{"title":"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。","authors":"Shinichi Nagata, Hannah Wells, Gretchen Snethen, Sabrina Giaimo, Bryan McCormick","doi":"10.1037/prj0000649","DOIUrl":null,"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) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":""},"PeriodicalIF":1.2000,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"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\":null,\"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) 2025 APA, all rights reserved).</p>\",\"PeriodicalId\":47875,\"journal\":{\"name\":\"Psychiatric Rehabilitation Journal\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2025-05-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychiatric Rehabilitation Journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1037/prj0000649\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychiatric Rehabilitation Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1037/prj0000649","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
摘要
目的:促进社区融合是精神病康复的主要目标,但研究表明,一些消费者的生活质量较差,社区参与不足。本研究的重点是“可靠灵魂”干预的力量,旨在提高社区参与,并检查精神康复专业人员和消费者的经验,以确定有助于社区整合的独立性因素。方法:对精神康复专业人员(n = 6)和消费者(n = 14)进行个别和焦点小组访谈。受访者被问及他们对“可靠灵魂的力量”干预的体验,以及该干预与其他项目的不同之处。用反身性主位分析对转录本进行分析。结果:产生了四个主题:(a)“这永远是一个洞”:精神康复实践中缺少独立的社区参与;(b)“把权力和自由交到他们手中”:给他们机会是走向独立的关键;(c)“最困难的事情是放手”:促进独立可能会挑战当前的做法;和(d)“这是一个有价值的提醒,提醒他们有能力做事”:可能是无意识的提供者耻辱。结论和实践意义:信任消费者的能力,给他们机会去追求他们想要的活动,被认为是增加独立社区参与的关键。无意识的提供者耻辱和偏见可能是需要解决的另一个重要的潜在因素,以促进更多的社区参与。可靠灵魂的力量干预及其方法可能为一些精神康复机构全面采用康复导向的护理提供重要的纠正。(PsycInfo Database Record (c) 2025 APA,版权所有)。
Trust them taking the lead: A key for independent community participation from the Power of Dependable Souls (PODS) intervention.
Objective: 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.
Methods: We conducted individual and focus group interviews with psychiatric rehabilitation professionals (n = 6) and consumers (n = 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.
Results: 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.
Conclusions and implications for practice: 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) 2025 APA, all rights reserved).
期刊介绍:
The Psychiatric Rehabilitation Journal is sponsored by the Center for Psychiatric Rehabilitation, at Boston University"s Sargent College of Health and Rehabilitation Sciences and by the US Psychiatric Rehabilitation Association (USPRA) . The mission of the Psychiatric Rehabilitation Journal is to promote the development of new knowledge related to psychiatric rehabilitation and recovery of persons with serious mental illnesses.