From deinstitutionalization to recovery-oriented assertive community treatment in Hong Kong: What we have achieved

Usefulness of Recovery services promoting personal recovery among Adults living with Severe Mental illness – A Comprehensive Integrative Review

“…Sixteen of the included papers described the integrated recovery services model used to achieve recovery for adults with severe mental illness ( Table 3). Most of the papers suggested that integrated recovery service model can be delivered through illness management (38)(39)(40)(41)(42)(43)(44), mindfulness-based interventions (45), task-sharing or shifting approach (25,26), home visits concept (29,46,47), active leisure or recreational activities (32,37) and music therapy (27) (see Table 4). The reviewed papers highlighted that the integrated recovery services generally aim at developing independent living skills, improve quality of life, community mobilisation (39), reducing inpatient and crisis services, adhering to treatment and setting meaningful goals towards recovery (40,41,46).…”

“…Conversely, music-creation therapy used as recovery services were run for 32 weekly sessions, with a duration of 90 min for each session (27). Generally, the activities of recovery service model covers components such as cognitive behaviour therapy techniques, psychoeducation, relapse prevention, social and coping skills training (meals, guidance in activities of daily living, role-playing, hobby groups) (38,40,46), adherence support, family therapy, crisis management, household contribution and understanding medication (25,29,46). More speci cally, Tjornstrand, Bejerholm (37) recommended that active leisure implemented as recovery services can take several activities, including playing sports, the opportunity to play games, eat, and socialize, embarking on excursions and relaxation (see Table 4).…”

“…Similarly, Chang, Chen (27) recommended the use of music-creation therapy as a recovery service for adults with SMI. The recovery services are delivered by different mental health professionals, including a clinical psychologist, community health workers, psychiatrists, occupational therapists, social workers and counsellor (25,26,29,38,47). Some studies further suggested that non-specialist are sometimes trained to deliver recovery services, through task-sharing or task-shifting approach.…”

“…painting, ceramics, silk screening, mosaics) and displays of art prints (56,57,59,60). Ten of the included papers highlighted that recovery services has helped to improve clinical outcomes of adults living with SMI (25,29,31,33,39,40,43,44,46,61). The services speci cally increase access to psychiatric medication, antipsychotic medication adherence, decrease relapse, improve knowledge and illness management, as well as decrease clinical contact (25,29,31,33,40,46,61).…”

“…The services speci cally increase access to psychiatric medication, antipsychotic medication adherence, decrease relapse, improve knowledge and illness management, as well as decrease clinical contact (25,29,31,33,40,46,61). For instance, Lee, Liem (29) reported that recovery services have improved most outcome parameters such as bed days, re-admission episodes and days of missing psychiatric appointments. Conversely, Malinovsky, Lehrer (39) suggested that the number of days spent in the hospital decreased by about 40% after initiation of recovery transformation.…”