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Recovery-Oriented Practices in a Mental Health Centre for Citizens Experiencing Serious Mental Issues and Substance Use: As Perceived by Healthcare Professionals

Author

Listed:
  • Kim Jørgensen

    (Science in Nursing Department of Public Health, Bartholins Allé 2, 8000 Aarhus, Denmark)

  • Morten Hansen

    (Psychiatric Outpatient Clinic Ishøj, Bostedsteamet, Store Torv 20, 2635 Ishøj, Denmark)

  • Bengt Karlsson

    (Center for Mental Health and Substance Abuse, Department of Health, Social and Welfare Studies, Faculty of Health and Social Sciences, University of Southeastern Norway, Postbox 7053, 3007 Drammen, Norway)

Abstract

Introduction: Recovery-oriented practices have become a means of promoting user recovery during hospitalisation, but we do not know much about the concrete means of practicing recovery-orientation for the most vulnerable users with serious mental difficulty and substance use. Aims: We investigated the concrete means of practicing recovery-orientation in care work and the elements, dimensions, outcomes, or steps of it in a special department of mental health centres. Method: Focus group interviews were conducted with 16 health professionals with experience with users with serious mental difficulty and substance use. Qualitative content analysis was undertaken. Results: The main theme was “holistic recovery on structural terms” based on two themes and four subthemes. The first theme was “recovery based on an individual approach” with subthemes “detective—find hope” and “how to do recovery-oriented practice”. The next theme was “recovery subject to structural framework” with subthemes “tension between different interests” and “symptoms as a barrier”. Conclusions: recovery-oriented practice is understood as an approach where health professionals emphasise forming relationships based on trust, being hopeful for the users’ future, spending time with users, and respecting users’ experiences and knowledge from their own life. There are cross-pressures between different interests. The desire to meet the users’ perspectives and respect these perspectives but at the same time live up to mental health centre purposes to stabilise the users’ health and achieve self-care.

Suggested Citation

  • Kim Jørgensen & Morten Hansen & Bengt Karlsson, 2022. "Recovery-Oriented Practices in a Mental Health Centre for Citizens Experiencing Serious Mental Issues and Substance Use: As Perceived by Healthcare Professionals," IJERPH, MDPI, vol. 19(16), pages 1-12, August.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:16:p:10294-:d:891788
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    References listed on IDEAS

    as
    1. Kim Jørgensen & Jeanette Praestegaard & Mari Holen, 2020. "The conditions of possibilities for recovery: A critical discourse analysis in a Danish psychiatric context," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(15-16), pages 3012-3024, August.
    2. Kim Jørgensen & Tonie Rasmussen & Morten Hansen & Kate Andreasson, 2021. "Recovery-oriented intersectoral care between mental health hospitals and community mental health services: An integrative review," International Journal of Social Psychiatry, , vol. 67(6), pages 788-800, September.
    3. Kim Jørgensen & Tonie Rasmussen & Morten Hansen & Kate Andreasson & Bengt Karlsson, 2021. "User Involvement in the Handover between Mental Health Hospitals and Community Mental Health: A Critical Discourse Analysis," IJERPH, MDPI, vol. 18(7), pages 1-13, March.
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