The British research evidence for recovery, papers published between 2006 and 2009 (inclusive). Part One: a review of the peer-reviewed literature using a systematic approach (original) (raw)

REFOCUS: developing a recovery focus in mental health services in England

2017

Background Recovery in mental health services is defined as living a satisfying, hopeful, and contributing life even with any limitations caused by illness. An evidence base for understanding and supporting recovery is needed. Objectives To carry out a programme of linked research studies to understand how mental health services can promote recovery. Design A two phase, mixed methods study. Phase 1 (theory) involved seven systematic reviews (develop a conceptual framework for recovery; establish its cross-cultural validity; develop a recovery practice framework; review measures of recovery measures; recovery support measures; strengths measures; staff understanding of recovery), development and evaluation of three new measures (INSPIRE for recovery support; IOM for individualised measurement of recovery; SAFE for feasibility assessment), evaluation of existing recovery measure (QPR), national survey, three qualitative studies (conceptual framework validation, staff recoveryoriented practice, black service users), and development of a new manualised REFOCUS intervention. Phase 2 involved a two-site cluster randomised controlled trial of the REFOCUS intervention, with a nested secondary outcome study, process and economic evaluation, interrupted time series analysis, subgroup analysis of black service users, and outcomes comparison. The impact of PPI on the programme was also empirically evaluated.

The Rediscovered Concept of Recovery in Mental Illness

2014

recovery has recently reemerged in many countries as a key concept in mental health. Several long-term outcome studies have highlighted much higher recovery rates than previously assumed for persons with long-term mental illness. Service users (consumers) and professionals are now promoting this approach, and for users, recovery is about taking control over their own lives and introducing improvements which may or may not be related to clinical indicators of recovery. this approach also requires that professionals work with consumers in a much more collaborative fashion then in the past. australia, Canada, england, and israel have all formally accepted recovery as the cornerstone of their mental health policies and are currently in various phases of implementation. this paper describes these developments and identifies the implications for mental health social work.

On the very idea of a recovery model for mental health

Journal of Medical Ethics, 2010

The recovery model has been put forward as a rival to the biomedical model in mental healthcare. It has also been invoked in debate about public policy for individual and community mental health and the broader goal of social inclusion. But this broader use threatens its status as a genuine model, distinct from others such as the biomedical model. This paper sets out to articulate, although not to defend, a distinct recovery model based on the idea that mental health is an essentially normative or evaluative notion. It also aims to show that, supposing this suggestion were to be followed, the norms informing our notion of recovery would be more appropriately construed as eudaimonic than as hedonic in character.

The petals of recovery in a mental health context

British journal of nursing (Mark Allen Publishing)

In the last 10 years the concept of recovery has entered the discussion on mental health. Since then it has been surrounded in debate - from advocates who suggest that there is a need to build mental health services on recovery principles, to people who suggest that there is insufficient 'empirical' evidence to support a reorientation of services. The focus of this article is on exploring the concept of recovery as both a process and an approach to care.

One size fits all: or horses for courses? Recovery based care in specialist mental health services

Introduction The ‘recovery approach’ to the management of severe mental health problems has become a guiding vision of service provision amongst many practitioners, researchers, and policy makers as well as service users. Method This qualitative pilot study explored the meaning of ‘recovery’ with users of three specialist mental health services (eating disorders, dual diagnosis, and forensic) in 18 semi-structured interviews. Results The relevance of themes identified in mainstream recovery literature was confirmed; however, the interpretation and relative weight of these themes appeared to be affected by factors that were specific to the diagnosis and treatment context. ‘Clinical’ recovery themes were also seen as important, as were aspects of care that reflect core human values, such as kindness.