The Role of a Supportive Environment in Recovery From Schizophrenia: A Literature Review


The process of healing mental disorders such as schizophrenia, is a long and challenging process. What is needed in the recovery process is for the individual to find and face every challenge from the limitations caused by their illness and rebuild a new, more meaningful self-integrity in order to live, work, and contribute to society. Therefore, during the recovery process, an individual needs a supportive environment from family, neighbours, the community, the government and the private sector. The purpose of this non-systematic literature review was to gain a better understanding of the role of supportive environments in each stage of mental health recovery. Literature was found by searching through textbooks and journal articles from the databases PubMed, EBSCO, ProQuest, Scopus, Google Scholar and Science Direct using the keywords ‘supporting environment’, ‘recovery’, and ‘schizophrenia’ for articles published in 2003-2015. According to the 15 articles that were collected, the forms of supportive environments in each stage of recovery for people with schizophrenia include supporting peer relationships such as mutual self-help groups, peer support specialists (health workers), and peer-run programs. Other types of supportive environments include relationships with professionals (the role of policy makers) and support through other relationships, consisting of family and environmental components (cadres, religious leaders, community leaders). Medical efforts alone are not sufficient to help patients achieve recovery. The role of the supportive environment holds strategic significance in efforts to restore function.

Keywords: recovery, supportive environtment, schizophrenia

[1] Suryani. Client centered care in recovery: Trend in mental health service. Paper presented at: The seminar dan workshop: Pendekatan keperawatan holistik berbasis bukti untuk menjawab tantangan kesehatan jiwa terkini; 20-21 Desember 2014; Padjadjaran University, Bandung, Indonesia.

[2] Mead S, MacNeil C. Peer support: A systemic approach. Intentional Peer Support; 2005 Feb 02. Available from: http:// uploads/2014/02/Peer-Support_A-SystemicApproach.pdf

[3] Castelein S, Bruggeman R, Davidson L, Gaag MVD. Creating a supportive environment: Peer support groups for psychotic disorders. Schizophrenia Bulletin. 2015;41(6):1211-1213.

[4] Slade M. 100 ways to support recovery. A guide for mental health professionals. London: Rethink; 2012.

[5] Adams HP, Adam RJ, Brott T, et al. Guidlines for the early management of patients with ischemic. Journal of The American Heart Association. 2003;34:1056-83.

[6] Nutbeam D. Health promotion: Disciplines, diversity and development. Bunton R, MacDonald G, editors. London: Routledge; 2002

[7] Trisnantoro L. Manajemen rumah sakit. Yogyakarta: Gajah Mada University Press; 2005

[8] Setiadi G, Jiwo MT. Pemulihan gangguan jiwa: Pedoman bagi penderita, keluarga dan relawan jiwa. Pusat Pemulihan Dan Pelatihan Gangguan Jiwa; Jawa Tengah. 2014

[9] Guttman ME..My Parent’s Support Shaped My Recovery. National Alliance on Menthal Ilness. Arlinton. May 17.2020. from: Parents-Support-Shaped-My-Recovery.

[10] Chang E, Johnson A. Chronic illness & disability: Principles for nursing practice. Australia: Elsevier Australia; 2008.

[11] Townsend MC. Psychiatric mental health nursing. 6th ed. Philadelphia: F. A. Davis Company; 2009.

[12] Buckley PE, Evans D. First-episode schizophrenia. A window of opportunity for optimizing care and outcomes. Postgraduate Medicine. 2006:0(0);5-19.

[13] Pratama S, Isak S. Hubungan keluarga pasien terhadap kekambuhan skizofrenia diBLUD RSJ Aceh. Jurnal Kedokteran Syiah Kuala. 2015;15(2);77-86.

[14] Canadian Psychiatric Association. A consumer and family guide to assessment and treatment schizophrenia. Journey To Recovery. 2007:0(0);3-4.

[15] Nimh N. Patient and Families. National Institute of Menthal Health. July 17. 2017 from: for-patients-and-families.