Recovery-Oriented Practices in Community-based Mental Health Services: A Systematic Review
,
Abstract
Objective: New initiatives are needed to manage patients with mental health problems in the community. Among the core principal ideals of any healthcare system is transition from traditional services to community-based practices. The aim of this study was to assess community-based and recovery-oriented practices and interventions for individuals with mental health problems.
Method: MESH keywords, including “mental health recovery”, “rehabilitation”, “aftercare”, “community psychiatry”, and “mental health service” were searched in scientific databases such as Medline, EMBASE, PsychInfo, CINAHL, and Cochrane up to July 2022. A snowball search was also conducted on eligible studies. The methodological quality of the studies was determined by Kmet standard criteria.
Results: The systematic review included 32 studies, all of which demonstrated a moderate to high promising effect for community-based and recovery-oriented practices or programs on patients with severe mental illness. These practices could help patients to find suitable jobs, avoid isolation and stigma, improve communication skills, increase awareness of problems, and foster independence. The study also highlighted the pivotal role of nurses, artistic and sports activities, electronic (E)-mental health, home visits, psychoeducation, and special recovery programs.
Conclusion: Community-based and recovery-oriented practices should be used as an effective means of normalizing the lives of psychiatric patients. In essence, by cultivating hope and empowering these patients, many of the concerns of health systems can be eradicated.
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7. Singh U, Singh B. Assessment and management of Socio-Occupational functioning of persons with chronic schizophrenia: effect of social skills training. JPR. 2018;13(1):189-98.
8. Hamilton JE, Passos IC, de Azevedo Cardoso T, Jansen K, Allen M, Begley CE, et al. Predictors of psychiatric readmission among patients with bipolar disorder at an academic safety-net hospital. Aust N Z J Psychiatry. 2016;50(6):584-93.
9. Luo H, McNeil EB, Feng Q, Li H, Chen Q, Qin X, et al. Utilization of psychiatric rehabilitation services and influencing factors among people with psychotic disorders in rural communities of Guangxi, China. Int J Ment Health Syst. 2018;12:17.
10. Shojaei Z, Goodarzi MA, Taghavi MR. Prediction of mental disorders symptoms based on religious faith and gratitude. JRPH. 2015;9(3):22-3.
11. Castillo EG, Ijadi-Maghsoodi R, Shadravan S, Moore E, Mensah MO, 3rd, Docherty M, et al. Community Interventions to Promote Mental Health and Social Equity. Curr Psychiatry Rep. 2019;21(5):35.
12. Shields-Zeeman L, Petrea I, Smit F, Walters BH, Dedovic J, Kuzman MR, et al. Towards community-based and recovery-oriented care for severe mental disorders in Southern and Eastern Europe: aims and design of a multi-country implementation and evaluation study (RECOVER-E). Int J Ment Health Syst. 2020;14:30.
13. Sapag JC, Rush B, Ferris LE. Collaborative mental health services in primary care systems in Latin America: contextualized evaluation needs and opportunities. Health Expect. 2016;19(1):152-69.
14. Zitko P, Ramírez J, Markkula N, Norambuena P, Ortiz AM, Sepúlveda R. Implementing a Community Model of Mental Health Care in Chile: Impact on Psychiatric Emergency Visits. Psychiatr Serv. 2017;68(8):832-8.
15. Kmet LM, Cook LS, Lee RC. Standard quality assessment criteria for evaluating primary research papers from a variety of fields. Alberta Heritage Foundation for Medical Research (AHFMR) / HTA Report. 2004.
16. Rezaei O, Bayani A, Mokhayeri Y, Waye K, Sadat Y, Haroni J, et al. Applying psychoeducational program on general health and communication skills in caregivers of patients with schizophrenia: a randomized controlled trial. Eur. J. Psychiatry. 2018;32(4):174-81.
17. Pakpour AH, Modabbernia A, Lin CY, Saffari M, Ahmadzad Asl M, Webb TL. Promoting medication adherence among patients with bipolar disorder: a multicenter randomized controlled trial of a multifaceted intervention. Psychol Med. 2017;47(14):2528-39.
18. Moradi‐Lakeh M, Yaghoubi M, Hajebi A, Malakouti SK, Vasfi MG. Cost‐effectiveness of aftercare services for people with severe mental disorders: an analysis parallel to a randomised controlled clinical trial in I ran. Health & Social Care in the Community. 2017;25(3):1151-9.
19. Faridhosseini F, Baniasadi M, Fayyazi Bordbar MR, Pourgholami M, Ahrari S, Asgharipour N. Effectiveness of Psychoeducational Group Training on Quality of Life and Recurrence of Patients with Bipolar Disorder. Iran J Psychiatry. 2017;12(1):21-8.
20. Chien WT, Leung SF. A controlled trial of a needs‐based, nurse‐led psychoeducation programme for C hinese patients with first‐onset mental disorders: 6 month follow up. IJNP. 2013;19:3-13.
21. Dunn EC, Sally Rogers E, Hutchinson DS, Lyass A, MacDonald Wilson KL, Wallace LR, et al. Results of an innovative university-based recovery education program for adults with psychiatric disabilities. Adm Policy Ment Health. 2008;35(5):357-69.
22. Egede LE, Acierno R, Knapp RG, Lejuez C, Hernandez-Tejada M, Payne EH, et al. Psychotherapy for depression in older veterans via telemedicine: a randomised, open-label, non-inferiority trial. Lancet Psychiatry. 2015;2(8):693-701.
23. Berry N, Bucci S, Lobban F. Use of the Internet and Mobile Phones for Self-Management of Severe Mental Health Problems: Qualitative Study of Staff Views. JMIR Ment Health. 2017;4(4):e52.
24. Mashimo I, Yotsumoto K, Fujimoto H, Hashimoto T. Effects of Home-visit Occupational Therapy Using a Management Tool for Daily Life Performance on Severe Mental Illness: A Multicenter Randomized Controlled Trial. Kobe J Med Sci. 2020;66(4):E119-e28.
25. Sharifi V, Tehranidoost M, Yunesian M, Amini H, Mohammadi M, Jalali Roudsari M. Effectiveness of a low-intensity home-based aftercare for patients with severe mental disorders: a 12-month randomized controlled study. Community Ment Health J. 2012;48(6):766-70.
26. Chang YC, Chou FH. Effects of Home Visit Intervention on Re-hospitalization Rates in Psychiatric Patients. Community Ment Health J. 2015;51(5):598-605.
27. De Wit J, Dozeman E, Ruwaard J, Alblas J, Riper H. Web-based support for daily functioning of people with mild intellectual disabilities or chronic psychiatric disorders: A feasibility study in routine practice. ESRII. 2015;2(2):161-8.
28. Williams A, Fossey E, Farhall J, Foley F, Thomas N. Going Online Together: The Potential for Mental Health Workers to Integrate Recovery Oriented E-Mental Health Resources Into Their Practice. Psychiatry. 2018;81(2):116-29.
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| Files | ||
| Issue | Vol 18 No 3 (2023) | |
| Section | Review Article(s) | |
| DOI | https://doi.org/10.18502/ijps.v18i3.13013 | |
| Keywords | ||
| Aftercare Community Mental Health Services Community Psychiatry Mental Health Recovery Systematic Review | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Mousavizadeh SN, Jandaghian Bidgoli MA. Recovery-Oriented Practices in Community-based Mental Health Services: A Systematic Review. Iran J Psychiatry. 2023;18(3):332-351.
