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Social workers' experience of creating and implementing the mental health discharge plan within a recovery perspective.

机译：社会工作者从康复角度制定和实施精神健康出院计划的经验。

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Currently, individuals with mental illness report that they are hesitant to continue or connect to community resources (Sweet & Young, 2006). A review of the literature indicates that social workers are responsible for creating a mental health discharge plan for individuals, who are referred to community resources (Holliman, Dziegielewski, & Datta, 2001; Williams, 2003). There are two new expectations in discharge planning practices: to move clients to least restrictive and costly service that will meet their mental health needs (Levine & Kuerbis, 2002), and to incorporate recovery perspective into treatment and discharge planning processes (Anthony, 1993). These expectations add new dimensions to discharge planning. Social workers are under new constraints to expedite discharge planning, shorten the length of stays, save resources, reduce recidivism, and incorporate the recovery perspective to mental health treatment (Sharma, Elkins, Van Sickle, & Roberts, 1995; Simon, Perlman, Showers, Blumenfield, Holden, & Wu, 1995; Sulman, Savage, & Way 2001). However, prior to this study discharge planning was not explored to understand how these new expectations were experienced by social workers (Mirabito, 2001). To rectify this gap in knowledge, this qualitative research project explored the lived experience of eight licensed social workers' discharge planning experience. The analysis describes the unique lived experience of participants creating and implementing the discharge plan. The analysis found two essential structures named competing priorities and conflict and four key components within the essential structures, sharing and creating power, experiencing loss, feeling competent, and handling conflict (Giorgi, 1985). The analysis of the key components identified that participants described competing dual responsibilities in the discharge planning process. To reduce role conflict, participants expanded their definition of discharge planning success to include more than linkages to external supports. Participants redefine successful discharge planning to include the completion of the treatment goals. The findings of this study suggested both theoretical and practical research questions for future investigation.
机译：目前，患有精神疾病的人报告说他们不愿继续或连接社区资源（Sweet＆Young，2006）。文献回顾表明，社会工作者负责为个人制定心理健康计划，这些计划被称为社区资源（Holliman，Dziegielewski和Datta，2001； Williams，2003）。出院计划实践中有两个新的期望：将客户转移到最严格，成本最低的服务上以满足他们的心理健康需求（Levine＆Kuerbis，2002），以及将康复观点纳入治疗和出院计划过程（Anthony，1993）。 。这些期望为排放计划增加了新的维度。社会工作者受到新的限制，以加快出院计划，缩短住院时间，节省资源，减少累犯以及将康复观点纳入精神卫生治疗（Sharma，Elkins，Van Sickle和Roberts，1995； Simon，Perlman，Showers ，Blumenfield，Holden和Wu，1995； Sulman，Savage和Way 2001）。但是，在此研究之前，并未探索出院计划以了解社会工作者如何经历这些新期望（Mirabito，2001年）。为了纠正这一知识鸿沟，该定性研究项目探索了八位获得许可的社会工作者的出院规划经验。该分析描述了参与者创建和实施放电计划的独特生活经验。分析发现了两个基本结构，即竞争优先级和冲突，以及基本结构中的四个关键组成部分，即共享和创造力量，遭受损失，感到有能力和处理冲突（Giorgi，1985）。对关键组成部分的分析表明，参与者描述了排放计划过程中相互竞争的双重责任。为了减少角色冲突，参与者扩大了对排放计划成功的定义，不仅包括与外部支持的联系。参与者重新定义成功的出院计划，以包括完成治疗目标。这项研究的发现为以后的研究提出了理论和实践研究问题。

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