Recoveryorientering og pakkeforløb - modsætning eller sameksistens?

Cecilie Høgh Egmose

Studenteropgave: Speciale

Abstrakt

The purpose of this master thesis is to examine how care pathways interacts with recov-ery, and a recovery oriented practice in the psychiatric hospital in the Capital Region. Care pathways are built on diagnoses with a connected treatment plan. Patients gain ac-cess trough their diagnosis and are for the main part treated in groups in linear prede-fined timeframes. The care pathways are standardized ways of treating patients based on traditional medical views. This differs from recovery that believes people to be unique, and that each persons recovery process is highly individual. Focus in a recovery-oriented praxis is on people’s resources, and points of view instead of on symptoms, pa-thology and diagnosis. Recovery processes are nonlinear, and cannot be standardized. The interest therefore was to examine how these two different ways of approaching people with mental illness interact, and if they are able to coexist, or are in opposition. The staff’s possibilities to support recovery were also studied. This was examined through qualitative methods. Interviews were performed with both leaders, and treat-ment staff from the Capital Region Psychiatric Hospital. Furthermore documents from the organisation was used. The theory chosen to enlighten the recovery field is mainly related to recovery-oriented practice, and of newer date. Mainly articles from English researchers were chosen due to relevance, and actuality in the research field. An analyt-ical movement from the empirical domain to the deep domain was performed and the conclusion of this master thesis is, that it’s difficult to have both of these to coexist at an equal footing. Care pathways and recovery base values do not support each other, and there are a lot of competing priorities. Mainly the financial aspects of the care pathways are allowed to dominate, and the recovery-oriented aspects only exist in the degree that it can be incorporated under already existing structures. The staff’s possibilities to sup-port recovery are limited, and confined to what they can do in therapy. Therefore the care pathways, and the organisation shape the recovery-oriented practice, instead of it being the recovery-oriented practice that shapes the care pathways.

UddannelserSundhedsfremme og Sundhedsstrategier, (Bachelor/kandidatuddannelse) Kandidat
SprogDansk
Udgivelsesdato2017
VejledereBetina Dybbroe

Emneord

  • Recovery
  • Recoveryorienteret praksis
  • Pakkeforløb
  • CHIME
  • Recoveryorientering
  • Recoveryorienterede Praksis domæner