Recovery-oriented care in public mental health policies in Spain: opportunities and barriers

• Hernán M Sampietro ^[1] ; Emilio Rojo ^[2] ; Juana Gómez-Benito
  1. [1] Universitat de Barcelona

     Universitat de Barcelona

     Barcelona, España

     
  2. [2] Universidad Internacional de Catalunya
• Localización: Clínica y salud: Investigación Empírica en Psicología, ISSN 1130-5274, Vol. 34, Nº. 1, 2023, págs. 35-40
• Idioma: inglés
• DOI: 10.5093/clysa2023a4
• Títulos paralelos:
  • La atención orientada a la recuperación en las políticas públicas de salud mental en España: oportunidades y barreras
• Enlaces
  • Texto completo
• Dialnet Métricas: 2 Citas
• Resumen
  • español

    RESUMEN La atención orientada a la recuperación es la propuesta incorporada en los nuevos planes estratégicos de salud mental tanto de la Organización Mundial de la Salud como del Sistema Nacional de Salud español. Este artículo hace un recorrido desde las propuestas iniciales del modelo de recuperación hasta la forma en que se define actualmente la atención orientada a la recuperación, entendida como una intervención comunitaria, centrada en la persona y basada en derechos. También se explica el consenso existente en torno al modelo CHIME para comprender qué tipo de intervenciones se necesitan para transformar los servicios de salud mental. Asimismo, se presentan algunos de los principales programas y proyectos existentes para promover la atención orientada a la recuperación y se analizan ciertas barreras existentes para su implementación.

  • English

    ABSTRACT Recovery-oriented care is the proposal incorporated in the new mental health strategic plans of both the World Health Organization and the Spanish National Health System. This article takes a journey from the initial proposals of the recovery model to the way recovery-oriented care is currently defined, understood as a community intervention, person-centred, and based on rights. The existing consensus around the CHIME model is also explained in order to understand what kind of interventions are needed to transform mental health services. Likewise, some of the main existing programs and projects to promote recovery-oriented care are presented, and a number of existing barriers to their implementation are analysed.

• Referencias bibliográficas
  • Anthony, W. A.. (1993). Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation...
  • Appelbaum, P. S.. (2019). Saving the UN Convention on the rights of persons with disabilities – from itself. World Psychiatry. 18. 1-2
  • Bayetti, C,Jadhav, S,Jain, S.. (2016). The re-covering self: A critique of the recovery-based approach in India's mental health care....
  • Caussa, A,Cordoncillo Acosta, C.. (2018). Guia per a grups d'ajuda mútua de salut mental de persones familiars. Activa't per la Salut...
  • (2016). Consejería de Sanidad III Plan Integral de Salud Mental de Andalucía, 2016-20.. Junta de Andalucía.
  • (2018). Consejería de Sanidad de Castilla-La Mancha. Plan de salud mental de Castilla - La Mancha.
  • Cook, J. A,Jonikas, J. A.. (2002). Self-determination among mental health consumers/survivors: Using lessons from the past to guide the future....
  • Copeland, M. E.. (1997). Wellness recovery action plan. Human Potential Press.
  • Copeland, M. E.. (2004). National Self-determination & Psychiatric Disability Invitational Conference. University of Illinois.
  • Davidson, L,González-Ibáñez, À.. (2017). La recuperación centrada en la persona y sus implicaciones en salud mental. Revista de La Asociación...
  • Davidson, L,Tse, S.. (2014). What will it take for recovery to flourish in Hong Kong?. East Asian Archives of Psychiatry. 24. 110
  • (2021). Decret Llei 19/2021, de 31 d'agost, pel qual s'adapta el Codi Civil de Catalunya a la reforma del procediment de modificació...
  • Funk, M,Drew Bold, N.. (2020). WHO's Quality Rights Initiative: Transforming services and promoting rights in mental health. Health and...
  • (2016). Consejería de Sanidad. III Plan Integral de Salud Mental de Andalucía 2016-20. Junta de Andalucía.
  • (2022). Generalitat de Catalunya Salut inicia la reconversió i transformació de l'hospitalització de llarga estada de salut mental amb...
  • (2017). Generalitat de Catalunya, Departament de Presidència. Pla integral d'atenció a les persones amb trastorn mental i addiccions 2017-2019....
  • (2003). Generalitat de Catalunya, Departament de Salut. Pla de Serveis Individualitzats (PSI).
  • (2017). Generalitat de Catalunya, Departament de Salut. Estratègies 2017-2020 Pla director de salut mental i addiccions..
  • (2018). Generalitat de Catalunya, Departament de Salut. Programa de suport entre iguals a Catalunya.
  • (2020). Generalitat de Catalunya, Departament de Salut La planificació de decisions anticipades en salut mental i addiccions: propostes per...
  • (2016). Generalitat Valenciana. Estrategia autonómica de salud mental 2016-2020..
  • Jacob, S,Munro, I,Taylor, B. J,Griffiths, D.. (2015). Mental health recovery: A review of the peer-reviewed published literature. Collegian....
  • Jaiswal, A,Carmichael, K,Gupta, S,Siemens, T,Crowley, P.. (2020). Essential elements that contribute to the recovery of persons with severe...
  • Johnstone, L.. (2006). Critical psychiatry. The limits of madness. Palgrave MacMillan.
  • Le Boutillier, C,Leamy, M,Bird, V. J,Davidson, L,Williams, J,Slade, M.. (2011). What does recovery mean in practice? A qualitative analysis...
  • Leamy, M,Bird, V,Le Boutillier, C,Williams, J,Slade, M.. (2011). Conceptual framework for personal recovery in mental health: Systematic review...
  • Macpherson, R,Pesola, F,Leamy, M,Bird, V,Le, C,Williams, J,Slade, M.. (2015). The relationship between clinical and recovery dimensions of...
  • Mancini, A. D.. (2008). Self-determination theory: A framework for the recovery paradigm. Advances in Psychiatric Treatment. 14. 358
  • Mattner, S,Ehrlich, C,Chester, P,Crompton, D,Kendall, E.. (2017). Self-determination: What do people who experience severe mental illness...
  • Mijatovic, D.. (2021). A renewed impetus is needed to narrow the gap between human rights standards and reality. Commissioner for Human Rights....
  • (2022). Ministerio de Sanidad Estrategia de Salud Mental del Sistema Nacional de Salud 2022-2026. Ministerio de Sanidad, Gobierno de España....
  • Pelletier, J. F,Corbière, M,Lecomte, T,Briand, C,Corrigan, P,Davidson, L,Rowe, M.. (2015). Citizenship and recovery: Two intertwined concepts...
  • Penas, P,Iraurgi, I,Uriarte, J. J.. (2019). How is evaluated mental health recovery? A systematic review. Actas Españolas de Psiquiatría....
  • Penas, P,Uriarte, J. J,Gorbeña, S,Moreno-Calvete, M. C,Ridgway, P,Iraurgi, I.. (2020). Psychometric adequacy of recovery enhancing environment...
  • Piat, M,Seida, K,Sabetti, J.. (2017). Understanding everyday life and mental health recovery through CHIME. Mental Health and Social Inclusion....
  • Pilgrim, D.. (2008). Recovery” and current mental health policy. Chronic Illness. 4. 295-304
  • Piltch, C. A.. (2016). The role of self-determination in mental health recovery. Psychiatric Rehabilitation Journal. 39. 77-80
  • Pincus, H. A,Spaeth-Rublee, B,Sara, G,Goldner, E. M,Prince, P. N,Ramanuj, P,Gaebel, W,Zielasek, J,Großimlinghaus, I,Wrigley, M,Weeghel, J,Smith,...
  • Prat Vigué, G,Cano Prieto, I,Sáez, R,Vilanova Masana, R.. (2022). Training peer support workers in mental health care: A mixed methods study...
  • (2017). Recovery in the Bin. RITB – key principles..
  • Resnick, S. G,Rosenheck, R. A.. (2006). Recovery and positive psychology: Parallel themes and potential synergies. Psychiatric Services. 57....
  • Rojo-Rodes, E,San Pío, M. J,Eiroa-Orosa, F.. (2019). Get active for mental health: A project evaluated for active involvement of families...
  • Rosado-Figuerola, S,Soro Artola, M,Flores Martínez, P.. (2019). Peer support in Barcelona: New steps.. Working together for new pathways in...
  • Rowe, M,Davidson, L.. (2016). Recovering citizenship. The Israel Journal of Psychiatry and Related Sciences. 53. 15-22
  • Sampietro, H. M,Carmona, V. R,Rojo, J. E,Gómez-Benito, J.. (2022). Mapping mad maps and recovery tools developed by mental health service...
  • Sampietro, H. M,Carmona, V. R,Sicilia, L,Gavaldà-Castet, C,Rojo, J. E,Gómez Benito, J.. (2022). What recovery means for mental health services...
  • Sampietro, H. M,Gavaldà-Castet, C.. (2018). Manual per a la recuperació i l'autogestió del benestar. Activa't per la Salut Mental....
  • Sampietro, H. M,Sicilia, L.. (2018). Guía para los grupos de ayuda mutua de salud mental en primera persona. Activa't per la Salut Mental....
  • Sánchez-Moscona, C,Eiroa-Orosa, F.. (2020). Training mental health peer support training facilitators: A qualitative, participatory evaluation....
  • Shepherd, G,Boardman, J,Slade, M.. (2008). Making recovery a reality. Scottish Recovery Network.
  • Slade, M,Amering, M,Farkas, M,Hamilton, B,O'Hagan, M,Panther, G,Perkins, R,Shepherd, G,Tse, S,Whitley, R.. (2014). Uses and abuses of...
  • Slade, M,Amering, M,Oades, L.. (2008). Recovery: An international perspective. Epidemiologia e Psichiatria Sociale. 17. 128
  • Stuart, S. R,Tansey, L,Quayle, E.. (2016). What we talk about when we talk about recovery: A systematic review and best-fit framework synthesis...
  • Thornton, T.. (2012). Is recovery a model?. Recovery of people with mental illness: Philosophical and related perspectives. 236
  • Thornton, T,Lucas, P.. (2010). On the very idea of a recovery model for mental health. Journal of Medical Ethics. 37. 24
  • (2006). United Nations Convención sobre los derechos de las personas con discapacidad. Comité sobre los Derechos de las Personas con Discapacidad,...
  • (2022). Universitat de Vic U Divulga. Ciència i societat.. La UVic-UCC oferirà un curs d'especialització que dona continuïtat al projecte...
  • van Weeghel, J,van Zelst, C,Boertien, D,Hasson-Ohayon, I.. (2019). Conceptualizations, assessments, and implications of personal recovery...
  • Webb, L.. (2011). The recovery model and complex health needs: What health psychology can learn from mental health and substance misuse service...
  • (2013). World Health Organization Mental Health Action Plan 2013-2020. World Health Organization.
  • (2019). World Health Organization One-to-one peer support by and for people with lived experience. WHO QualityRights guidance module.. World...
  • (2019). World Health Organization Peer support groups by and for people with lived experience. WHO QualityRights guidance module.. World Health...
  • (2019). World Health Organization Person-centred recovery planning for mental health and well-being. Who QualityRights self-help tool.. World...
  • (2019). World Health Organization. World Health Organization.
  • (2019). World Health Organization Transforming services and promoting human rights. WHO QualityRights training and guidance: mental health...
  • (2021). World Health Organization Community outreach mental health services: promoting person-centred and rights-based approaches.. World...
  • (2021). World Health Organization Guidance on community mental health services. Promoting person-centred and rights-based approaches.. World...
  • (2021). World Health Organization Peer support mental health services: promoting person-centred and rights-based approaches (Guidance and...
  • Yu, Y,Shen, M,Niu, L,Liu, Y,Xiao, S,Kraemer Tebes, J.. (2022). The relationship between clinical recovery and personal recovery among people...