International Journal of Social Psychiatry, 63(7), 632–640.
- What Is the Meaning of Recovery?
- Chapter 4