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首页> 外文期刊>International review of psychiatry >Recovery in Israel: A legislative recovery response to the needsrights paradox
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Recovery in Israel: A legislative recovery response to the needsrights paradox

机译：以色列的复苏：对需求权悖论的立法复苏

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摘要

This paper uses the framework of the applied social science needs/rights antinomy to describe the efforts of Israel's mental health system in transforming a hospital-based orientation to services for individuals with a severe mental illness, to a community-based recovery orientation. On the one hand, a rationale for the provision of services to individuals with a severe mental illness that stresses these individuals' needs can justify the allocation of society's limited resources by referring to an objectively determinable set of psychiatric needs. However, this rationale may establish an inherent asymmetry between the adequate help provider and deficient help user. On the other hand, a rationale for providing psychiatric rehabilitation services that stresses the fundamental symmetry between the help provider and the help user is empowering, thus consistent with the recovery approach. However, this rationale does not provide a mechanism for negotiating the vague boundary between mental health and mental illness. Israel's mental health system has operationalized a policy that emphasizes rights as well as needs by legislating for a comprehensive set of rehabilitation services that individuals meeting the eligibility criteria may receive. This paper discusses this approach's achievements, challenges and implications for future policy, research, and practice.
机译：本文使用适用的社会科学需求/权利对立框架描述了以色列的精神卫生系统在将以医院为基础的服务向重度精神疾病患者的服务转变为以社区为基础的恢复服务方面的努力。一方面，向患有严重精神疾病的人提供服务的理由强调了这些人的需求，这可以通过参考客观可确定的一组精神病需求来证明分配社会有限资源的合理性。但是，此理由可能会在适当的帮助提供者和缺乏帮助的用户之间建立固有的不对称性。另一方面，提供精神康复服务的基本原理强调了帮助提供者与帮助用户之间的基本对称性，从而赋予了他们力量，从而与康复方法保持一致。但是，这种基本原理并不能提供一种解决心理健康与精神疾病之间模糊界限的机制。以色列的精神卫生系统已经实施了一项政策，该政策通过立法规定了符合资格标准的个人可能获得的全套康复服务，强调了权利和需求。本文讨论了该方法的成就，挑战以及对未来政策，研究和实践的启示。

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