Although there are effective treatments that promote recovery and improve quality of life for serious mental illness in nonincarcerated populations, more research is needed to understand the recovery process for individuals with a history of incarceration. A qualitative, grounded theory study was conducted with 17 men and women who have serious mental illness (SMI) and a history of incarceration. Findings revealed barriers and facilitators to the recovery process in the areas of identity, treatment, relationships, community, and institutions. The findings suggested that incarceration had harmful effects on the recovery process for individuals with SMI, although these individuals, at times, found ways to turn this challenging experience into an opportunity for personal growth. The clinical implications of these findings include the importance of the prevention of incarceration for people with SMI, as well as the provision of multidisciplinary care, such as medical, mental health, and substance use treatment, during and after incarceration, to reduce barriers and increase recovery outcomes. Additionally, factors related specifically to incarceration should be addressed during delivery of treatment and accessibility of community resources. Advocacy and policy change for prison reform will also be discussed. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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严重精神疾病的障碍和促进因素：监禁后的康复。

尽管有有效的治疗方法可以促进非监禁人群中严重精神疾病的康复和改善生活质量，但需要更多的研究来了解有监禁史的个人的康复过程。对 17 名患有严重精神疾病 (SMI) 且有监禁史的男性和女性进行了定性、扎根的理论研究。调查结果揭示了身份、治疗、关系、社区和机构等领域中恢复过程的障碍和促进因素。研究结果表明，监禁对 SMI 患者的康复过程产生了有害影响，尽管这些人有时会找到将这种具有挑战性的经历转变为个人成长机会的方法。这些发现的临床意义包括预防 SMI 患者监禁的重要性，以及在监禁期间和之后提供多学科护理，如医疗、心理健康和药物使用治疗，以减少障碍并增加恢复结果。此外，在提供治疗和社区资源的可及性期间，应解决与监禁具体相关的因素。还将讨论监狱改革的宣传和政策变化。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。在提供治疗和获得社区资源期间，应解决与监禁具体相关的因素。还将讨论监狱改革的宣传和政策变化。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。在提供治疗和获得社区资源期间，应解决与监禁具体相关的因素。还将讨论监狱改革的宣传和政策变化。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。