Journal
PSYCHIATRIC REHABILITATION JOURNAL
Volume 36, Issue 2, Pages 113-115Publisher
AMER PSYCHOLOGICAL ASSOC
DOI: 10.1037/h0094980
Keywords
participatory action research; recovery-oriented care; system transformation; consumer-centered services
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Funding
- Richard and Edith Strauss Canada Foundation
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Objective: This brief report presents the preliminary findings of a participatory project, to answer a question raised by stakeholders in mental health services: How can providers and patients create a process for knowledge exchange to support recovery-oriented care? Method: Participatory action research (PAR) and narrative phenomenological methodology guided the selection of methods, which consisted of an iterative process between telling stories and dialoguing about personal values related to recovery. The sample consisted of three occupational therapists, a psychiatrist, an academic clinician, and five consumers of mental health services who were involved in each stage of the research, including design, interpretation, dissemination, and implementation. Results: Significant interpersonal and intrapersonal tensions were named, and conditions for a more sustainable procegs of knowledge exchange were explored. Conclusions and Implications for Practice: The project revealed both the challenges with situating research within an institution (hierarchy of knowledge, power, and vulnerability) and face-to-face dialogue, as well as positive changes in professional attitudes and consumer empowerment, as providers and patients came to understand what was at stake for each other. The project underscored the need for provider-consumer dialogue as a process to explore tensions and values in promoting recovery-oriented care.
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