Developing Attitudes: The Role of Psychiatric Rehabilitation Education

The recovery model guides mental health services. However, the delivery of recovery‐oriented services in inpatient settings is still a challenge. Factors affecting recovery model implementation can be classified into three types: the hospital environment, the inpatient and the service provider. This study aims to quantitatively evaluate the impact of environment, inpatient and service provider factors on recovery model implementation in hospitals. Forty‐five service providers and 42 inpatients from three types of wards (acute locked, acute open and daycare) of two hospitals participated in this cross‐sectional study. We assessed inpatient cognition, functional capacity and illness severity. In addition, we retrieved information on service providers' professional status and evaluated the recovery model knowledge and attitudes. Implementation of the recovery model was measured using the Recovery Self‐Assessment, both the inpatient and service provider versions. Differences were found between the three types of wards in recovery orientation as reported by service providers (normalχ22 = 15.3, P < 0.001), but not by inpatients (normalχ22 = 2.34, P > 0.05). Providers' internalized knowledge and attitudes toward recovery, inpatients' functional capacity and age of illness onset were associated with recovery implementation (0.31 < r < 0.48, P < 0.05). The findings confirm quantitatively the multilevel nature of factors that affect the implementation of the recovery model in psychiatric hospitals. The inpatients' perspective should be incorporated into the service development process. Based on the study results, the reduction in the restrictive features of the wards' environment is recommended. Promotion of the recovery model implementation in the hospital setting requires the expansion of staff's internal positive attitudes toward recovery.

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“…2006; Gill et al . 2005a,b), but also in the constraining context of hospitalization (Chen et al . 2013; Gudjonsson et al .…”

Section: Discussionmentioning

confidence: 99%

Study of recovery model implementation in psychiatric hospitals: Clients and multidisciplinary staff perspective

Biran-Ovadia

Strous

Bart

et al. 2022

Int J Mental Health Nurs

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“…Pre-service training, meaning academic instruction received prior to becoming employed in a profession, is another way of learning about psychiatric rehabilitation, but pre-service programs and courses focusing directly on psychiatric rehabilitation are not as common as academic programs and courses that focus primarily on psychopathology and treatment. Additionally, a single introductory overview course on psychiatric rehabilitation is likely to be insufficient to develop the attitudes and values that combined with an understanding of the principles and practices of psychiatric rehabilitation seem so critical to effective implementation (Gill, Murphy, & Birkmann, 2005). This inaugural column on education and training issues in psychiatric rehabilitation introduces the co-editors and the column itself.…”

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confidence: 99%