Building on Recovery: Embracing Community Inclusion in Mental Health Policies and Services.

IF 1.8 4区 医学 Q3 HEALTH POLICY & SERVICES
Community Mental Health Journal Pub Date : 2024-11-01 Epub Date: 2024-07-05 DOI:10.1007/s10597-024-01309-z
Mark S Salzer
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引用次数: 0

Abstract

Recovery is real and has had a transformative impact on mental health policies and services, including shifting the focus from chronicity and symptom management to the realization that individuals with mental health issues can lead meaningful lives. However, recovery has been defined, described, understood, and measured in a wide variety of ways that may account for misuses and abuses in its application and possible stagnation in its impact. It is argued that the mental health field must now build upon the strong foundations of recovery by integrating a well-established rights-oriented framework. While recovery emphasizes personal growth and hope, a rights-based perspective underscores inherent dignity, autonomy, and opportunities for acceptance and embrace in engaging in valued social roles. The addition of a rights-based framework - community inclusion, to conversations involving recovery, is aligned with the origins of recovery and how it is commonly understood, and also connects the mental health field to the dramatic positive impacts that have emerged from the longstanding centrality of this concept in the broader disability community.

以康复为基础:在心理健康政策和服务中融入社区。
康复是真实存在的,它对心理健康政策和服务产生了变革性的影响,包括将重点从 慢性病和症状管理转移到认识到有心理健康问题的个人可以过上有意义的生活。然而,人们对康复的定义、描述、理解和衡量的方式多种多样,这可能是造成康复在应用过程中被误用和滥用,以及其影响可能停滞不前的原因。有观点认为,心理健康领域现在必须在康复的坚实基础上再接再厉,融入一个完善的、以权利为导向的框架。康复强调的是个人成长和希望,而以权利为本的观点则强调固有的尊严、自主性,以及在参与有价值的社会角色时被接纳和拥抱的机会。在涉及康复的对话中加入以权利为导向的框架--社区包容,符合康复的起源和人们对康复的普遍理解,同时也将心理健康领域与这一概念在更广泛的残疾人群体中长期的核心地位所产生的巨大积极影响联系起来。
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来源期刊
CiteScore
5.30
自引率
3.70%
发文量
133
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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