Recovery-Oriented Practices in a Mental Health Centre for Citizens Experiencing Serious Mental Issues and Substance Use: As Perceived by Healthcare Professionals

Kim Jørgensen (), Morten Hansen and Bengt Karlsson
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Kim Jørgensen: Science in Nursing Department of Public Health, Bartholins Allé 2, 8000 Aarhus, Denmark
Morten Hansen: Psychiatric Outpatient Clinic Ishøj, Bostedsteamet, Store Torv 20, 2635 Ishøj, Denmark
Bengt Karlsson: Center for Mental Health and Substance Abuse, Department of Health, Social and Welfare Studies, Faculty of Health and Social Sciences, University of Southeastern Norway, Postbox 7053, 3007 Drammen, Norway

IJERPH, 2022, vol. 19, issue 16, 1-12

Abstract: Introduction: Recovery-oriented practices have become a means of promoting user recovery during hospitalisation, but we do not know much about the concrete means of practicing recovery-orientation for the most vulnerable users with serious mental difficulty and substance use. Aims: We investigated the concrete means of practicing recovery-orientation in care work and the elements, dimensions, outcomes, or steps of it in a special department of mental health centres. Method: Focus group interviews were conducted with 16 health professionals with experience with users with serious mental difficulty and substance use. Qualitative content analysis was undertaken. Results: The main theme was “holistic recovery on structural terms” based on two themes and four subthemes. The first theme was “recovery based on an individual approach” with subthemes “detective—find hope” and “how to do recovery-oriented practice”. The next theme was “recovery subject to structural framework” with subthemes “tension between different interests” and “symptoms as a barrier”. Conclusions: recovery-oriented practice is understood as an approach where health professionals emphasise forming relationships based on trust, being hopeful for the users’ future, spending time with users, and respecting users’ experiences and knowledge from their own life. There are cross-pressures between different interests. The desire to meet the users’ perspectives and respect these perspectives but at the same time live up to mental health centre purposes to stabilise the users’ health and achieve self-care.

Keywords: recovery; hope; relationships; connectedness; user involvement; mental health services; inpatients; person-centred care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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