Making Sense of It All: Consumer Providers' Theories about Factors Facilitating and Impeding Recovery from Psychiatric Disabilities.

St. Louis University, School of Social Service, St. Louis, MO 63139, USA.
Psychiatric Rehabilitation Journal (Impact Factor: 1.16). 02/2005; 29(1):48-55. DOI: 10.2975/29.2005.48.55
Source: PubMed


This qualitative study examined the accounts of fifteen adults regarding how they recovered from serious psychiatric disability. Interviews were analyzed using a grounded theory approach within a framework of Symbolic Interactionism. Recovery was identified as a dynamic process of personal growth and transformation. Barriers to recovery included paternalistic and coercive treatment systems, indifferent professionals, side effects from medication, and psychiatric symptoms. The existence of supportive relationships, meaningful activities and effective traditional and alternative treatments were identified as influential in facilitating recovery. The consumer providers who participated in this study provided important findings and fresh understanding about the recovery process.

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    • "Examples of recovery-oriented services include peer support, shared decision-making, and consumer-directed care (Silverstein & Bellack 2008). From a personal recovery perspective, recovery tends to be viewed in highly individualized terms that involve living a satisfying life, taking responsibility, engaging in meaningful activities, and making progress toward self-defined goals within the constraints of one's illness (Mancini et al. 2005). A personal recovery perspective contrasts with a clinical recovery perspective that focuses on observer-rated improvement in predefined symptoms and functioning. "
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    ABSTRACT: Provisions of the Affordable Care Act provide unprecedented opportunities for expanded access to behavioral health care and for redesigning the provision of services. Key to these reforms is establishing mental and substance abuse care as essential coverage, extending Medicaid eligibility and insurance parity, and protecting insurance coverage for persons with preexisting conditions and disabilities. Many provisions, including Accountable Care Organizations, health homes, and other structures, provide incentives for integrating primary care and behavioral health services and coordinating the range of services often required by persons with severe and persistent mental health conditions. Careful research and experience are required to establish the services most appropriate for primary care and effective linkage to specialty mental health services. Research providing guidance on present evidence and uncertainties is reviewed. Success in redesign will follow progress building on collaborative care and other evidence-based practices, reshaping professional incentives and practices, and reinvigorating the behavioral health workforce. Expected final online publication date for the Annual Review of Clinical Psychology Volume 12 is March 28, 2016. Please see for revised estimates.
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    • "Patients often complain about being uninformed and unprepared to deal with these side effects, which sometimes can make them feel worse than the illness itself (McGrath, 2007). Lack of communication between patients and clinicians has also been identified as a barrier to recovery in mental health patients (McGrath, 2007; Dassori et al., 2003; Mancini et al., 2005; Thompson and McCabe, 2012). Patients generally do not self-report negative effects of treatment; therefore clinicians often underestimate their frequency, severity and subsequently the high possibility of non-adherence (Foster et al., 2008; Naber, 2008). "
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    • "ncini, Hardiman, & Lawson, 2005), elimination of stigma (Jacobson & Greenley, 2001; Ridgway, 2001), peer support (Mancini, 2007; Schön, Denhov, & Topor , 2009 ) , resilience ( Torgalsbøen & Rund , 2010), strong clinician – client relationship ( Green et al., 2008 ) , and social support ( Cohen, 2005 ; Davidson , 2003 ; Jacobson & Greenley , 2001 ; Mancini et al . , 2005 ; Schön et al . , 2009 ) are among the important facilitative psychosocial factors of recovery identi - fied in qualitative studies . Third , several psychosocial factors that have been investi - gated for their association with more favorable outcomes marked by circumscribed deterioration in function or less severe symptomatology have "
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