title: Recovery-Oriented Mental Health Practice in a Community Care Unit: An Exploratory Study.
abstract: A recovery-oriented model of care has become the major focus of mental health service delivery in the state of Victoria, Australia. However, there is a total absence of knowledge of recovery-oriented mental health practice in community care units (CCUs). Therefore, the aims of this exploratory study were to: (a) describe what aspects of the current model of care fit within the domains of recovery; and (b) describe the pragmatic processes that staff use to mold their care within the domains of recovery. Twenty-one key stakeholders provided informed voluntary consent to participate in one-to-one interviews. Six content domains evolved to include: (a) a common vision: "a continuous journey"; (b) promoting hope; (c) promoting autonomy and self-determination; (d) meaningful engagement; (e) holistic and personalized care; and (f) community participation and citizenship. The CCU appeared to be on a journey of transformation toward personal recovery. However, clinicians were grappling with an identified tension among personal recovery and clinical recovery. The tension among personal recovery and clinical recovery may be attributed to the psychosocial rehabilitation model of care, which was previously systemic in Victorian CCUs.
authors: Author Affiliations: 1School of Clinical Sciences, Auckland University of Technology; 2Auckland Regional Forensic Psychiatry Services, Waitemata District Health Board; 3Centre for Forensic Behavioural Science, Swinburne University of Technology; 4Turning Point, Eastern Health; 5NorthWestern Mental Health, The Royal Melbourne Hospital; and 6School of Nursing, Midwifery and Paramedicine, Australian Catholic University.
authors: Brian
authors: B
authors: McKenna
authors: Jane
authors: J
authors: Oakes
authors: Niki
authors: N
authors: Fourniotis
authors: Nigel
authors: N
authors: Toomey
authors: Trentham
authors: T
authors: Furness
mesh_terms: D001291:Attitude of Health Personnel; D001315:Australia; D062309:Community Integration; D003156:Community Mental Health Services / Q000458:organization & administration*; D016352:Group Homes; D006694:Holistic Health; D006801:Humans; D007407:Interviews as Topic; D001523:Mental Disorders / Q000628:therapy*; D009042:Motivation; D026684:Personal Autonomy