Professional perspectives on providing recovery-oriented services in Taiwan: a qualitative study

Abstract Background The experiences of professionals in well-established recovery-oriented programs are valuable for professionals in similar practice settings. This study explored professionals’ experiences with providing recovery-oriented services in community psychiatric rehabilitation organizati...

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Main Authors: Yen-Ching Chang, Ling-Hui Chang, Su-Ting Hsu, Meng-Wen Huang
Format: Article
Language:English
Published: BMC 2021-03-01
Series:BMC Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s12888-021-03152-y
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spelling doaj-e87b33007b4c44bd96988b3d7550938d2021-03-21T12:47:38ZengBMCBMC Psychiatry1471-244X2021-03-0121111010.1186/s12888-021-03152-yProfessional perspectives on providing recovery-oriented services in Taiwan: a qualitative studyYen-Ching Chang0Ling-Hui Chang1Su-Ting Hsu2Meng-Wen Huang3Department of Occupational Therapy, College of Medicine, National Cheng Kung UniversityDepartment of Occupational Therapy, College of Medicine, National Cheng Kung UniversityKaohsiung Municipal Kai-Syuan Psychiatric HospitalDepartment of Rehabilitation Science, Jenteh Junior College of Medicine, Nursing and ManagementAbstract Background The experiences of professionals in well-established recovery-oriented programs are valuable for professionals in similar practice settings. This study explored professionals’ experiences with providing recovery-oriented services in community psychiatric rehabilitation organizations. Methods Semi-structured interviews were conducted with 14 professionals from five recovery-oriented psychiatric rehabilitation organizations in Taiwan. The interviews were recorded and transcribed verbatim. Thematic analysis was used for the qualitative data analysis. Results The analyses documented three main themes with 13 subthemes. Recovery-oriented service implementation included seven subthemes: Enabling clients to set their own goals and make decisions, using a strengths-based approach, establishing partnerships with clients, improving individuals’ self-acceptance, encouraging community participation, seeking family, peer, and organizational support, and building team collaboration. Problems with implementing recovery-oriented services included limited policy and organizational support, a lack of understanding of recovery among professionals, stigma, clients’ lack of motivation or self-confidence in their own ability to achieve recovery, and passive or overprotective family members. Strategies to resolve implementation problems included policy changes and organizational support, improving the recovery competence and confidence of professionals, and family and public education. Conclusions To date, this is the first known study examining the perspectives of mental health professionals who have experience implementing recovery-oriented services in Asia. The participants identified family collaboration, anti-stigma efforts, and changes in policy and attitudes as critical to successful implementation and delivery of recovery-oriented services.https://doi.org/10.1186/s12888-021-03152-yRecovery-oriented servicesProfessionalsAttitudes
collection DOAJ
language English
format Article
sources DOAJ
author Yen-Ching Chang
Ling-Hui Chang
Su-Ting Hsu
Meng-Wen Huang
spellingShingle Yen-Ching Chang
Ling-Hui Chang
Su-Ting Hsu
Meng-Wen Huang
Professional perspectives on providing recovery-oriented services in Taiwan: a qualitative study
BMC Psychiatry
Recovery-oriented services
Professionals
Attitudes
author_facet Yen-Ching Chang
Ling-Hui Chang
Su-Ting Hsu
Meng-Wen Huang
author_sort Yen-Ching Chang
title Professional perspectives on providing recovery-oriented services in Taiwan: a qualitative study
title_short Professional perspectives on providing recovery-oriented services in Taiwan: a qualitative study
title_full Professional perspectives on providing recovery-oriented services in Taiwan: a qualitative study
title_fullStr Professional perspectives on providing recovery-oriented services in Taiwan: a qualitative study
title_full_unstemmed Professional perspectives on providing recovery-oriented services in Taiwan: a qualitative study
title_sort professional perspectives on providing recovery-oriented services in taiwan: a qualitative study
publisher BMC
series BMC Psychiatry
issn 1471-244X
publishDate 2021-03-01
description Abstract Background The experiences of professionals in well-established recovery-oriented programs are valuable for professionals in similar practice settings. This study explored professionals’ experiences with providing recovery-oriented services in community psychiatric rehabilitation organizations. Methods Semi-structured interviews were conducted with 14 professionals from five recovery-oriented psychiatric rehabilitation organizations in Taiwan. The interviews were recorded and transcribed verbatim. Thematic analysis was used for the qualitative data analysis. Results The analyses documented three main themes with 13 subthemes. Recovery-oriented service implementation included seven subthemes: Enabling clients to set their own goals and make decisions, using a strengths-based approach, establishing partnerships with clients, improving individuals’ self-acceptance, encouraging community participation, seeking family, peer, and organizational support, and building team collaboration. Problems with implementing recovery-oriented services included limited policy and organizational support, a lack of understanding of recovery among professionals, stigma, clients’ lack of motivation or self-confidence in their own ability to achieve recovery, and passive or overprotective family members. Strategies to resolve implementation problems included policy changes and organizational support, improving the recovery competence and confidence of professionals, and family and public education. Conclusions To date, this is the first known study examining the perspectives of mental health professionals who have experience implementing recovery-oriented services in Asia. The participants identified family collaboration, anti-stigma efforts, and changes in policy and attitudes as critical to successful implementation and delivery of recovery-oriented services.
topic Recovery-oriented services
Professionals
Attitudes
url https://doi.org/10.1186/s12888-021-03152-y
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