The therapeutic relationship is not always functional in clinical practice due to various factors, such as lack of time, lack of job motivation, exhaustion and rejection towards the person cared for.
There is a lack of research about experiences of family caregivers of service users in forensic mental health care (FMHC) and their involvement in care and treatment. Research shows that caregivers are burdened. Further knowledge is required, to provide a foundation for improving clinical practice.
While the mental health needs of populations are increasing, the targeted training of mental health professionals, specifically nurses, is required. Stigma surrounding mental health from nursing students exists, highlighting educational gaps. To address this, the involvement of consumers in undergraduate education has resulted in a positive effect on the stigmatising attitudes of nursing students. There is still a limited understanding, however, of the consumers experience in this process.
Commentary on: Anttila M, Lantta T, Hipp K, et al. Recovery-oriented mental health principles in psychiatric hospitals: How service users, family members and staff perceive the realisation of practices.
Implications for practice and research
Systematic efforts are needed for staff to recognise and address the barriers for personal recovery in psychiatric hospitals.
A larger focus on patient-reported and family-reported outcome measures is needed in the evaluation of recovery-oriented practices.
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People with mental health problems are often left behind, forgotten and excluded• Little is known or written from a service user perspective about experiences of psychiatry, mental health nursing, Mental Health Tribunals and alternative ap-proaches (such as counselling, peer support, psychological and recovery ap-proaches, cognitive behavioural therapy—CBT and creative/art/music/drama/horticultural/dance therapies)