Community Mental Health Care Providers' Understanding of Recovery Principles and Accounts of Directiveness with Consumers.
The present qualitative study examined community mental health providers' accounts of their therapeutic interactions with adults with serious mental illness in a recovery-oriented model of care. Ten long-time mental health care providers discussed their understanding of recovery principles, their use of directive practices, and factors that shape their work with consumers. Content analysis of mental health providers' accounts suggest that providers had no difficulty articulating basic principles of recovery-oriented care. Providers reported engaging in directive practices with consumers and described using traditional clinical factors such as level of functioning, degree of psychiatric symptoms, safety concerns, and legal status to assess consumers' ability for autonomous decision making. Providers generally did not express tension between their views of mental health recovery and their beliefs about utilizing directive approaches with consumers. Implications of present findings for research and practice are discussed.
Eastern State Hospital, 4601 Ironbound Road, Williamsburg, VA, 23188, USA. osbornla@gmail.com.
Lawrence A
LA
Osborn
Department of Psychology, Bowling Green State University, Bowling Green, OH, 43403, USA.
Catherine H
CH
Stein
D000328:Adult; D001291:Attitude of Health Personnel; D003156:Community Mental Health Services / Q000379:methods*; D005260:Female; D006282:Health Personnel; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged; D011369:Professional-Patient Relations; D000067250:Psychiatric Rehabilitation / Q000379:methods*; D036301:Qualitative Research
Adults with mental illness; Community mental health; Directiveness; Qualitative research; Recovery