Abstract：
OBJECTIVE: Concerns about the applicability of recovery orientation to forensic care have surfaced due to the traditionally restrictive practices associated with forensic institutions. We interviewed 19 experts-by-experience and 18 professionals working with them across five Finnish forensic hospitals and one out-patient clinic to describe how they define recovery in forensic.
METHODS: We utilized semi-structured, one-on-one interviews and then analyzed the collected data using structural narrative analysis. Our points of interest were the plots of the recovery stories and the ways in which various factors affected recovery. We also investigated whether staff and experts-by-experience had different perceptions of recovery in forensic psychiatry, and whether recovery-oriented practices were present in these accounts.
RESULTS: A wider mutual narrative with a chronological plot was identified, and recovery-oriented practices and goals were found with a special emphasis on offending. Insight into mental illness, motivation for self-care, trust in therapeutic relationships, and gaining possibilities to proceed in care were found to promote recovery, whereas insufficient understanding of the illness, a closed environment, lack of trust, and substance abuse hindered the recovery process. Both the professionals and experts felt that the most prominent goal of recovery is integration into society.
CONCLUSIONS: The views of the interviewed experts-by-experience and professionals regarding recovery were rather univocal. Forensic psychiatric services in Finland were found to demonstrate recovery-oriented features, which can be promoted further by involving experts-by-experience in different assignments. The results also highlight that the families of patients should become more active partners in care.
UNASSIGNED: Recovery in forensic psychiatric hospitals can be perceived as a process towards a new role in society. To reach this goal the forensic patients need support from staff, peers, and family. We found numerous factors which enable and hinder the recovery process, and which should be considered during forensic care.
METHODS: We utilized semi-structured, one-on-one interviews and then analyzed the collected data using structural narrative analysis. Our points of interest were the plots of the recovery stories and the ways in which various factors affected recovery. We also investigated whether staff and experts-by-experience had different perceptions of recovery in forensic psychiatry, and whether recovery-oriented practices were present in these accounts.
RESULTS: A wider mutual narrative with a chronological plot was identified, and recovery-oriented practices and goals were found with a special emphasis on offending. Insight into mental illness, motivation for self-care, trust in therapeutic relationships, and gaining possibilities to proceed in care were found to promote recovery, whereas insufficient understanding of the illness, a closed environment, lack of trust, and substance abuse hindered the recovery process. Both the professionals and experts felt that the most prominent goal of recovery is integration into society.
CONCLUSIONS: The views of the interviewed experts-by-experience and professionals regarding recovery were rather univocal. Forensic psychiatric services in Finland were found to demonstrate recovery-oriented features, which can be promoted further by involving experts-by-experience in different assignments. The results also highlight that the families of patients should become more active partners in care.
UNASSIGNED: Recovery in forensic psychiatric hospitals can be perceived as a process towards a new role in society. To reach this goal the forensic patients need support from staff, peers, and family. We found numerous factors which enable and hinder the recovery process, and which should be considered during forensic care.
摘要：
目的：由于传统上与法医机构相关的限制性做法，对康复取向在法医护理中的适用性的担忧已经浮出水面。我们采访了5家芬兰法医医院和1家门诊诊所的19位专家和18位与他们合作的专业人员，以描述他们如何定义法医康复。
方法：我们使用半结构化，一对一访谈，然后使用结构叙事分析对收集的数据进行分析。我们的兴趣点是恢复故事的情节以及各种因素影响恢复的方式。我们还调查了工作人员和专家根据经验对法医精神病学的康复是否有不同的看法，以及这些账户中是否存在面向恢复的做法。
结果：确定了一个更广泛的相互叙述和一个按时间顺序排列的情节，并发现了以恢复为导向的做法和目标，特别强调冒犯。对精神疾病的认识，自我照顾的动机，信任治疗关系，并发现有可能继续进行护理以促进康复，而对疾病的了解不足，一个封闭的环境，缺乏信任,药物滥用阻碍了康复进程。专业人士和专家都认为，复苏的最突出目标是融入社会。
结论：接受采访的专家和专业人士对康复的看法是相当明确的。芬兰的法医精神病服务被发现表现出面向康复的特征，这可以通过让专家根据经验参与不同的任务来进一步促进。结果还强调，患者家属应成为更积极的护理伙伴。
■法医精神病医院的康复可以被视为在社会中扮演新角色的过程。为了实现这一目标，法医患者需要工作人员的支持，同行,和家庭。我们发现了许多导致和阻碍恢复过程的因素，在法医护理期间应该考虑。
方法：我们使用半结构化，一对一访谈，然后使用结构叙事分析对收集的数据进行分析。我们的兴趣点是恢复故事的情节以及各种因素影响恢复的方式。我们还调查了工作人员和专家根据经验对法医精神病学的康复是否有不同的看法，以及这些账户中是否存在面向恢复的做法。
结果：确定了一个更广泛的相互叙述和一个按时间顺序排列的情节，并发现了以恢复为导向的做法和目标，特别强调冒犯。对精神疾病的认识，自我照顾的动机，信任治疗关系，并发现有可能继续进行护理以促进康复，而对疾病的了解不足，一个封闭的环境，缺乏信任,药物滥用阻碍了康复进程。专业人士和专家都认为，复苏的最突出目标是融入社会。
结论：接受采访的专家和专业人士对康复的看法是相当明确的。芬兰的法医精神病服务被发现表现出面向康复的特征，这可以通过让专家根据经验参与不同的任务来进一步促进。结果还强调，患者家属应成为更积极的护理伙伴。
■法医精神病医院的康复可以被视为在社会中扮演新角色的过程。为了实现这一目标，法医患者需要工作人员的支持，同行,和家庭。我们发现了许多导致和阻碍恢复过程的因素，在法医护理期间应该考虑。
