The Recovery Model and Modern Psychiatric Care: Conceptual Perspective, Critical Approach and Practical Application

Stylianidis, Stelios; Lavdas, Michael; Markou, Kalomira; Belekou, Pepi

doi:10.1007/978-3-319-28616-7_9

Cited by 7 publications

(8 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The unexpectedly large percentage of persons located in this cluster might be related to the unavailability of early intervention services for psychosis in Greece (Bargiota et al, 2018). This calls for the development of early intervention services that would assist persons upon onset of psychosis with managing their experiences and would provide systematic community‐based monitoring and support (Agius et al, 2007; Breitborde et al, 2015; Stylianidis, 2021a).…”

Section: Discussionmentioning

confidence: 99%

Clinical determinants of involuntary psychiatric hospitalization: A clinical profile approach

et al. 2023

Self Cite

View full text Add to dashboard Cite

Objectives The study examines the clinical determinants of involuntary psychiatric hospitalization. Specifically, it investigates whether distinct clinical profiles of hospitalized patients can be discerned, what other characteristics they are linked with, and which profiles predict involuntary admission. Methods In this cross‐sectional multicentre population study, data were collected for 1067 consecutive admissions in all public psychiatric clinics of Thessaloniki, Greece, during 12 months. Through Latent Class Analysis distinct patient clinical profiles were established based on Health of the Nation Outcome Scales ratings. The profiles were then correlated with sociodemographic, other clinical, and treatment‐related factors as covariates and admission status as a distal outcome. Results Three profiles emerged. The “Disorganized Psychotic Symptoms” profile, combining positive psychotic symptomatology and disorganization, included mainly men, with previous involuntary hospitalizations and poor contact with mental health services and adherence to medication, indicating a deteriorating condition and chronic course. Τhe “Active Psychotic Symptoms” profile included younger persons with positive psychotic symptomatology in the context of normal functioning. The “Depressive Symptoms” profile, characterized by depressed mood coupled with nonaccidental self‐injury, included mainly older women in regular contact with mental health professionals and treatment. The first two profiles were associated with involuntary admission and the third with voluntary admission. Conclusions Identifying patient profiles allows the examination of the combined effect of clinical, sociodemographic, and treatment‐related characteristics as risk factors for involuntary hospitalization, moving beyond the variable‐centered approach mainly adopted to date. The identification of two profiles associated with involuntary admission necessitates the development of interventions tailored to chronic patients and younger persons suffering from psychosis respectively.

show abstract

Section: Discussionmentioning

confidence: 99%

Clinical determinants of involuntary psychiatric hospitalization: A clinical profile approach

et al. 2023

Self Cite

View full text Add to dashboard Cite

show abstract

“…Moreover, the effectiveness of Positive Psychotherapy has been tested in specific, clinical populations, such as patients with psychosis with significant results in increasing wellbeing and reducing symptoms (Schrank et al, 2016;Slade et al, 2016). These findings are particularly important for psychiatric patients, who need to develop new meaning in their lives (Stylianidis et al, 2016). Overall, Positive Psychotherapy is proving to be a successful ground for the application of the principles of Positive Psychology.…”

Section: Positive Interventions and Psychotherapymentioning

confidence: 97%

INTRODUCTION - Latest developments in Positive Psychology: The case of Greece

Pezirkianidis

Stalikas

2020

Psychology

View full text Add to dashboard Cite

In the last two decades, there is a rapid growth of the research initiative on Positive Psychology not only internationally but also in Greece. The present special issue aims at bringing together, highlighting, and promoting research and applications of Positive Psychology in Greece. At first, the authors introduce readers to the history and roots of Positive Psychology and focus on how research on Positive Psychology flourished in Greece. Moreover, emphasis is given on the core concepts of Positive Psychology, namely wellbeing, experiencing positive emotions, psychological resilience, and character strengths. Authors focus on the research conducted in Greece, the psychological instruments that measure them, and the applications of Positive Psychology, e.g. positive education, positive organizations, positive psychotherapy, and positive psychology interventions. To close with, the authors introduce readers to the eleven articles, which are included in the present special issue by presenting their main findings.

show abstract

“…In Greece, the debate on the concept of recovery [ 31 ] is growing steadily [ 32 ] in alignment with many other countries in Europe and the US [ 33 ] while emphasis is placed on social justice issues [ 34 ], the education of mental health professionals [ 28 ], service users experiences [ 35 – 37 ] and trauma-informed care and education [ 34 , 38 , 39 ]. Positive initiatives include an anti-stigma movement, the development of societies comprising the families of service users, and a Greek Hearing Voices Network [ 40 ].…”

Section: Introductionmentioning

confidence: 99%

Containment and therapeutic relationships in acute psychiatric care spaces: the symbolic dimensions of doors

et al. 2022

View full text Add to dashboard Cite

Background There is an increasing trend of door locking practices in acute psychiatric care. The aim of the present study was to illuminate the symbolic dimensions of doors in Greek mental health nurses’ experiences of open and locked working spaces. Results A sequential mixed-method designexplored the experiences of nurses working in both open and locked psychiatric acute care units. Participants experiences revealed four types of doors related to the quality of recovery-oriented care: (a) the open door, (b) the invisible door, (c) the restraining door, and (d) the revolving door. Open doors and permeable spacesgenerated trust and facilitated the diffusion of tension and the necessary perception of feeling safe in order to be involved in therapeutic engagement. When the locked unit was experienced as a caring environment, the locked doors appeared to be “invisible”. The restraining doors symbolized loss of control, social distance and stigma echoing the consequences of restrictingpeople’s crucial control over spaceduring the COVID-19 pandemicin relation toviolence within families, groups and communities. The revolving door (service users’ abscondence/re-admission) symbolised the rejection of the offered therapeutic environment and was a source of indignation and compassion fatigue in both open and locked spaces attributed to internal structural acute care characteristics (limited staffing levels, support, resources and activities for service users) as well as ‘locked doors’ in the community (limited or no care continuity and stigma). Conclusions The impact of COVID-19 restrictions on people’s crucial control of space provides an impetus for erecting barriers masked by the veil of habit and reconsidering the impact of the simple act of leaving the door open/locked to allow both psychiatric acute care unit staff and service users to reach their potential.

show abstract

The Recovery Model and Modern Psychiatric Care: Conceptual Perspective, Critical Approach and Practical Application

Cited by 7 publications

References 44 publications

Clinical determinants of involuntary psychiatric hospitalization: A clinical profile approach

Clinical determinants of involuntary psychiatric hospitalization: A clinical profile approach

INTRODUCTION - Latest developments in Positive Psychology: The case of Greece

Containment and therapeutic relationships in acute psychiatric care spaces: the symbolic dimensions of doors

Contact Info

Product

Resources

About