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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

EV1165

As if I had no hands: limitations and possibilities of recovery approaches such as CHIME in the acute psychiatric emergency department

AS IF I HAVE NO HANDS - LIMITATIONS AND POTENTIALS OF RECOVERY METHODS SUCH AS CHIME IN ACUTE PSYCHIATRIC EMERGENCY SERVICES

In acute psychiatric emergency care, the connectedness, hope, identity, and meaning dimensions of the CHIME framework are preserved, while empowerment is substantially constrained; consequently, the emergency encounter cannot complete recovery but can only guide the next step.

The study discusses the implications for recovery in the acute psychiatric emergency department when the predominant recovery literature and approaches are based on longer-term patient journeys, and whether recovery approaches can make a meaningful contribution when time, patient agency, and continuity are limited. The method is a qualitative case study informed by recovery theory and clinical practice in acute psychiatric emergency care. It balances two perspectives—evidence-based recovery practice and the personal and existential nature of crisis—and uses a multistrategy design combining case-based analysis, recovery-oriented interpretation, and triangulation across clinical, relational, and organizational dimensions. In the acute case presented, the CHIME profile, scored on a scale of 0 to 5 for illustrative purposes, showed connectedness at 4.0, hope at 3.8, identity at 3.7, and meaning at 3.9, while empowerment remained at 1.8; agency and scope for influence were identified as the central recovery gap. The poster conceptualizes emergency psychiatry as a compressed recovery point between acute crisis and the subsequent recovery pathway. It notes that, under conditions of brief contact, high acuity, and limited agency, CHIME can guide the next step but cannot complete the work of recovery within this setting. The proposed recovery bridge model follows a sequence of crisis, emergency encounter, CHIME-informed insight, shared focus, outpatient follow-up, and the development of empowerment. It emphasizes that the emergency encounter does not complete recovery but identifies what needs to continue after discharge or transfer. The study identifies two key areas of focus for personal and clinical recovery in intensive acute psychiatric treatment: bridging recovery to outpatient treatment and supporting empowerment.

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