Client personal recovery and recovery orientation of an Irish suicide intervention charity

2017 ◽  
Vol 35 (2) ◽  
pp. 113-120
Author(s):  
C. Conway ◽  
P. W. G. Surgenor ◽  
T. B. Thekiso ◽  
A. Moore ◽  
A. Campion ◽  
...  
Keyword(s):  
Service Management ◽  
Health Sector ◽  
User Involvement ◽  
Personal Recovery ◽  
Self Assessment ◽  
Suicide Intervention ◽  
Recovery Orientation ◽  
Recovery Assessment ◽  
Service Correlation ◽  
Level Of Agreement

BackgroundRecovery is a key goal for individuals, and services’ recovery orientation can facilitate this process. The independent mental health sector is increasingly important in Ireland, particularly in counselling and suicide prevention. We aimed to evaluate Pieta House as a recovery-oriented service through clients’ self-rated recovery; and clients’ and therapists’ evaluation of the service.MethodsClients completing therapy over a 3-month period were invited to complete the Recovery Assessment Scale (RAS) and the Recovery Self Assessment-Revised (RSA-R). Therapists completed the RSA-R staff version.ResultsResponse rate was 36.7% for clients (n=88), 98% for therapists (n=49). Personal recovery was endorsed by 73.8% of clients, with highest agreement for factors ‘Willingness to Ask for Help’ (84.5%), and ‘Reliance on Others’ (82.1%). A smaller number agreed with factors ‘Personal Confidence and Hope’ (61.3%) and ‘No Domination by Symptoms’ (66.6%). Clients’ and therapists’ evaluation of the service showed high levels of agreement with factors of ‘Choice’ (90.9% clients, 100% therapists); ‘Life Goals’ (84.1% clients, 98% therapists) and ‘Individually Tailored Services’ (80.6% clients, 79.6% therapists). Client involvement in service management had the lowest level of agreement (36.4% clients, 30.6% therapists). Clients’ self-rated recovery correlated with their rating of the service (correlation value 0.993, p=0.01).ConclusionsClients’ self-rated recovery and the recovery orientation of Pieta House were rated highly, with areas for improvement in service user involvement, peer support and advocacy. The correlation of personal recovery and recovery orientation of the service may merit further study.

scholarly journals Client personal recovery and recovery orientation of an Irish suicide intervention charity – Corrigendum

2017 ◽  
Vol 35 (2) ◽  
pp. 155-155
Author(s):  
C. Conway ◽  
P. W. G. Surgenor ◽  
T. B. Thekiso ◽  
A. Moore ◽  
A. Campion ◽  
...  
Keyword(s):  
Personal Recovery ◽  
Suicide Intervention ◽  
Recovery Orientation

scholarly journals Longitudinal changes in personal recovery in individuals with psychotic disorders through hospitalisation in a psychiatric ward: preliminary findings

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Norika Mitsunaga-Ohmuro ◽  
Noriyuki Ohmuro
Keyword(s):  
Self Efficacy ◽  
Negative Symptoms ◽  
Psychotic Disorders ◽  
Self Esteem ◽  
Assessment Scale ◽  
Psychiatric Ward ◽  
Personal Recovery ◽  
Recovery Assessment ◽  
General Self Efficacy ◽  
Recovery Assessment Scale

Abstract Background This study aimed to investigate whether personal recovery indices in individuals with psychotic disorders would change through hospitalisation in a psychiatric ward and to identify factors associated with these changes. Methods Participants underwent assessments for personal recovery using the Questionnaire about the Process of Recovery, Recovery Assessment Scale, and Self-Identified Stage of Recovery Part A and B; clinical symptoms using the Positive And Negative Syndrome Scale; self-efficacy using the General Self-Efficacy Scale; and self-esteem using the Rosenberg Self-Esteem Scale at baseline and before hospital discharge. Wilcoxon signed-rank tests were administered for longitudinal comparisons between baseline and follow-up. Spearman’s rank correlation tests were conducted to assess correlations of longitudinal changes in personal recovery with baseline values of personal recovery as well as baseline values or changes in the Positive And Negative Syndrome Scale, General Self-Efficacy Scale, and Rosenberg Self-Esteem Scale. Results Thirty-four individuals with psychotic disorders completed the assessments. The average duration of the current hospitalisation was 81.9 days (SD, 15.3; median, 85.0; range, 51–128 days). No significant changes were observed in personal recovery, self-efficacy, and self-esteem, although clinical symptoms significantly improved. Significant correlations were found between positive changes in the Recovery Assessment Scale and improvements in negative symptoms; between positive changes in the General Self-Efficacy Scale and those in personal recovery assessed with the Questionnaire about the Process of Recovery, Recovery Assessment Scale, and Self-Identified Stage of Recovery part A; and between positive changes in the Rosenberg Self-Esteem Scale and those in the Self-Identified Stage of Recovery part B. Conclusion This study revealed longitudinal relationships between changes in personal recovery and amelioration of negative symptoms or enhancement of self-efficacy and self-esteem through moderate length of hospitalisation in individuals with psychotic disorders. Considering the small sample size in this study, further studies with a larger sample size are needed to confirm the present finding. Trial registration The protocol of this study is registered in the UMIN Clinical Trials Registry (UMIN-CTR; ID: UMIN000035131).

An exploration of self-compassion and self-criticism in the context of personal recovery from borderline personality disorder

2018 ◽  
Vol 27 (1) ◽  
pp. 56-59 ◽  
Author(s):  
Fiona Donald ◽  
Katherine A Lawrence ◽  
Jillian H Broadbear ◽  
Sathya Rao
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Strong Positive Correlation ◽  
Personal Recovery ◽  
Strong Negative Correlation ◽  
Self Compassion ◽  
Recovery Assessment ◽  
Compassion Scale ◽  
Single Time Point

Objectives: A lack of compassion for oneself, or harsh self-criticism, is associated with a range of psychiatric disorders including borderline personality disorder (BPD). Personal recovery in the context of a mental illness such as BPD involves building a life that is subjectively meaningful and satisfying. Limited self-compassion or harsh self-criticism may be an impediment to recovery from BPD. The association between self-compassion and recovery and self- criticism and recovery were examined. Method: Nineteen individuals diagnosed with BPD completed the Neff Self-Compassion Scale, the Forms of Self-Criticising/Attacking and Self-Reassuring Scale and the Recovery Assessment Scale at a single time point. Results: There was a strong positive correlation between self-compassion and recovery ( r = 0.75) and a strong negative correlation ( rho = −0.67) between self- criticism and recovery. Conclusions: Although preliminary in nature, these results suggest the importance of fostering self-compassion and working to address self-criticism within clinical interventions supporting recovery from BPD.

Experiences from Health Information Systems Implementation Projects Reported in Canada Between 1991 and 1997

2011 ◽  
pp. 96-112
Author(s):  
Francis Lau ◽  
Marilynne Hebert
Keyword(s):  
Information Systems ◽  
Health Informatics ◽  
Information Quality ◽  
Health Sector ◽  
User Involvement ◽  
Policy Makers ◽  
Systems Implementation ◽  
Information Systems Professionals ◽  
Information Systems Implementation ◽  
Resource Support

Canada’s Health Informatics Association has been hosting annual conferences since the 1970’s as a way of bringing information systems professionals, health practitioners, policy makers, researchers and industry together to share their ideas and experiences in the use of information systems in the health sector. This paper describes our findings on the outcome of information systems implementation projects reported at these conferences in the 1990s. Fifty implementation projects published in the conference proceedings were reviewed and the authors or designates of 24 of these projects were interviewed. The overall experiences, which are consistent with existing implementation literature, suggest the need for organizational commitment; resource support and training; managing project, change process and communication; organizational/user involvement and teams approach; system capability; information quality; and demonstrable positive consequences from computerization.

scholarly journals Mediation analysis of severity of needs, service performance and outcomes for patients with mental disorders

2016 ◽  
Vol 209 (6) ◽  
pp. 511-516 ◽  
Author(s):  
Paul Roux ◽  
Christine Passerieux ◽  
Marie-Josée Fleury
Keyword(s):  
Quality Of Life ◽  
Mental Disorders ◽  
Mediation Analysis ◽  
Structural Equation ◽  
Negative Impact ◽  
Equation Model ◽  
Service Performance ◽  
Personal Recovery ◽  
Recovery Orientation

BackgroundNeeds and service performance assessment are key components in improving recovery among individuals with mental disorders.AimsTo test the role of service performance as a mediating factor between severity of patients' needs and outcomes.MethodA total of 339 adults with mental disorders were interviewed. A mediation analysis between severity of needs, service performance (adequacy of help, continuity of care and recovery orientation of services) and outcomes (personal recovery and quality of life) was carried out using structural equation modelling.ResultsThe structural equation model provided a good fit with the data. An increase in needs was associated with lower service performance and worse outcomes, whereas higher service performance was associated with better outcomes. Service performance partially mediated the effect of patient needs on outcomes.ConclusionsPoorer service performance has a negative impact on outcomes for patients with the highest needs. Ensuring more efficient services for patients with high needs may help improve their recovery and quality of life.

Making a reality of user involvement in community mental health services

1998 ◽  
Vol 22 (1) ◽  
pp. 8-11 ◽  
Author(s):  
Kamaldeep Bhui ◽  
Anne Aubin ◽  
Geraldine Strathdee
Keyword(s):  
Mentally Ill ◽  
Service Management ◽  
User Involvement ◽  
Community Mental Health Services ◽  
Management Style ◽  
Rehabilitation Service ◽  
Community Based ◽  
Everyday Clinical Practice ◽  
Severely Mentally Ill ◽  
Community Based Rehabilitation

User centred services as an ideology have not become a reality of everyday clinical practice. In this paper we introduce a series of articles which describe user centred practice in a south London community-based rehabilitation service for the severely mentally ill. We emphasise the medical consultation style adopted, the service management style and specific initiatives allowing users to influence our practice and shape functional and structural components of the service.

‘Not in the room, but the doctors were’: an Australian story-completion study about consumer representation

2019 ◽  
Vol 35 (4) ◽  
pp. 752-761
Author(s):  
Brett Scholz ◽  
Julia Bocking ◽  
Peter Hedt ◽  
Vinh N Lu ◽  
Brenda Happell
Keyword(s):  
Mental Health ◽  
Health Professional ◽  
Health Professionals ◽  
Service Management ◽  
Mental Health Policy ◽  
Health Sector ◽  
Consumer Involvement ◽  
Cultural Norms ◽  
Consumer Representative ◽  
Story Completion

Abstract Current mental health policy requires consumer involvement in all levels of health service management (i.e. planning, implementation, delivery and evaluation). However, current models often limit consumers to ‘representation’ roles that are criticized for silencing consumer views. This study compares understandings of consumer representatives’ and health professionals’ participation in decision-making processes in the mental health sector in Australia. Story completion methods were employed, with 34 participants (21 consumers, 8 health professionals and 5 people identifying both as consumer and health professional) completing a story stem about either a consumer representative or a health professional changing a committee meeting agenda. Using a thematic approach, three overarching themes were developed: how consumer representative roles remain unvalued, how such lack of value translates to not achieving co-production and how consumer representative roles can be better supported through allyship or subversion against organizational cultural norms. Findings suggest that organizational cultural norms in health settings need to be more inclusive of consumers to maximize the benefits of partnerships and fulfil policy expectations. Two methods for greater empowerment of consumers working in mental health are through allyship with non-consumer health professionals who support the goals of the consumer movement, and subversion of current practices.

scholarly journals Patients' Views With Regard to Personal Recovery in Forensic Psychiatry in German-Speaking Switzerland—An Explorative Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Susanne Schoppmann ◽  
Joachim Balensiefen ◽  
Steffen Lau ◽  
Marc Graf ◽  
Henning Hachtel
Keyword(s):  
Well Being ◽  
Self Determination ◽  
Major Theme ◽  
Personal Recovery ◽  
Explorative Study ◽  
General Psychiatry ◽  
Recovery Orientation ◽  
Therapeutic Outcomes ◽  
German Speaking ◽  
Inpatient Settings

Recovery orientation (RO) is a modality of supporting patients to improve self-determination, leading a meaningful life and well-being in general. This approach is widely studied in general psychiatry, but evidence is lacking for forensic inpatient settings in Switzerland. While secure forensic clinics tend to be regarded as total institutions, which are an anathema to RO, a project to implement RO interventions in this setting was financed by the Swiss Federal Office of Justice. This explorative study investigates baseline expectations and views of patients in forensic wards in German-speaking Switzerland in the context of a recovery-oriented intervention. As such wards are non-existent in Latin-speaking Switzerland, the investigation could only be carried out in this language region. Six focus groups with 37 forensic inpatients were conducted. Thematic analysis revealed two major and several subthemes. The major theme “heteronomy” includes the subthemes “stigmatization and shame,” “coercion,” “lack of support,” “mistrust,” “waiting,” and “structural impediments.” The subthemes “learning to live with the disorder and working on oneself,” “participation,” “connectedness,” “confidence,” and “joie de vivre” belong to the major theme “regaining self-determination.” In this way, results of prior research are extended to forensic peculiarities. Furthermore, the personal views of patients are discussed in detail regarding their possible influence on therapeutic outcomes and personal recovery. These findings should be of help to therapeutic staff in the respective setting to be better informed about, and to counter the effects of, heteronomy and long-term hospitalization. Important in this regard is the concept of procedural justice and the subjective client's perception thereof.

Sähköiset mielenterveyspalvelut toipumisen näkökulmasta. Integroiva kirjallisuuskatsaus

Kuntoutus ◽  
2020 ◽  
Vol 43 (3) ◽  
pp. 34-50
Author(s):  
Mari Kivistö
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Literature Review ◽  
Future Research ◽  
Service Users ◽  
Personal Recovery ◽  
Recovery Orientation ◽  
Digital Services ◽  
Mental Health Practices

Mielenterveyden häiriöiden merkityksen kasvaminen sekä haasteet mielenterveyspalveluiden järjestämisessä ovat tehneet sähköisten mielenterveyspalveluiden kehittämisestä ja tutkimuksesta ajankohtaista. Nyt COVID-19-pandemia on lisännyt sähköisten mielenterveyspalveluiden tarvetta mutta tuonut samalla näkyviksi organisaatioiden eriytyvät lähtökohdat sähköisten mielenterveyspalveluiden järjestämisessä. Tämän tutkimuksen tavoitteena oli kuvata sähköisten mielenterveyspalveluiden vaikutuksia palvelunkäyttäjien näkökulmasta sekä tunnistaa positiivisesti vaikuttavien sähköisten mielenterveyspalveluiden edellytyksiä. Tutkimus toteutettiin kansainvälisistä tutkimusartikkeleista (n = 27) tietoa kokoavana integroivana kirjallisuuskatsauksena. Analyysimenetelmänä sovellettiin teemoittelua ja tulkintakehyksenä toipumisorientaation (recovery) viitekehystä. Kirjallisuuskatsauksen perusteella sähköiset mielenterveyspalvelut tarjoavat mahdollisuuksia toipumiseen ja sen tukemiseen, mutta toipuminen ehdollistuu sähköisiin mielenterveyspalveluihin liittyvissä toimintakäytännöissä. Tulokset jäsennettiin yksilön laaja-alaista toipumista ja toipumista kokonaisvaltaisesti tukevia sähköisiä mielenterveyspalveluja ilmentävinä yläteemoina, joista edelliseen sisällytettiin alateemat kliininen toipuminen, henkilökohtainen toipuminen ja osallisuuden vahvistuminen ja jälkimmäiseen tietoperusteisuus, tilannekohtaisuus, tuen tarjoaminen, vuorovaikutteisuus, henkilökohtaisuus ja asiakaslähtöisyys. Kirjallisuuskatsaus osoittaa, että tutkimustarpeista huolimatta tiedämme jo paljon tekijöistä, jotka mahdollistavat toipumista edistävien sähköisten mielenterveyspalveluiden toteuttamista. Tätä tietoa on tarpeen hyödyntää myös COVID-19-pandemian muuttamassa toimintaympäristössä. Tulosten sovellettavuutta rajoittaa tutkimustiedon pirstaleisuus sekä se, että tutkimukset kohdistuivat vain henkilöihin, joilla oli pääsy, kyky ja halu sähköisten mielenterveyspalveluiden käyttöön.Abstract Digital mental health services and recovery. An Integrative literature review The increase of mental health disorders and the challenges of delivering mental health services have made the development and research of digital mental health services topical. Currently, the COVID-19 pandemic has increased the need for digital mental health services, but at the same time it has made visible the various potential of organizations for providing digital services. The aim of this study is to describe the effects of digital mental health services from the service users’ perspective and to identify the features of the services that make an impact. The study was conducted as an integrative literature review of international research articles (n = 27). The method used was thematic analysis and a recovery orientation was applied as the interpretation framework. Based on the review, digital mental health services offer opportunities for and support the recovery of service users, but the recovery is conditioned on digital mental health practices. The results were presented as two main-themes: a person’s extensive recovery and digital mental health services that support recovery holistically. The former includes the sub-themes of clinical recovery, personal recovery and participation, and the latter the sub-themes of knowledge orientation, situationality, provision of support, interactivity, personality and client orientation. The integrative literature review shows that despite the need for future research, we already know a great deal about the factors that enable the implementation of digital mental health services that promote recovery. This knowledge needs to be utilized in the operating environment of mental health services, which is currently changing because of the COVID-19 pandemic. The review has some limitations, because research on the subject is fragmentary and the studies involved in the review were only targeted at persons with access to digital mental health services and the ability and motivation to use them. Keywords: mental health, digital services, recovery, integrative literature review

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