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

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 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.

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

Measuring Recovery in Parents Experiencing Mental Health Problems

2019 ◽  
Vol 25 (2) ◽  
pp. 219-259
Author(s):  
Emma Thompson ◽  
Jade Sheen ◽  
Darryl Maybery
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
Life Domain ◽  
Mental Health Recovery ◽  
Personal Recovery ◽  
Recovery Orientation ◽  
Parenting Role ◽  
Promote Mental Health

Parenting is a fundamental life domain with increasing evidence suggesting the parenting role has the capacity to inform and promote mental health recovery. Two reviews examined the current tools available to assess parenting in the context of recovery. Review one identified 35 quantitative measures of parenting used in interventions for parents with mental health problems. None of these measures appeared to consider parenting from a recovery orientation. Review two identified 25 measures of personal recovery; however, none appeared to consider the parenting role. Despite the fundamental life role of parenting, our ability to measure these constructs appears limited. Further research is warranted into the development of a measure of recovery that considers the parenting role.

scholarly journals Easier Said Than Done: The Challenge to Teach “Personal Recovery” to Mental Health Professionals Through a Short, Targeted and Structured Training Programme

2021 ◽  
Author(s):  
Laura Giusti ◽  
Donatella Ussorio ◽  
Anna Salza ◽  
Massimo Casacchia ◽  
Rita Roncone
Keyword(s):  
Mental Health ◽  
Training Program ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Psychiatric Rehabilitation ◽  
Recovery Process ◽  
Training Programme ◽  
Personal Recovery ◽  
Recovery Orientation ◽  
Recovery Knowledge Inventory

AbstractThis study assesses the effectiveness of our short Personal Recovery Training Program (PRTP) for mental health professionals. Fifty-two healthcare professionals from Italian mental health services and forty students in psychiatric rehabilitation completed the Recovery Knowledge Inventory (RKI) pre- and post-training, divided into two groups: the PRTP (N = 45) and the Family Psychoeducational Training Program (FPTP; N = 47). Participants’ understanding of personal recovery improved more significantly for those in the PRTP than for those in the FPTP group in two domains, “Roles and responsibilities” and “Non-linearity of the recovery process”; the FPTP group showed a significant improvement in the “Role of self-definition and peers in recovery” domain. Two consumers were involved in the PRTP and represented a resource to help participants understand the personal recovery process. Our findings indicate that a brief PRTP supported by consumers can improve staff and students' recovery orientation. The translation of the training into clinical practice remains unevaluated.

scholarly journals Recovery practice in community mental health teams: national survey

2016 ◽  
Vol 209 (4) ◽  
pp. 340-346 ◽  
Author(s):  
M. Leamy ◽  
E. Clarke ◽  
C. Le Boutillier ◽  
V. Bird ◽  
R. Choudhury ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Team Leader ◽  
Service Users ◽  
Team Leaders ◽  
Personal Recovery ◽  
Convenience Sample ◽  
Adult Mental Health ◽  
Recovery Orientation ◽  
Community Adult

BackgroundThere is consensus about the importance of ‘recovery’ in mental health services, but the link between recovery orientation of mental health teams and personal recovery of individuals has been underresearched.AimsTo investigate differences in team leader, clinician and service user perspectives of recovery orientation of community adult mental health teams in England.MethodIn six English mental health National Health Service (NHS) trusts, randomly chosen community adult mental health teams were surveyed. A random sample of ten patients, one team leader and a convenience sample of five clinicians were surveyed from each team. All respondents rated the recovery orientation of their team using parallel versions of the Recovery Self Assessment (RSA). In addition, service users also rated their own personal recovery using the Questionnaire about Processes of Recovery (QPR).ResultsTeam leaders (n = 22) rated recovery orientation higher than clinicians (n = 109) or patients (n = 120) (Wald(2) = 7.0, P = 0.03), and both NHS trust and team type influenced RSA ratings. Patient-rated recovery orientation was a predictor of personal recovery (b = 0.58, 95% CI 0.31–0.85, P<0.001). Team leaders and clinicians with experience of mental illness (39%) or supporting a family member or friend with mental illness (76%) did not differ in their RSA ratings from other team leaders or clinicians.ConclusionsCompared with team leaders, frontline clinicians and service users have less positive views on recovery orientation. Increasing recovery orientation may support personal recovery.

Enhancing recovery orientation within mental health services: expanding the utility of values

2016 ◽  
Vol 11 (1) ◽  
pp. 23-32 ◽  
Author(s):  
Virginia C Williams ◽  
Frank P. Deane ◽  
Lindsay G Oades ◽  
Trevor P Crowe ◽  
Joseph Ciarrochi ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Training Transfer ◽  
Mental Health Recovery ◽  
Social Implications ◽  
Personal Recovery ◽  
Content Type ◽  
Recovery Orientation ◽  
Novel Approach

Purpose – The purpose of this paper is to review the role of values within contemporary mental health recovery services, outlining the rationale and approach for a specific values-focused staff intervention to promote autonomously motivated uptake of recovery-oriented practices. Design/methodology/approach – Recent advances in understanding of the enduring gap between ideological and applied acceptance of personal recovery within mental health services are outlined, with particular focus on the limited utility of training programmes as a means to promoting implementation. Frequently, mental health service organisations have adopted recovery policies in a primarily “top-down” fashion standing in contrast to the high autonomy approaches espoused for service users. Drawing from the extensive research related to Self-Determination Theory (SDT), a complementary focus on “bottom-up” approaches that enable service-delivery staff to develop a sense of autonomy for changed work practices in order to increase implementation is indicated. Findings – Application of values-focused interventions for mental health recovery staff parallel to the approaches acknowledged as effective for service participants are likely to be effective in promoting implementation of newly trained recovery-oriented practices. Research limitations/implications – The paper is conceptual in nature and therefore reflects the priorities and views of the authors but the paper draws together well-established literature to develop a novel approach to a highly relevant issue. Practical implications – Training transfer and implementation of evidence-based practice are issues with broad relevance and the explication of additional methods to promote employee uptake of new practices is a key priority for organisations and policy makers. Social implications – Significant social implications include furthering the discussion and insight to the development of effective delivery of mental health services to individuals accessing service. Originality/value – A novel aspect of this paper is the provision of a theoretical rationale for the application of SDT as a framework for understanding the continuing challenge of recovery operationalisation, which despite the conceptual good-fit, currently stands as an association not well exploited. Moreover, this paper proposes values-clarification and coaching as a specific and reproducible approach to enhancing recovery-oriented service provision.

How is Evaluated Mental Health Recovery?

2017 ◽  
Vol 41 (S1) ◽  
pp. S199-S199
Author(s):  
P. Penas ◽  
M.C. Moreno ◽  
J.J. Uriarte ◽  
P. Ridgway ◽  
I. Iraurgi
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Illness ◽  
Psychometric Properties ◽  
Mental Health Recovery ◽  
Clinical Settings ◽  
Personal Recovery ◽  
Systematic Revision ◽  
Recovery Orientation ◽  
Competing Interest

IntroductionThere is an increasingly recognition of the concept of recovery in the treatment of mental illness. Recovery defined as living a fulfilling, rewarding life, even in the ongoing presence of a mental illness. Consequently, a number of instruments have been designed to assess recovery-oriented outcomes.ObjectiveThe objective of the study was to conduct a systematic revision of the instruments used to assess recovery with appropriate psychometric properties.MethodA systematic review of the literature has been realized. The adequacy of the instruments utilization, the content validity and psychometrics properties were gathered and analyzed.Results/discussionAfter a systematic review, it has been obtained 25 different instruments for measuring personal recovery and 17 for assessing the orientation of recovery in mental health services. As a consequence of the lack of consensus that exists in the conceptualization of recovery; several instruments have been developed and used to assess the different recovery domains. But it is essential to select scales that match with the recovery model and assess adequately the individual's recovery, and also, the recovery orientation of services. Moreover, those instruments should have appropriate psychometric properties and should be suitable to be introduced in routinely clinical settings.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Recovery Orientation as a Key Element in Addiction Treatment: Preliminary Results of a Patient's Survey

2017 ◽  
Vol 41 (S1) ◽  
pp. S202-S202
Author(s):  
G. Eikmeier ◽  
R. von Heugel ◽  
A. Lacroix ◽  
I. Molkentin ◽  
T. Rosenbrock ◽  
...  
Keyword(s):  
Treatment Satisfaction ◽  
Addiction Treatment ◽  
Treatment Options ◽  
Personal Recovery ◽  
Addictive Disorders ◽  
Recovery Orientation ◽  
Item Level ◽  
Competing Interest ◽  
Strongly Agree ◽  
Psychiatric Department

“Recovery” in addiction treatment goes far beyond abstinence, but means a self-determined and meaningful life. Although this approach has been implemented in a number of programs, only little research has been carried out on this issue. Within the context of focusing our treatment program for addictive disorders more strongly according to recovery principles, we studied the baseline situation with the Bremerhavener Questionnaire of Treatment Satisfaction (BFPZ). Sixteen items cover different aspects of our traditional qualified inpatient detoxification program as well as recovery principles. Each item can be rated from 0 (strongly disagree) to 3 (strongly agree). Between December 1st 2015 and March 31st 2016, all in house patients with a substance abuse treated for more than 24 hours in the psychiatric department of Klinikum Bremerhaven Reinkenheide were asked to fill in the questionnaire (n = 201). Response rate was 35% (n = 70). Overall treatment satisfaction was high (mean: 2,57 ± 0.65). On the single item level, aspects of empathy and openness were rated best (mean > 2.3), while special aspects of personal recovery (choice, hope, life goals, diversity of treatment options) were rated worst (mean < 2.3). Eighty-nine percent of the patients wanted to stop their alcohol consumption completely, 2% wanted to break their consumption temporarily and 9% wanted to consume less. Thirty-four percent were interested in additional therapy offers for controlled substance use. The results will be presented in detail and discussed with regard to the implications for recovery-oriented addiction treatment.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Sign in / Sign up

Export Citation Format

Share Document