Recovery Services and Outcomes in a State Psychiatric Hospital

被引:6
作者
Chang, Bei-Hung [1 ,2 ]
Geller, Jeffrey L. [3 ,4 ]
Biebel, Kathleen [2 ]
机构
[1] Univ Massachusetts, Sch Med, Dept Quantitat Hlth Sci, Worcester, MA 01655 USA
[2] Univ Massachusetts, Sch Med, Dept Psychiat, Syst & Psychosocial Adv Res Ctr, Worcester, MA 01655 USA
[3] Worcester Recovery Ctr & Hosp, Worcester, MA USA
[4] Univ Massachusetts, Sch Med, Dept Psychiat, Publ Sect Psychiat, Worcester, MA 01655 USA
关键词
Recovery services; Recovery outcomes; Inpatient; State psychiatric hospital; MENTAL-HEALTH; ASSESSMENT SCALE; CARE;
D O I
10.1007/s11126-018-9570-y
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Recovery has emerged as a focus of mental health rehabilitation in the past decade. Many have suggested that various domains of recovery-orientated services are integrated to an efficacious mental health care system. In this study we examined the association of domains of recovery-oriented services with recovery outcomes among inpatients in a state psychiatric hospital. A convenience sample of 36 hospital patients participated in a survey that included two standardized scales, with one measuring 6 domains of recovery-orientation of hospital-based services and one measuring 5 aspects of patients' recovery outcomes. We used regression analysis to estimate the association between recovery-oriented services and recovery outcomes adjusting for gender, race, and education. Nearly 90% of patients had lengths of stay of more than 3 months. On average, patients reported receiving moderate levels of recovery-oriented services. Nevertheless those who reported receiving higher levels of recovery-oriented services also reported better recovery outcomes. Specifically three domains of recovery-oriented services, i.e., life goal vs. symptom management, individual tailored, and diversity of treatment options, are associated with better overall recovery and 3 specific aspects of recovery, namely willingness to ask for help, goal and success orientation, and reliance on others. The data from a small sample of patients at a state psychiatric hospital suggest that self-reported recovery-oriented services received are associated with better recovery outcomes. Future larger studies are warranted to confirm the study findings, and to examine whether a contemporary recovery-focused care model can facilitate even greater recovery outcomes.
引用
收藏
页码:707 / 716
页数:10
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