Résumés
Abstract
While there has been much interest in recent years about the potential impact that short-term therapy can have on those needing mental health support, relatively little attention has been paid to the needs of those who require long-term support. In this phenomenological study exploring long-term service-users’ experiences of the recovery journey and the role of mental health support in facilitating that journey, a sample (n = 6) of service-users who had a minimum of five years of continuous involvement with a community-based mental health clinic participated in a pair of focus groups designed to help them share their experience of the recovery journey. Our analysis revealed themes of contending not just with extreme violence and other adversities, but also with an often unhelpful helping system, as service-users expended effort in locating the consistent, accessible support they needed in order to find a reason to go on in the wake of devastating personal experiences. The study also emphasized how prioritizing the top-down need for efficiency over the bottom-up need for consistent, flexible support can have the inadvertent effect of extending rather than shortening treatment. Implications of these findings for the delivery of mental health services are discussed.
Keywords:
- mental health,
- long-term recovery,
- continuity of care,
- service-user perspective,
- phenomenology,
- resistance to negative social responses
Résumé
Si l’impact potentiel des thérapies brèves sur les personnes ayant besoin d’un soutien en matière de santé mentale a suscité beaucoup d’intérêt ces dernières années, les besoins des personnes ayant besoin d’un soutien à long terme n’ont pas fait l’objet de beaucoup d’attention. Cette étude phénoménologique explore les expériences des usagers et usagères ayant utilisé des services de santé mentale à long terme, et le rôle de ces services sur leur parcours de rétablissement. Dans le cadre de cette étude, un échantillon (n = 6) d’usagers et usagères ayant un minimum de cinq ans de suivi continu dans une clinique de santé mentale communautaire a participé à deux groupes de discussion (focus groups) conçus pour les aider à partager sur leur expérience de rétablissement. Notre analyse a révélé des thèmes liés à la lutte non seulement contre la violence extrême et d’autres adversités, mais aussi contre un système d’aide souvent inefficace, les usagers et usagères ayant dû déployer des efforts pour trouver le soutien cohérent et accessible dont ils avaient besoin pour se rétablir. L’étude a également soulevé que la priorité accordée à la sécurité des personnes et à l’amélioration de la qualité de vie est un facteur important de la réussite de la lutte contre la violence. L’étude a également mis en évidence que de prioriser l’efficacité plutôt que le besoin des usagers et usagères d’avoir un soutien cohérent et flexible peut avoir comme conséquence involontaire de prolonger le traitement au lieu de le raccourcir. Les implications de ces résultats pour la prestation de services en santé mentale sont discutées.
Mots-clés :
- santé mentale,
- rétablissement à long terme,
- continuité des soins,
- perspective des usagers,
- phénoménologie,
- résistance aux réactions sociales négatives
Parties annexes
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