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Social inclusion and personality disorder

机译：社会包容与人格障碍

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Purpose - This study aims to investigate the process of recovery for people diagnosed with personality disorder. This is related to the application of the new meaning of recovery from mental illness as explored by members of The Haven which, as the service setting for the study, addresses the problems of a client group that suffers significant social exclusion and aims to examine efforts which attempt to reverse this social exclusion. Design/methodology/approach - A participatory action research approach was chosen for this study and The Haven Research Group, comprised of the author and Haven clients, formulated proposed research questions and conducted focus groups and individual client interviews with 66 participants, over a period of three years. The group has been concerned with the effectiveness of The Haven as a recovery tool from the perspective of service users and carers. Findings - An examination of emerging themes, and the interplay between themes, gives insight into what participants considered to be the key steps to recovery for someone with a personality disorder diagnosis. From this thematic analysis, a map is proposed of the journey of recovery for people with the diagnosis. Practical implications -As an alternative to the historically sequential path of rehabilitation and proposed recovery, this study offers a new, socially inclusive way of working with people who have a personality disorder diagnosis where they may choose to retain a haven while continuing to develop and progress on their chosen path in the wider world. Social implications - The Haven has emerged as a unique model where therapeutic community principles have been combined with a crisis unit which shows that it is possible to work effectively with a relatively large number of people with personality disorder, well in excess of 100 at one time, many of whom had not made progress in other service settings, resulting in significant financial savings to the health, social care and criminal justice system. Originality/value - This study offers contributions to knowledge in terms of the service design and proposes a new model of recovery in personality disorder. This is defined as a journey of small steps highlighting recovery as a process rather than a goal, leading to the emergence of the new concept of transitional recovery.
机译：目的-这项研究旨在调查被诊断患有人格障碍的人的康复过程。这与“避风港”成员探索的从精神疾病中康复的新含义的应用有关，作为研究的服务环境，该解决方案解决了遭受严重社会排斥的客户群体的问题，并旨在研究努力试图扭转这种社会排斥。设计/方法/方法-选择参与式行动研究方法进行本研究，由作者和避风港客户组成的避风港研究小组提出了建议的研究问题，并在66个期间内与66名参与者进行了焦点小组和个别客户访谈。三年从服务用户和护理人员的角度出发，该小组一直关注The Haven作为恢复工具的有效性。调查结果-对新兴主题的研究以及主题之间的相互作用，可以洞悉参与者认为哪些是人格障碍诊断患者康复的关键步骤。通过此主题分析，为诊断出的人提供了康复过程的地图。实际意义-作为历史上循序渐进的康复和建议的康复方法的替代方法，本研究提供了一种新的，具有社会包容性的方式与患有人格障碍诊断的人一起工作，他们可以选择保留避风港，同时继续发展和进步他们在更广阔的世界中选择的道路上。社会影响-避风港已成为一种独特的模式，其中治疗性社区原则与危机部门相结合，这表明可以与大量人格障碍患者有效地合作，一次超过100人，其中许多人在其他服务环境中没有取得进展，从而为医疗，社会护理和刑事司法系统节省了大量资金。独创性/价值-这项研究为服务设计方面的知识做出了贡献，并提出了人格障碍恢复的新模型。这被定义为强调恢复是一个过程而不是一个目标的小步骤，从而导致了新的过渡恢复概念的出现。

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