Psychiatric Rehabilitation Journal最新文献

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Past, present, and future of psychiatric rehabilitation. 精神康复的过去,现在和未来。
IF 1.2 3区 医学
Psychiatric Rehabilitation Journal Pub Date : 2026-03-01 DOI: 10.1037/prj0000685
Kristen M Abraham, Adrienne Lapidos, Elizabeth C Thomas
{"title":"Past, present, and future of psychiatric rehabilitation.","authors":"Kristen M Abraham, Adrienne Lapidos, Elizabeth C Thomas","doi":"10.1037/prj0000685","DOIUrl":"https://doi.org/10.1037/prj0000685","url":null,"abstract":"<p><p>The authors provide an overview of the articles in the special issue on Past, Present, and Future of Psychiatric Rehabilitation. The articles are contextualized in the history of psychiatric rehabilitation. Reflections for the future of the field are provided. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":"49 1","pages":"1-5"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Developing a trauma-informed peer support framework for young adults (TIPS-YA): Building on lessons from the field. 为年轻人开发创伤知情同伴支持框架(TIPS-YA):基于实地经验。
IF 1.2 3区 医学
Psychiatric Rehabilitation Journal Pub Date : 2026-03-01 Epub Date: 2025-12-15 DOI: 10.1037/prj0000679
Kiara L Moore, Aaron H Rodwin, Sarah C Narendorf, James A Railey, Michelle R Munson
{"title":"Developing a trauma-informed peer support framework for young adults (TIPS-YA): Building on lessons from the field.","authors":"Kiara L Moore, Aaron H Rodwin, Sarah C Narendorf, James A Railey, Michelle R Munson","doi":"10.1037/prj0000679","DOIUrl":"10.1037/prj0000679","url":null,"abstract":"<p><strong>Objective: </strong>Peer support services are proliferating for young adults (YA) with serious mental health conditions. Psychiatric rehabilitation services continue to develop and launch these programs nationally and globally. This conceptual article builds upon principles from peer support and trauma-informed care and shares lessons from the field to advance a trauma-informed peer support framework for YA mental health.</p><p><strong>Method: </strong>Informed by the literature, three YA mental health interventions, and a series of iterative team consensus-building meetings, we identified pillars of a trauma-informed peer support for young adults (TIPS-YA) framework to focus research and practice in psychiatric rehabilitation as peer support programs continue to emerge in many YA service contexts.</p><p><strong>Results: </strong>TIPS-YA includes four pillars: (a) safety, (b) mutuality, (c) empowerment and voice, and (d) context. Each is a fundamental area for developing and providing peer support services. Yet, no previous training or conceptualization of peer support includes all aspects of these four critical areas.</p><p><strong>Conclusions and implications for practice: </strong>Peer support for YAs needs distinct consideration in psychiatric rehabilitation. YA services must bridge the developmental period between youth and adulthood, and offer unique supports. TIPS-YA offers a starting point to develop and implement program models that embed peer supporters, and to advance the science of peer support. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"132-142"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12721595/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Integrating psychiatric rehabilitation into inpatient psychiatric hospitalization to advance personal recovery. 将精神科康复纳入精神科住院治疗,促进个人康复。
IF 1.2 3区 医学
Psychiatric Rehabilitation Journal Pub Date : 2026-03-01 Epub Date: 2025-12-04 DOI: 10.1037/prj0000677
Lena Lipskaya-Velikovsky, David Roe, Helene Speyer, Abraham Rudnick, Morgan Shields, Yaara Zisman-Ilani
{"title":"Integrating psychiatric rehabilitation into inpatient psychiatric hospitalization to advance personal recovery.","authors":"Lena Lipskaya-Velikovsky, David Roe, Helene Speyer, Abraham Rudnick, Morgan Shields, Yaara Zisman-Ilani","doi":"10.1037/prj0000677","DOIUrl":"10.1037/prj0000677","url":null,"abstract":"<p><strong>Objective: </strong>Psychiatric rehabilitation services (PRS) were developed to facilitate recovery and community integration by addressing psychosocial needs such as housing, employment, illness management, and social inclusion for individuals with serious mental illness. However, PRS are primarily designed for and available in community settings. The objective of this conceptual article is to explore the potential role of PRS during inpatient psychiatric hospitalization and offer a forward-looking vision, identifying trends to guide future efforts.</p><p><strong>Method: </strong>This article presents a conceptual analysis of the potential benefits and impacts of PRS on the recovery process of individuals with serious mental illness if these services were also provided during hospitalization. This critical analysis was coauthored by various stakeholders, including individuals with lived experience, psychiatric, and other mental health providers, and psychiatric rehabilitation researchers.</p><p><strong>Conclusions and implications for practice: </strong>Integrating PRS into routine care during psychiatric hospitalization supports recovery and facilitates postdischarge community connections and outcomes. While PRS were originally conceptualized and designed for community settings, efforts should be made to tailor and adapt them for use in inpatient settings. Shifting staff attitudes toward inpatient recovery-oriented care, developing interventions and training for PRS integration, and securing leadership and institutional buy-in are the next practical steps to make this vision a reality. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"109-115"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145679126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A framework for evaluating psychiatric rehabilitation practices. 评估精神康复实践的框架。
IF 1.2 3区 医学
Psychiatric Rehabilitation Journal Pub Date : 2026-03-01 Epub Date: 2025-10-27 DOI: 10.1037/prj0000653
Gary R Bond, Robert E Drake, Ana Carolina Florence
{"title":"A framework for evaluating psychiatric rehabilitation practices.","authors":"Gary R Bond, Robert E Drake, Ana Carolina Florence","doi":"10.1037/prj0000653","DOIUrl":"10.1037/prj0000653","url":null,"abstract":"<p><strong>Objective: </strong>Deinstitutionalization spawned numerous psychiatric rehabilitation interventions, but only a small number have endured for decades and spread widely. This article identifies a concise set of 10 criteria to examine ethical, scientific, practical, and policy elements of highly successful interventions.</p><p><strong>Methods: </strong>Based on 50 years of psychiatric rehabilitation literature, we examined three exemplary, enduring practices-assertive community treatment, Individual Placement and Support, and Housing First-for evidence related to the 10 common criteria.</p><p><strong>Results: </strong>Psychiatric rehabilitation has had a firm grounding in ethics, client-centeredness, implementation science, and outcomes research. Policy and funding have followed. We identified 10 criteria that incorporate these values: recovery, model clarity, fidelity, effectiveness, enduring effects, cost-effectiveness, feasibility, scalability/sustainability, policy/funding, and adaptability. All three practices are guided by validated fidelity scales, have strong evidence for effectiveness, and are feasible to implement, but they vary on other criteria.</p><p><strong>Conclusions and implications for practice: </strong>In varying degrees, assertive community treatment, Individual Placement and Support, and Housing First are practices meeting most of the 10 criteria in a newly developed framework aimed at broadening the criteria for evaluating psychiatric rehabilitation programs to encompass both scientific and pragmatic, real-world considerations. This framework establishes an objective framework to guide the prioritization of services for people with mental health conditions. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"24-36"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development of an economic model to quantify the impact of clubhouses on societal costs. 开发经济模型,量化会所对社会成本的影响。
IF 1.2 3区 医学
Psychiatric Rehabilitation Journal Pub Date : 2026-03-01 Epub Date: 2025-11-03 DOI: 10.1037/prj0000675
M Usman, Joshua Seidman, Kevin Rice
{"title":"Development of an economic model to quantify the impact of clubhouses on societal costs.","authors":"M Usman, Joshua Seidman, Kevin Rice","doi":"10.1037/prj0000675","DOIUrl":"10.1037/prj0000675","url":null,"abstract":"<p><strong>Objective: </strong>The primary objective of this study was to develop and apply an economic model to estimate cost savings associated with participation in the clubhouse program for individuals with serious mental illness.</p><p><strong>Methods: </strong>Using a prevalence-based economic model, this study estimated per-person annual cost savings for clubhouse participants. Data from existing research incorporates adjustment factors such as serious mental illness type, health care utilization, participation years, and visit frequency. Costs are calculated across six categories: inpatient and noninpatient mental health care, physical health care, criminal legal system costs, Supplemental Security Income/Social Security Disability Insurance benefits, and productivity losses.</p><p><strong>Results: </strong>Results indicate estimated cost savings of $11,374 annually for clubhouse participants compared with nonparticipants. These savings are based on a prototypical participant with average needs, characterized by a general serious mental illness diagnosis, average health care utilization levels, 4 years of participation, and three-monthly visits. Significant cost reductions were observed across all categories, particularly in productivity losses, criminal legal system costs, and health care expenditures.</p><p><strong>Conclusions and implications for practice: </strong>Findings suggest that clubhouse participation may generate substantial cost savings by reducing health care needs and productivity losses through clubhouse's community-focused therapeutic model. These results support integrating community-based social support programs into value-based care models. Future research should validate these findings with real-world cohort data and examine the mechanisms driving cost savings. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"37-45"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multiprogram perspectives on the peer recovery specialist role, opportunities, and challenges. 同伴康复专家角色、机遇和挑战的多项目视角。
IF 1.2 3区 医学
Psychiatric Rehabilitation Journal Pub Date : 2026-03-01 Epub Date: 2025-10-16 DOI: 10.1037/prj0000660
Evan M Lowder, Chelsea M A Foudray, Mindy Thai, Raphael Freund, Michael Lane
{"title":"Multiprogram perspectives on the peer recovery specialist role, opportunities, and challenges.","authors":"Evan M Lowder, Chelsea M A Foudray, Mindy Thai, Raphael Freund, Michael Lane","doi":"10.1037/prj0000660","DOIUrl":"10.1037/prj0000660","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the scope and functioning of peer recovery services across different roles and peer recovery programs. Specific aims included (a) considering the defining role of peer recovery specialists, (b) understanding how peer specialists achieve goals, (c) determining short- and long-term outcomes resulting from peer recovery services, and (d) identifying barriers and facilitators to service provision.</p><p><strong>Methods: </strong>A multimethod survey distributed via Qualtrics was used to collect responses from 108 peer recovery specialists, supervisory staff, and individuals receiving services across 23 programs. Qualitative responses were coded using an inductive coding strategy, whereas quantitative questions were analyzed using descriptive statistics and between-role comparisons.</p><p><strong>Results: </strong>Participants endorsed lived experience and support as the primary roles of the peer recovery specialist, which facilitated connection to care and higher quality relationships. Several short-term outcomes were consistently endorsed across roles, including engagement in recovery services, social support, and crisis stabilization. Long-term outcomes were more variable. Peer specialists expressed challenges with maintaining boundaries with individuals given their personal experience and professional identities.</p><p><strong>Conclusions and implications for practice: </strong>Findings point to a shared understanding of the role of the peer recovery specialist and consistency in short-term outcomes across programs, both of which support the feasibility of establishing shared implementation (process) and outcome measures to guide evaluation efforts of peer recovery programs. We provide a short form, the Peer Recovery Services Checklist, to facilitate this goal. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"143-152"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trust them taking the lead: A key for independent community participation from the Power of Dependable Souls (PODS) intervention. 信任他们的领导:独立社区参与的关键,来自可靠灵魂的力量(PODS)干预。
IF 1.2 3区 医学
Psychiatric Rehabilitation Journal Pub Date : 2026-03-01 Epub Date: 2025-05-19 DOI: 10.1037/prj0000649
Shinichi Nagata, Hannah Wells, Gretchen Snethen, Sabrina Giaimo, Bryan McCormick
{"title":"Trust them taking the lead: A key for independent community participation from the Power of Dependable Souls (PODS) intervention.","authors":"Shinichi Nagata, Hannah Wells, Gretchen Snethen, Sabrina Giaimo, Bryan McCormick","doi":"10.1037/prj0000649","DOIUrl":"10.1037/prj0000649","url":null,"abstract":"<p><strong>Objective: </strong>Promoting community integration is a major aim for psychiatric rehabilitation, yet research shows that some consumers suffer from poor quality of life and inadequate community participation. The present study focused on the Power of Dependable Souls intervention that aimed to increase community participation and examined psychiatric rehabilitation professionals' and consumers' experiences to identify factors that contribute to independence in community integration.</p><p><strong>Methods: </strong>We conducted individual and focus group interviews with psychiatric rehabilitation professionals (<i>n</i> = 6) and consumers (<i>n</i> = 14). Interviewees were asked about their experience of the Power of Dependable Souls intervention and how the intervention differs from other programs. Transcripts were analyzed with Reflexive Thematic Analysis.</p><p><strong>Results: </strong>Four themes were generated: (a) \"It's always a hole\": Independent community participation is missing in psychiatric rehabilitation practice; (b) \"putting the power and freedom into their hands\": Giving them chances is a key toward independence; (c) \"the hardest thing is to be hands-off\": Facilitation for independence may challenge current practice; and (d) \"It was a valuable reminder that they are capable of doing things\": Possible unconscious provider stigma.</p><p><strong>Conclusions and implications for practice: </strong>Trusting in consumer abilities and giving them opportunities to pursue activities they desire was identified as a key for increasing independent community participation. Unconscious provider stigma and prejudices may be additional important underlying factors to be addressed to facilitate greater community participation. The Power of Dependable Souls intervention and its approach can possibly offer an important corrective for some psychiatric rehabilitation agencies to fully adopt recovery-oriented care. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"101-108"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Integrative psychotherapy to promote meaning making and self-directed recovery for people with psychosis. 综合心理治疗促进意义的创造和自我导向的康复精神病患者。
IF 1.2 3区 医学
Psychiatric Rehabilitation Journal Pub Date : 2026-03-01 Epub Date: 2025-11-03 DOI: 10.1037/prj0000671
Laura A Faith, Courtney N Wiesepape
{"title":"Integrative psychotherapy to promote meaning making and self-directed recovery for people with psychosis.","authors":"Laura A Faith, Courtney N Wiesepape","doi":"10.1037/prj0000671","DOIUrl":"10.1037/prj0000671","url":null,"abstract":"<p><strong>Objective: </strong>Psychiatric rehabilitation approaches have evolved to offer individualized options for people with psychosis to direct their own recovery. Meaning making is a core component of self-directed recovery that allows individuals to make sense of psychosocial challenges and life experiences and then decide how to recover and move forward with their life. Individual psychotherapy that is personalized and collaborative can allow people with psychosis to explore the meaning of challenges and life experiences, especially for those with fragmented understanding of themselves and their life. Integrative psychotherapies may be uniquely positioned to target meaning making to promote self-directed recovery.</p><p><strong>Method: </strong>We provide a narrative review of the literature and outline practical psychotherapy approaches and practice implications to describe how meaning making can be promoted with an integrative, metacognitive therapy approach.</p><p><strong>Results: </strong>In this article we (a) discuss the metacognitive theoretical framework of psychosis as it relates to meaning making, (b) share specific methods from diverse psychotherapy approaches to promote meaning making, and (c) discuss how this meaning making further promotes self-directed recovery in practice.</p><p><strong>Conclusions and implications for practice: </strong>We propose that meaning making can come from many different approaches and that integrating diverse methods can improve personalization to maximize benefit and enhance self-directed recovery. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"92-100"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The role of college self-efficacy and the development of professional identity: Preparing psychiatric rehabilitation practitioners. 大学生自我效能感与职业认同发展的作用:培养精神康复从业人员。
IF 1.2 3区 医学
Psychiatric Rehabilitation Journal Pub Date : 2026-03-01 Epub Date: 2025-10-16 DOI: 10.1037/prj0000665
William R Waynor, Yuane Jia, Joni Dolce, Jake Mariani
{"title":"The role of college self-efficacy and the development of professional identity: Preparing psychiatric rehabilitation practitioners.","authors":"William R Waynor, Yuane Jia, Joni Dolce, Jake Mariani","doi":"10.1037/prj0000665","DOIUrl":"10.1037/prj0000665","url":null,"abstract":"<p><strong>Objective: </strong>The present study assessed the relationship of college self-efficacy (beliefs in capacity to complete college tasks) and psychiatric rehabilitation attitudes (PRA; a measure of professional identity) and their relationship to educational barriers and several demographic variables among undergraduate students studying psychiatric rehabilitation.</p><p><strong>Methods: </strong>A total of <i>N</i> = 92 undergraduate students completed an online survey for the current analysis. Data were collected on college self-efficacy, PRA (including beliefs, goals, practices), educational barriers, and student demographics.</p><p><strong>Results: </strong>We found that students' college self-efficacy was positively associated with PRA (<i>r</i> = .326, <i>p</i> = .002). White students endorsed significantly stronger PRA (effect size 0.52, <i>p</i> = .03). College students' self-efficacy was inversely associated with living with mental health conditions (<i>r</i> = -.209, <i>p</i> = .028) and whether started clinical practicum (<i>p</i> = .015) where students who started clinical practicum had significantly higher self-efficacy, regardless of whether they lived with a mental health conditions or not.</p><p><strong>Conclusions and implications for practice: </strong>Consistent with social cognitive career theory, students with higher college self-efficacy scored higher on the professional identity measure in the present study, PRA. We discuss the implications of this finding for rehabilitation education programs preparing students to work with individuals in the behavioral health care and rehabilitation fields. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"125-131"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The open dialogue approach, what are we actually doing? A systematic review of adherence. 开放对话的方法,我们实际上在做什么?对依从性的系统评价。
IF 1.2 3区 医学
Psychiatric Rehabilitation Journal Pub Date : 2026-03-01 Epub Date: 2025-10-16 DOI: 10.1037/prj0000666
Ethan McGuirk, Rebekah McLoughlin, Suzanne Guerin
{"title":"The open dialogue approach, what are we actually doing? A systematic review of adherence.","authors":"Ethan McGuirk, Rebekah McLoughlin, Suzanne Guerin","doi":"10.1037/prj0000666","DOIUrl":"10.1037/prj0000666","url":null,"abstract":"<p><strong>Objective: </strong>The open dialogue approach is a systemic, therapeutic intervention that aims to support individuals who experience severe and enduring mental health difficulties. Striving to encourage a rehabilitation-oriented approach, open dialogue (OD) has faced several adaptations according to different contexts and countries. This review sought to understand adherence and implementation practices of OD and specifically how they are reported within the OD intervention research literature.</p><p><strong>Methods: </strong>A systematic strategy was used to search five electronic databases (CINAHL, APA PsycInfo, The Cochrane Library, PsycArticles, PubMed) using title/abstract and full text terms. Data were extracted using an extraction template developed for the purpose of this review that incorporated a recently developed OD adherence protocol (Lotmore et al., 2023). A methodological quality appraisal was employed. Narrative synthesis and content analysis were used to analyze the findings.</p><p><strong>Results: </strong>Of the 1813 studies initially identified from the search string, 28 studies were included based on the inclusion and exclusion criteria. These composed of qualitative (<i>n</i> = 12), quantitative (<i>n</i> = 14), and mixed methods (<i>n</i> = 2) designs. The quality of the methods used in included studies overall was high. A descriptive analysis suggested generally good, though often implicit, adherence to principles of OD (64%). A narrative synthesis revealed five underpinning themes which affected adherence.</p><p><strong>Conclusions and implications for practice: </strong>Adherence to principles of OD was only of good quality. Assessment and reporting of adherence to OD's principles in research is encouraged to align with rehabilitative practices in mental health services. To support greater adherence to OD, researchers are encouraged to use the OD adherence protocol in reporting their work. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"79-91"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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