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Promotion and Implementation of Recovery-Oriented Practice in a Mental Hospital in Hong Kong

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Promotion and Implementation of Recovery-Oriented Practice in a Mental Hospital in Hong Kong Hong Kong Journal of Mental Health Copyright © 2013 by Gary T H Lee and Michael G C Yiu 2013, 39(1), 13-19 The Mental Health Association of Hong Kong Equal Opportunity Commission (2013). A Roberts, G., & Wolfson, P. (2004). The rediscovery submission by EOC on mental health policy and of recovery: open to all. Advances in Psychiatric service programmes. Retrieved from www.eoc. Treatment 10, 37-49. org.hk/eoc/.../201322112161018177.pdf Promotion and Implementation of Recovery-oriented Practice Royal College of Psychiatrists. (2004). in a Mental Hospital in Hong Kong Mak, W., Lam, B., & Yan, S. (2010). Recovery Rehabilitation and recovery now (Council Report knowledge and recovery-oriented services in CR 121). London: Royal College of Psychiatrists. Hong Kong. Psychiatric Services, 61 , 1164. Bonnie W M Siu Rex W K Sung Slade, M. (2009). 100 ways to support recovery: a Castle Peak Hospital May, R. (2004). Making sense of psychotic guide for mental health professionals. London: experience and working towards recovery. Rethink. In J.F.M. Gleeson & P.D. McGorry (Eds.), Abstract Psychological interventions in early psychosis (pp. Slade, M., Amering, M., & Oades, L. (2008). 246-260). Chichester, UK: John Wiley & Sons . Recovery: an international perspective. Objectives: As an essential direction of mental health service reform, Epidemiologia e Psichiatria Sociale 17(2), 128- recovery-oriented practice has recently been widely incorporated into the Mead, S., & Copeland, M. E. (2005). What 37. guiding principles for the transformation of mental health systems in many recovery means to us: consumers’ perspectives. countries. In L. Davidson, C. Harding & L. Spaniol (Eds.) World Health Organization. (1980). International Methods: A Committee on Recovery-oriented Practice was set up to steer Recovery from mental illness: research evidence classification of impairment, disabilities and the promotion and implementation of recovery policy in the Castle Peak and implications for practice (pp. 69-81). Boston, handicaps: a manual of classification relating to Hospital, a major mental hospital in Hong Kong. MA: Centre for Psychiatric Rehabilitation, Boston the consequences of disease. Geneva: WHO. University. Results: Recovery-oriented Practice was promoted and staff training and World Health Organisation. (2011). World Mental patient education on the concept and principles of recovery were launched, Ng, R.M., Pearson, V., Chen, E.E., & Law, C.W. Health Altas 2011. and at least 300 staff members had participated in the training. Baseline (2010). What does recovery from schizophrenia data were collected on the attitude and acceptance of staff and patient mean? Perceptions of medical students and trainee Wykes, T., & Holloway, F. (2000). Community on mental health recovery. Pilot recovery programs were adopted in the psychiatrists. International Journal of Social rehabilitation: past failures and future prospects. rehabilitation unit and gradually extended to other units. Psychiatry, 57, 248 – 262. International Review of Psychiatry, 12, 197-205. Conclusion: The report demonstrated that Recovery-oriented Practice could be successfully implemented in mental health services for Chinese populations. Keywords: Chinese, Recovery, Mental Hospital Introduction and patient’s self-management of his or her mental illness are the central elements Recovery-oriented practice is not in the implementation of recovery practice new in the field of mental health. Mental in mental health service. As an essential health recovery has emerged in the direction of mental health care reform literature in the past two decades and and a move towards continuous service has been implemented in non-Chinese quality improvement, the concept of populations in different countries. Peer recovery-oriented care has already been support, positive role model, partnership, incorporated into the service standards and empowerment, strength-based approach, guiding principles of the mental health patient’s participation in the treatment plan systems in many countries. Correspondence concerning this article should be addressed to Bonnie W M Siu, Castle Peak Hospital, 15 Tsing Chung Koon Road, Tuen Mun, New Territories, Hong Kong. Email: bonniew114m@yahoo.com 12 Hong Kong Journal of Mental Health Hong Kong Journal of Mental Health 13 Promotion and Implementation of Recovery-oriented Practice Bonnie W M Siu and Rex W K Sung in a Mental Hospital in Hong Kong In the traditional mental health service mental disability to live a meaningful life in the NIMHE guiding statement on recovery, 2005; human rights and patient’s involvements in delivery, the medical model is widely adopted community of his or her choice while striving Recovery competencies for New Zealand the Chinese society, the adoption of recovery- with an emphasis on application of biological, to achieve his or her full potential”. In 2010, Mental Health Workers, 2001; Strategic oriented practice could be considered as one of psychological, and social treatments. Before the South London and Maudsley National plan 2009-2012, 2009; Towards Recovery the directions for service development in Hong recovery becomes a trend of mental health Health Service Foundation Trust and the & well-being, 2009). Recent systematic Kong after cultural considerations. This paper service in overseas countries, many healthcare South West London and St. George’s National reviews support the view that community described the development, promotion, and professionals believed that recovery-oriented care Health Service Mental Health Trust have and hospital based facilities for individuals implementation of recovery-oriented practice devalues the role of professional intervention, jointly issued a position statement suggesting with severe mental illnesses should deliver in the Castle Peak Hospital in Hong Kong. and is against the medical model (Davidson that recovery focused services are a central “Recovery-oriented” services (Repper & et al., 2006). After years of debates and component to make mental health services fit Carter, 2011; Rogers et al., 2009; Taylor Promotion and Implementation of explorations, researchers subsequently tend to for the twenty-first century and that recovery is et al., 2009). The involvement of patients Recovery-oriented Practice agree that the recovery-oriented service model “about individualized approaches and having in organizations’ planning of services and is complementary to the medical model. They a satisfying and fulfilling life, as defined by their clinical governance processes has been The experiences from overseas countries opined that if holistic mental health services are each person”. These governmental statements highlighted (Taylor et al., 2009). In addition on the implementation of recovery-oriented to be delivered to patients, both the elements of both emphasized that recovery is a journey and to collaboration in their care, patients’ practice are valuable as the blueprint for the recovery such as self-management and patient’s an ongoing process, and that individualized participation in developing, running and adoption of mental health recovery in the participation, and the effective bio-psycho-social approach and patient’s choice are important in reviewing services has been shown to lead to Chinese populations in Hong Kong. On the treatments are of equal importance. the delivery of recovery-oriented services. positive outcomes for both the services and the other hand, staff training on the concept, patients who take on these roles. In addition, principles, and elements of recovery and Traditional healthcare service delivery Second, researchers have rather diversified there is also evidence supporting that the the opinions from staff and patients on the in the Chinese populations is often based views on the definition of recovery. Deegan implementation of recovery-oriented services meaning and importance of recovery are the on “paternalism” or “maternalism”, and the (1996) stated that “instead of focusing could increase the satisfaction of patients areas needed to be addressed. healthcare professionals tend to “prescribe” primarily on symptom relief, as the medical towards the services delivered to them (Ahuja the treatment and management plans to the model dictates, recovery casts a much wider & William, 2005; Linhorst & Eckert, 2002). Clinical Attachment in UK and USA patients. Patients are largely passive and spotlight on restoration of self-esteem and not very much involved in the decision- identity and on attaining meaningful roles in Recovery-oriented Practice in Chinese After recovery-oriented practice is adopted making process of his or her own care and society”. This definition by Deegan does not Populations as the key service development direction, four rehabilitation plans. Thus service reforms imply full recovery, i.e. a state in which full staff members (1 psychiatrist, 2 psychiatric towards a recovery-oriented approach need functioning is restored and no medications are The National Consensus Statement nurses, and 1 occupational therapist) from exploration in the Chinese populations. needed. Instead, recovery is suggested as “a on Mental Health Recovery of the United Castle Peak Hospital had a clinical attachment journey or process, not a destination or cure”. States described that the essential elements at the Institute of Psychiatry of the King’s The Definition of Recovery Anthony (1993) has developed a widely used of Recovery include “self-direction”, College in Maudsley of London in 2010, and
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