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Toplum Ruh Sağlığı Hemşireliğinde Uygulamaya Yönelik Bir Model Örneği : “Recovery”

Yıl 2018, Cilt: 10 Sayı: 4, 481 - 493, 30.12.2018
https://doi.org/10.18863/pgy.375814

Öz



Ülkemizde açılmış olan toplum ruh sağlığı merkezlerinde, ruhsal bozukluğu olan hastalara sunulacak olan hizmetlerle ilgili bazı belirsizlikler bulunmaktadır. Bu merkezlerde çalışanların dörtte birini hemşireler oluşturur. Bu sunulan hizmetlerin kalitesini etkileyebilmesi açısından önemli bir rakamdır. Sunulan hizmet kalitesini artırılmasında düzenli eğitime alınacak hemşirelerin alanda uygulayabilecekleri modellere gereksinimleri vardır. Bu anlamda “Recovery” model olarak toplum ruh sağlığı hizmetlerinin temel felsefesi olan bireyi merkeze alan yapısına oldukça uygun bir modeldir. Bu çalışmada “Recovery” modeli tanımlanarak, toplum ruh sağlığı merkezlerinde çalışan hemşireler için tedavi ve bakımda model olarak uygulanmasının tartışılması amaçlanmıştır.

Kaynakça

  • Amering, M, Schmolke, M (2012) Recovery. Das Ende der Unheilbarkeit. Bonn: Psychiatrie-Verlag.
  • Andresen R, Caputi P, Oades L (2006) Stages of recovery instrument: development of a measure of recovery from serious mental illness. Australian and New Zealand Journal of Psychiatry, 40:972–80.
  • Anthony W (1993) Recovery from mental illness. The guiding vision of the mental health servi-ce  system in the 1990s. Psychosoc Rehabil J, 16:11–23.
  • Bağ B (2012) Toplum Ruh Sağlığı Merkezlerinde Hemşirenin Rolü: İngiltere Örneği Psikiyatride Güncel Yaklaşımlar-Current Approaches in Psychiatry, 4(4):46-54.
  • Bilge A, Mermer G, Çam MO, Çetinkaya A, Erdoğan E, Üçkuyu N (2016) Türkiye’deki toplum ruh sağlığı merkezlerinin 2013-2015 yıllarının profili. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi , 2;2:1-5.
  • Bracken P, Thomas P (2001) Postpsychiatry: a new direction in mental health. BMJ, 322:724–727. Borkin JR (2000) Recovery attitudes questionnaire: development and evaluation. Psychosoc Rehabil J, 24:95–103.
  • Borkin JR, Steffen, J. J., Ensfield, L. B., Krzton, K., Wishnick, H., Wilder, K., & Yangarber, N. (2000). Recovery attitudes questionnaire: development and evaluation. Psychiatric Rehabilitation Journal, 24:95–102.
  • Burr C, Schulz M, Winter A, Zuaboni G (2013)  Voraussetzungen, Interventionen, Projekte. Psychiatrie, Köln.
  • Corrigan PW, Goffort D, Rashid F, Leary M, Okeke I (1999) Recovery as a psychological construct. Community Mental Health Journal, 35:231-239.
  • Corrigan PW, Faber D, Rashid F et al. (1999) The construct validity of empowerment among consumers of mental health services. Schizophr Res,  38(1):77–84.
  • Couturier J, Lock J (2006). What is recovery in adolescent anorexia nervosa? Int J Eat Disorder, 39:550-5.
  • Daley S, Newton D, Slade M et al. (2013) Development of a framework for recovery in older people with mental disorder. Int J Geriatr Psychiatry, 28:522-9.
  • Dammann G (2014) Chancen und Probleme  des Recovery-Ansatzes  aus psychiatrischer Sicht. Nervenarzt ,· 85:1156–1165.
  • Davidson L (2010) PORT through a recovery lens.  Schizophr Bull, 36:107–108.
  • Delaney KR (1997) Milieu therapy: a therapeutic loophole. Perspectives in Psychiatric Nursing  33:19–28.
  • Deegan P (1988) Recovery: the lived experience of rehabilitation. Psychosoc Rehabil J, 11: 11-19.
  • Drayton M, Birchwood M, Trower P (1998) Early attachment experience and recovery from psychosis.  Br J Clin Psychol, 37:269–284.
  • Eikmeiera, G, Kieser D L, Paap M, Utschakowskic J, Lacroixa A (2017). Umstrukturierung einer psychiatrischen Abteilung nach Recovery-Grundsätzen: eine Pilotstudie mit,,mixed-method design‘‘ Reorganising a department of psychiatry according to recovery principles: A pilot study with mixed-method design. Z. Evid. Fortbild. Qual. Gesundh. wesen (ZEFQ),120; 16–20.
  • Ensari H (2011) Koruyucu psikiyatri açısından bolu toplum ruh sağlığı merkezi rehabilitasyon çalışmaları. Türkiye Klinikleri J Psychiatry-Special Topics, 4:86-93.
  • Farkas M (2007) The vision of recovery today: what it is and what it means for services. World Psychiatry, 6:68–74.
  • Friesen BJ (2007) Recovery and resilience in children’s mental health: views from the field. Psychiatr Rehabil J, 31:38-48.
  • İçel S, Özkan B, Aydoğan A (2016) Toplum Ruh Sağlığı Merkezlerinde Hemşirenin Rolü. Ankara Med J, 16(2):208-14.
  • Jerrell JM, Cousins VC, Roberts KM (2006) Psychometrics of the recovery process inventory. J Behav  Health Serv Res, 33:464–473.
  • Jaspers K (1913) Allgemeine Psychopathologie. Ein Leitfaden für Studierende, Ärzte und Psychologen. Springer, Berlin.
  • Katsakou C, Marougka S, Barnicot K et al. (2012). Recovery in borderline personality disorder (BPD): a qualitative study of service users’ perspectives. PLoS One, 7(5).
  • Kelly M, Gamble C (2005) Exploring the Concept of Recovery in Schizophrenia. Journal of Psychiatric and Mental Health Nursing, 12: 245–251.
  • Knuf A, Osterfeld, M, Seibert, U (2007) Selbstbefähigung fördern. Empowerment und psychiatrische Arbeit. 5. überarbeitete Auflage. Bonn: Psychiatrie-Verlag.
  • Knuf,A & Bridler S (2008) Recovery konkret. Psychosoziale Umschau, 4;26-29.
  • Lang FU, Gühne U,  Riedel-Heller SG,  · Becker T (2015). Innovative  patientenzentrierte  Versorgungssysteme. Internationale Perspektiven. Nervenarzt , 86:1313–1319.
  • NHS (2008) http://www.nes.scot.nhs.uk/media/376420/13875-nes-mental_health-all_modules.pdf. 07.01.2018.
  • Onken SJ, Dumont JM, Ridgway P, Dornan DH, Ralph RO (2002) Mental health recovery: What helps and what hinders? A national research project for the development of recovery facilitating system performance indicators. Phase one research report: a national study of consumer perspectives on what helps and hinders recovery. Alexandria, VA: National Technical Assistance Center for State Mental Health Planning.
  • Onken SJ, Craig CM, Ridgway P et al. (2007)An analysis of the definitions and elements of rec-overy:  A review of the literature. Psychiatr Rehabil J,  31:9–22.
  • Ralph, RO (2004) Visual definitions and visual models of recovery: Focus on the Recovery Model. (R. O. Ralph & P. W. Corrigan Eds.)131-146, Recovery in mental illness: Broadening our understanding of wellness. Washington, DC: American Psychological Association.
  • Recovery. https://dictionary.cambridge.org/de/worterbuch/englisch-turkisch/recovery. 18.11.2017.
  • Sass B, Moffat J, McKenzie K et al. (2009). A learning and action manual to improve care pathways for mental health and recovery among BME groups. Int Rev Psychiatry, 21:472-81.
  • Schrank B, Amering M (2007) „Recovery“ in der  Psychiatrie. Neuropsychiatrie, 21(1):45–60.
  • Slade M (2012) Recovery research: the empirical evidence from England. World Psychiatry, 11:  162–163.
  • Slade M, Bird V, Le Boutillier C et al. (2011) REFOCUS trial: Protocol for a cluster randomised controlled trial of a prorecovery intervention within community based mental health teams. BMC Psychiatry, 11:185.
  • Slade M, Leamy M, Bacon F et al. (2012) International differences in understanding recovery: s-ystematic review. Epidemiol Psychiatr Sci, 21:353–364.
  • Slade M, Amering M, Farkas M, Hamilton B,O´Hagan M, Panther G, Perkins R, Shepherd G, Tse S, Whitle R (2014). Uses and abuses of recovery: implementing recovery-oriented practices in mental health systems. World Psychiatry, 13:12–20.
  • Sibitz I (2013) Recovery-orientierte tagesklinische Therapie für Personen mit einer Psychose aus  dem schizophrenen Formenkreis. Psychopraxis  16:25–27.
  • Söğütlü L ,Özen S, Varlık C, Güler A (2017) Toplum ruh sağlığı merkezinde şizofreni hastalarına ruhsal toplumsal beceri eğitimi uygulanması ve sonuçlar. Anadolu Psikiyatri Derg, 18(2):121-128.
  • T.C. Sağlık Bakanlığı. Ulusal Ruh Sağlığı Eylem Planı (2011-2023). Ankara, T.C. Sağlık Bakanlığı, 2011.
  • Vereinte Nationen. Übereinkommen über die Rechte von Menschen mit Behinderungen (UN-BRK). New York (2006).
  • Winter K, Radtke M, Berger M (2015) Recovery in Psychiatrie und Psychotherapie: Die unterschiedlichen und sich wandelnden Recovery-Konzepte. In|Fo|Neurologie & Psychiatrie, 17 (6);40-46.
  • Zuaboni G, Schulz M (2013) „Recovery praktisch!“: Schulungsunterlagen für Fachkräfte. In: Burr C, Schulz M, Winter A et al. Recovery in der Praxis. Voraussetzungen, Interventionen, Projekte.  Psychiatrie, Köln, S 103–109.
  • Zuaboni G, Abderhalden C, Schulz M, Winter A  (2012) Recovery praktisch! Schulungsunterlagen. Verlag Universitäre Psychiatrische Dienste  UPD, Bern.

An Example of a Model for Practicing Community Mental Health Nursing: Recovery

Yıl 2018, Cilt: 10 Sayı: 4, 481 - 493, 30.12.2018
https://doi.org/10.18863/pgy.375814

Öz

There are some uncertainties about the services that will be offered to patients with mental disorders in the community mental health centers opened in our country. One-fourth of the employees in these centers are nurses. This is an important figure that could affect the quality of the services offered. In order to improve the quality of the services offered, nurses need models that can be applied in the field. In this sense, “Recovery” model, is a model that is quite suitable for the community mental health services which centers the individual as a part of its basic philosophy. The aim of this study is to define the “Recovery” model and to discuss it as model for the treatment and maintenance of patients by nurses working in community mental health centers.

Kaynakça

  • Amering, M, Schmolke, M (2012) Recovery. Das Ende der Unheilbarkeit. Bonn: Psychiatrie-Verlag.
  • Andresen R, Caputi P, Oades L (2006) Stages of recovery instrument: development of a measure of recovery from serious mental illness. Australian and New Zealand Journal of Psychiatry, 40:972–80.
  • Anthony W (1993) Recovery from mental illness. The guiding vision of the mental health servi-ce  system in the 1990s. Psychosoc Rehabil J, 16:11–23.
  • Bağ B (2012) Toplum Ruh Sağlığı Merkezlerinde Hemşirenin Rolü: İngiltere Örneği Psikiyatride Güncel Yaklaşımlar-Current Approaches in Psychiatry, 4(4):46-54.
  • Bilge A, Mermer G, Çam MO, Çetinkaya A, Erdoğan E, Üçkuyu N (2016) Türkiye’deki toplum ruh sağlığı merkezlerinin 2013-2015 yıllarının profili. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi , 2;2:1-5.
  • Bracken P, Thomas P (2001) Postpsychiatry: a new direction in mental health. BMJ, 322:724–727. Borkin JR (2000) Recovery attitudes questionnaire: development and evaluation. Psychosoc Rehabil J, 24:95–103.
  • Borkin JR, Steffen, J. J., Ensfield, L. B., Krzton, K., Wishnick, H., Wilder, K., & Yangarber, N. (2000). Recovery attitudes questionnaire: development and evaluation. Psychiatric Rehabilitation Journal, 24:95–102.
  • Burr C, Schulz M, Winter A, Zuaboni G (2013)  Voraussetzungen, Interventionen, Projekte. Psychiatrie, Köln.
  • Corrigan PW, Goffort D, Rashid F, Leary M, Okeke I (1999) Recovery as a psychological construct. Community Mental Health Journal, 35:231-239.
  • Corrigan PW, Faber D, Rashid F et al. (1999) The construct validity of empowerment among consumers of mental health services. Schizophr Res,  38(1):77–84.
  • Couturier J, Lock J (2006). What is recovery in adolescent anorexia nervosa? Int J Eat Disorder, 39:550-5.
  • Daley S, Newton D, Slade M et al. (2013) Development of a framework for recovery in older people with mental disorder. Int J Geriatr Psychiatry, 28:522-9.
  • Dammann G (2014) Chancen und Probleme  des Recovery-Ansatzes  aus psychiatrischer Sicht. Nervenarzt ,· 85:1156–1165.
  • Davidson L (2010) PORT through a recovery lens.  Schizophr Bull, 36:107–108.
  • Delaney KR (1997) Milieu therapy: a therapeutic loophole. Perspectives in Psychiatric Nursing  33:19–28.
  • Deegan P (1988) Recovery: the lived experience of rehabilitation. Psychosoc Rehabil J, 11: 11-19.
  • Drayton M, Birchwood M, Trower P (1998) Early attachment experience and recovery from psychosis.  Br J Clin Psychol, 37:269–284.
  • Eikmeiera, G, Kieser D L, Paap M, Utschakowskic J, Lacroixa A (2017). Umstrukturierung einer psychiatrischen Abteilung nach Recovery-Grundsätzen: eine Pilotstudie mit,,mixed-method design‘‘ Reorganising a department of psychiatry according to recovery principles: A pilot study with mixed-method design. Z. Evid. Fortbild. Qual. Gesundh. wesen (ZEFQ),120; 16–20.
  • Ensari H (2011) Koruyucu psikiyatri açısından bolu toplum ruh sağlığı merkezi rehabilitasyon çalışmaları. Türkiye Klinikleri J Psychiatry-Special Topics, 4:86-93.
  • Farkas M (2007) The vision of recovery today: what it is and what it means for services. World Psychiatry, 6:68–74.
  • Friesen BJ (2007) Recovery and resilience in children’s mental health: views from the field. Psychiatr Rehabil J, 31:38-48.
  • İçel S, Özkan B, Aydoğan A (2016) Toplum Ruh Sağlığı Merkezlerinde Hemşirenin Rolü. Ankara Med J, 16(2):208-14.
  • Jerrell JM, Cousins VC, Roberts KM (2006) Psychometrics of the recovery process inventory. J Behav  Health Serv Res, 33:464–473.
  • Jaspers K (1913) Allgemeine Psychopathologie. Ein Leitfaden für Studierende, Ärzte und Psychologen. Springer, Berlin.
  • Katsakou C, Marougka S, Barnicot K et al. (2012). Recovery in borderline personality disorder (BPD): a qualitative study of service users’ perspectives. PLoS One, 7(5).
  • Kelly M, Gamble C (2005) Exploring the Concept of Recovery in Schizophrenia. Journal of Psychiatric and Mental Health Nursing, 12: 245–251.
  • Knuf A, Osterfeld, M, Seibert, U (2007) Selbstbefähigung fördern. Empowerment und psychiatrische Arbeit. 5. überarbeitete Auflage. Bonn: Psychiatrie-Verlag.
  • Knuf,A & Bridler S (2008) Recovery konkret. Psychosoziale Umschau, 4;26-29.
  • Lang FU, Gühne U,  Riedel-Heller SG,  · Becker T (2015). Innovative  patientenzentrierte  Versorgungssysteme. Internationale Perspektiven. Nervenarzt , 86:1313–1319.
  • NHS (2008) http://www.nes.scot.nhs.uk/media/376420/13875-nes-mental_health-all_modules.pdf. 07.01.2018.
  • Onken SJ, Dumont JM, Ridgway P, Dornan DH, Ralph RO (2002) Mental health recovery: What helps and what hinders? A national research project for the development of recovery facilitating system performance indicators. Phase one research report: a national study of consumer perspectives on what helps and hinders recovery. Alexandria, VA: National Technical Assistance Center for State Mental Health Planning.
  • Onken SJ, Craig CM, Ridgway P et al. (2007)An analysis of the definitions and elements of rec-overy:  A review of the literature. Psychiatr Rehabil J,  31:9–22.
  • Ralph, RO (2004) Visual definitions and visual models of recovery: Focus on the Recovery Model. (R. O. Ralph & P. W. Corrigan Eds.)131-146, Recovery in mental illness: Broadening our understanding of wellness. Washington, DC: American Psychological Association.
  • Recovery. https://dictionary.cambridge.org/de/worterbuch/englisch-turkisch/recovery. 18.11.2017.
  • Sass B, Moffat J, McKenzie K et al. (2009). A learning and action manual to improve care pathways for mental health and recovery among BME groups. Int Rev Psychiatry, 21:472-81.
  • Schrank B, Amering M (2007) „Recovery“ in der  Psychiatrie. Neuropsychiatrie, 21(1):45–60.
  • Slade M (2012) Recovery research: the empirical evidence from England. World Psychiatry, 11:  162–163.
  • Slade M, Bird V, Le Boutillier C et al. (2011) REFOCUS trial: Protocol for a cluster randomised controlled trial of a prorecovery intervention within community based mental health teams. BMC Psychiatry, 11:185.
  • Slade M, Leamy M, Bacon F et al. (2012) International differences in understanding recovery: s-ystematic review. Epidemiol Psychiatr Sci, 21:353–364.
  • Slade M, Amering M, Farkas M, Hamilton B,O´Hagan M, Panther G, Perkins R, Shepherd G, Tse S, Whitle R (2014). Uses and abuses of recovery: implementing recovery-oriented practices in mental health systems. World Psychiatry, 13:12–20.
  • Sibitz I (2013) Recovery-orientierte tagesklinische Therapie für Personen mit einer Psychose aus  dem schizophrenen Formenkreis. Psychopraxis  16:25–27.
  • Söğütlü L ,Özen S, Varlık C, Güler A (2017) Toplum ruh sağlığı merkezinde şizofreni hastalarına ruhsal toplumsal beceri eğitimi uygulanması ve sonuçlar. Anadolu Psikiyatri Derg, 18(2):121-128.
  • T.C. Sağlık Bakanlığı. Ulusal Ruh Sağlığı Eylem Planı (2011-2023). Ankara, T.C. Sağlık Bakanlığı, 2011.
  • Vereinte Nationen. Übereinkommen über die Rechte von Menschen mit Behinderungen (UN-BRK). New York (2006).
  • Winter K, Radtke M, Berger M (2015) Recovery in Psychiatrie und Psychotherapie: Die unterschiedlichen und sich wandelnden Recovery-Konzepte. In|Fo|Neurologie & Psychiatrie, 17 (6);40-46.
  • Zuaboni G, Schulz M (2013) „Recovery praktisch!“: Schulungsunterlagen für Fachkräfte. In: Burr C, Schulz M, Winter A et al. Recovery in der Praxis. Voraussetzungen, Interventionen, Projekte.  Psychiatrie, Köln, S 103–109.
  • Zuaboni G, Abderhalden C, Schulz M, Winter A  (2012) Recovery praktisch! Schulungsunterlagen. Verlag Universitäre Psychiatrische Dienste  UPD, Bern.
Toplam 47 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Psikiyatri, Uygulamalı ve Gelişimsel Psikoloji
Bölüm Derleme
Yazarlar

Beyhan Bag 0000-0002-3328-2695

Yayımlanma Tarihi 30 Aralık 2018
Kabul Tarihi 29 Ocak 2018
Yayımlandığı Sayı Yıl 2018 Cilt: 10 Sayı: 4

Kaynak Göster

AMA Bag B. Toplum Ruh Sağlığı Hemşireliğinde Uygulamaya Yönelik Bir Model Örneği : “Recovery”. Psikiyatride Güncel Yaklaşımlar. Aralık 2018;10(4):481-493. doi:10.18863/pgy.375814

Creative Commons Lisansı
Psikiyatride Güncel Yaklaşımlar Creative Commons Atıf-Gayriticari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.