A structured review of psychiatric rehabilitation for individuals living with severe mental illness within three regions of the Asia-Pacific: Implications for practice and policy.
Asia Pac Psychiatry
; 11(2): e12349, 2019 Jun.
Article
em En
| MEDLINE
| ID: mdl-30734499
ABSTRACT
INTRODUCTION:
Psychiatric rehabilitation can provide and support recovery-oriented care by assisting individuals living with severe mental illness to lead full lives. Despite a well-established evidence-base, implementation and access to these interventions in clinical practice for people with severe mental illness in the Asia-Pacific region is low. We therefore aimed to evaluate prominent themes impacting on clinical practice, policy, and the implementation of psychiatric rehabilitation across the Asia-Pacific region.METHODS:
A comprehensive review of relevant literature on psychiatric rehabilitation of three regions within the Asia-Pacific was conducted using a structured search of PubMed and other databases. Eligible articles were selected which focussed on how psychiatric rehabilitation is defined and implemented across the Asia-Pacific region, as well as the associated successes and challenges. Common themes were generated.RESULTS:
Six themes emerged the impact of policy, legislation, and human rights; access difficulties; the important role of family; the significance of culture, religion, and spiritual beliefs; the widespread impact of stigma; and the indigenous models of excellence being developed.DISCUSSION:
Consideration of the six themes and their implications should help raise awareness of the issues involved in the provision of psychiatric rehabilitation in the Asia-Pacific region and may improve outcomes for people living with severe mental illness. Suggested strategies include developing a shared understanding of psychiatric rehabilitation; establishing quality legislation that's well implemented; adapting evidence-based models to develop culturally appropriate services; implementing stigma reduction and empowerment-based interventions; and, ensuring coordinated action among all stakeholders, combined with effective leadership.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Reabilitação Psiquiátrica
/
Política de Saúde
/
Transtornos Mentais
Tipo de estudo:
Diagnostic_studies
/
Qualitative_research
/
Systematic_reviews
Limite:
Humans
País como assunto:
Asia
/
Oceania
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article