The integration of treatment and psychiatric rehabilitation in mental health services is challenging to realize but essential for a mental health system that has endorsed recovery as its guiding vision. This paper advocates the use of tensions in practice as a means of reconciling integration issues and advancing recovery-oriented service delivery. The paper follows with three scenarios of daily tensions in practice that serve as a foundation for analyzing and ultimately reconciling tensions in integration. Finally, six guidelines covering a range of organizational, administrative, financial, and service delivery perspectives are provided to guide the development of integrated treatment and rehabilitation toward a recovery-oriented system.
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