Recovery-oriented and trauma-informed care for people with mental disorders to promote human rights and quality of mental health care: a scoping review

作者：Antonio Melillo, Noemi Sansone, John Allan, Neeraj Gill, Helen Herrman, Guadalupe Morales Cano, Maria de Lourdes Veronese Rodrigues, M. K. Savage, Silvana Galderisi · 发表于：BMC Psychiatry · 年份：2025 · DOI：10.1186/s12888-025-06473-4 · 被引用次数：31 · 研究领域：Mental Health and Patient Involvement、Healthcare Decision-Making and Restraints、Psychiatric care and mental health services

BACKGROUND: In several countries, the growing emphasis on human rights and the ratification of the Convention on the Rights of Persons with Disabilities (CRPD) have highlighted the need for changes in culture, attitudes and practices of mental health services. New approaches, such as recovery-oriented care (ROC) and trauma-informed care (TIC) emphasize the users' needs and experiences and promote autonomy and human rights. AIMS: To provide an overview of the literature on recovery-oriented care (ROC) and trauma-informed care (TIC) and their relevance to the promotion of human rights and quality of mental health care. METHOD: We conducted a scoping review by searching the following databases: PubMed, Scopus, PsycINFO. We performed a qualitative synthesis of the literature aimed at reviewing: (1) current conceptualisations of recovery in mental health care; (2) recovery-oriented practices in mental health care; (3) current conceptualizations of trauma and TIC in mental health care; (4) trauma-informed practices in mental health care; (5) the relationship between ROC and TIC, with a particular focus on their shared goal of promoting alternatives to coercion, and on trauma-informed and/or recovery oriented alternatives to coercion. RESULTS: According to prevailing conceptual frameworks, ROC and TIC share many underlying principles and should be regarded as complementary. Both approaches affirm the conceptualization of service users as persons, foster their autonomy and rely on th...