scholarly journals Not the story you want? Assessing the fit of a conceptual framework characterising mental health recovery narratives

2019 ◽  
Vol 55 (3) ◽  
pp. 295-308 ◽  
Author(s):  
Joy Llewellyn-Beardsley ◽  
Stefan Rennick-Egglestone ◽  
Simon Bradstreet ◽  
Larry Davidson ◽  
Donna Franklin ◽  
...  
Keyword(s):  
Mental Health ◽  
Conceptual Framework ◽  
Intervention Development ◽  
Mental Health Recovery ◽  
Research Use ◽  
Narrative Construction ◽  
Limited Sample ◽  
Recovery Narratives ◽  
Recovery Approach ◽  
Selection Of

Abstract Purpose Narratives of recovery have been central to the development of the recovery approach in mental health. However, there has been a lack of clarity around definitions. A recent conceptual framework characterised recovery narratives based on a systematic review and narrative synthesis of existing literature, but was based on a limited sample. The aims of this study were to assess the relevance of the framework to the narratives of more diverse populations, and to develop a refined typology intended to inform narrative-based research, practice and intervention development. Method 77 narrative interviews were conducted with respondents from four under-researched mental health sub-populations across England. Deductive and inductive analysis was used to assess the relevance of the dimensions and types of the preliminary typology to the interview narratives. Results Five or more dimensions were identifiable within 97% of narratives. The preliminary typology was refined to include new definitions and types. The typology was found not to be relevant to two narratives, whose narrators expressed a preference for non-verbal communication. These are presented as case studies to define the limits of the typology. Conclusion The refined typology, based on the largest study to date of recovery narratives, provides a defensible theoretical base for clinical and research use with a range of clinical populations. Implications for practice include ensuring a heterogeneous selection of narratives as resources to support recovery, and developing new approaches to supporting non-verbal narrative construction.

scholarly journals Curation of Mental Health Recovery Narrative Collections: Systematic Review and Qualitative Synthesis

10.2196/14233 ◽  
2019 ◽  
Vol 6 (10) ◽  
pp. e14233 ◽  
Author(s):  
Rose McGranahan ◽  
Stefan Rennick-Egglestone ◽  
Amy Ramsay ◽  
Joy Llewellyn-Beardsley ◽  
Simon Bradstreet ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Conceptual Framework ◽  
Mental Health Problems ◽  
Evidence Synthesis ◽  
Mental Health Recovery ◽  
Qualitative Evidence Synthesis ◽  
Web Based ◽  
Mental Health Interventions ◽  
Recovery Narratives

Background Mental health recovery narratives are first-person lived experience accounts of recovery from mental health problems, which refer to events or actions over a period. They are readily available either individually or in collections of recovery narratives published in books, health service booklets, or on the Web. Collections of recovery narratives have been used in a range of mental health interventions, and organizations or individuals who curate collections can therefore influence how mental health problems are seen and understood. No systematic review has been conducted of research into curatorial decision making. Objective This study aimed to produce a conceptual framework identifying and categorizing decisions made in the curation of mental health recovery narrative collections. Methods A conceptual framework was produced through a systematic review and qualitative evidence synthesis. Research articles were identified through searching bibliographic databases (n=13), indexes of specific journals (n=3), and gray literature repositories (n=4). Informal documents presenting knowledge about curation were identified from editorial chapters of electronically available books (n=50), public documents provided by Web-based collections (n=50), and prefaces of health service booklets identified through expert consultation (n=3). Narrative summaries of included research articles were produced. A qualitative evidence synthesis was conducted on all included documents through an inductive thematic analysis. Subgroup analyses were conducted to identify differences in curatorial concerns between Web-based and printed collections. Results A total of 5410 documents were screened, and 23 documents were included. These comprised 1 research publication and 22 informal documents. Moreover, 9 higher level themes were identified, which considered: the intended purpose and audience of the collection; how to support safety of narrators, recipients, and third parties; the processes of collecting, selecting, organizing, and presenting recovery narratives; ethical and legal issues around collections; and the societal positioning of the collection. Web-based collections placed more emphasis on providing benefits for narrators and providing safety for recipients. Printed collections placed more emphasis on the ordering of narrative within printed material and the political context. Conclusions Only 1 research article was identified despite extensive searches, and hence this review has revealed a lack of peer-reviewed empirical research regarding the curation of recovery narrative collections. The conceptual framework can be used as a preliminary version of reporting guidelines for use when reporting on health care interventions that make use of narrative collections. It provides a theory base to inform the development of new narrative collections for use in complex mental health interventions. Collections can serve as a mechanism for supporting collective rather than individual discourses around mental health.

scholarly journals The mechanisms and processes of connection: developing a causal chain model capturing impacts of receiving recorded mental health recovery narratives

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Fiona Ng ◽  
Ashleigh Charles ◽  
Kristian Pollock ◽  
Stefan Rennick-Egglestone ◽  
Pim Cuijpers ◽  
...  
Keyword(s):  
Mental Health ◽  
Peer Support ◽  
Narrative Structure ◽  
Causal Chain ◽  
Mental Health Recovery ◽  
Chain Model ◽  
Video And Audio ◽  
Recovery Narratives ◽  
Interpretation Of Change ◽  
Selection Of

Abstract Background Mental health recovery narratives are a core component of recovery-oriented interventions such as peer support and anti-stigma campaigns. A substantial number of recorded recovery narratives are now publicly available online in different modalities and in published books. Whilst the benefits of telling one’s story have been investigated, much less is known about how recorded narratives of differing modalities impact on recipients. A previous qualitative study identified connection to the narrator and/or to events in the narrative to be a core mechanism of change. The factors that influence how individuals connect with a recorded narrative are unknown. The aim of the current study was to characterise the immediate effects of receiving recovery narratives presented in a range of modalities (text, video and audio), by establishing the mechanisms of connection and the processes by which connection leads to outcomes. Method A study involving 40 mental health service users in England was conducted. Participants were presented with up to 10 randomly-selected recovery narratives and were interviewed on the immediate impact of each narrative. Thematic analysis was used to identify the mechanisms of connection and how connection leads to outcome. Results Receiving a recovery narrative led participants to reflect upon their own experiences or those of others, which then led to connection through three mechanisms: comparing oneself with the narrative and narrator; learning about other’s experiences; and experiencing empathy. These mechanisms led to outcomes through three processes: the identification of change (through attending to narrative structure); the interpretation of change (through attending to narrative content); and the internalisation of interpretations. Conclusions This is the first study to identify mechanisms and processes of connection with recorded recovery narratives. The empirically-based causal chain model developed in this study describes the immediate effects on recipients. This model can inform selection of narratives for use in interventions, and be used to support peer support workers in recounting their own recovery narratives in ways which are maximally beneficial to others.

scholarly journals Curation of Mental Health Recovery Narrative Collections: Systematic Review and Qualitative Synthesis (Preprint)

2019 ◽  
Author(s):  
Rose McGranahan ◽  
Stefan Rennick-Egglestone ◽  
Amy Ramsay ◽  
Joy Llewellyn-Beardsley ◽  
Simon Bradstreet ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Conceptual Framework ◽  
Mental Health Problems ◽  
Evidence Synthesis ◽  
Mental Health Recovery ◽  
Qualitative Evidence Synthesis ◽  
Web Based ◽  
Mental Health Interventions ◽  
Recovery Narratives

BACKGROUND Mental health recovery narratives are first-person lived experience accounts of recovery from mental health problems, which refer to events or actions over a period. They are readily available either individually or in collections of recovery narratives published in books, health service booklets, or on the Web. Collections of recovery narratives have been used in a range of mental health interventions, and organizations or individuals who curate collections can therefore influence how mental health problems are seen and understood. No systematic review has been conducted of research into curatorial decision making. OBJECTIVE This study aimed to produce a conceptual framework identifying and categorizing decisions made in the curation of mental health recovery narrative collections. METHODS A conceptual framework was produced through a systematic review and qualitative evidence synthesis. Research articles were identified through searching bibliographic databases (n=13), indexes of specific journals (n=3), and gray literature repositories (n=4). Informal documents presenting knowledge about curation were identified from editorial chapters of electronically available books (n=50), public documents provided by Web-based collections (n=50), and prefaces of health service booklets identified through expert consultation (n=3). Narrative summaries of included research articles were produced. A qualitative evidence synthesis was conducted on all included documents through an inductive thematic analysis. Subgroup analyses were conducted to identify differences in curatorial concerns between Web-based and printed collections. RESULTS A total of 5410 documents were screened, and 23 documents were included. These comprised 1 research publication and 22 informal documents. Moreover, 9 higher level themes were identified, which considered: the intended purpose and audience of the collection; how to support safety of narrators, recipients, and third parties; the processes of collecting, selecting, organizing, and presenting recovery narratives; ethical and legal issues around collections; and the societal positioning of the collection. Web-based collections placed more emphasis on providing benefits for narrators and providing safety for recipients. Printed collections placed more emphasis on the ordering of narrative within printed material and the political context. CONCLUSIONS Only 1 research article was identified despite extensive searches, and hence this review has revealed a lack of peer-reviewed empirical research regarding the curation of recovery narrative collections. The conceptual framework can be used as a preliminary version of reporting guidelines for use when reporting on health care interventions that make use of narrative collections. It provides a theory base to inform the development of new narrative collections for use in complex mental health interventions. Collections can serve as a mechanism for supporting collective rather than individual discourses around mental health.

scholarly journals Mental Health Recovery Narratives and Their Impact on Recipients: Systematic Review and Narrative Synthesis

2019 ◽  
pp. 070674371984610 ◽  
Author(s):  
Stefan Rennick-Egglestone ◽  
Kate Morgan ◽  
Joy Llewellyn-Beardsley ◽  
Amy Ramsay ◽  
Rose McGranahan ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Health Recovery ◽  
Narrative Synthesis ◽  
Recovery Narratives

scholarly journals How do recorded mental health recovery narratives create connection and improve hopefulness?

2022 ◽  
pp. 1-8
Author(s):  
Fiona Ng ◽  
Christopher Newby ◽  
Clare Robinson ◽  
Joy Llewellyn-Beardsley ◽  
Caroline Yeo ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Recovery ◽  
Recovery Narratives

scholarly journals Characteristics of mental health recovery narratives: Systematic review and narrative synthesis

PLoS ONE ◽  
2019 ◽  
Vol 14 (3) ◽  
pp. e0214678 ◽  
Author(s):  
Joy Llewellyn-Beardsley ◽  
Stefan Rennick-Egglestone ◽  
Felicity Callard ◽  
Paul Crawford ◽  
Marianne Farkas ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Health Recovery ◽  
Narrative Synthesis ◽  
Recovery Narratives

Mental health recovery narratives: their impact on service users and other stakeholder groups

2019 ◽  
Vol 23 (4) ◽  
pp. 173-184 ◽  
Author(s):  
Myra Piat ◽  
Jessica Spagnolo ◽  
Suzanne Thibodeau-Gervais ◽  
Catherine Deschamps ◽  
Yves Gosselin
Keyword(s):  
Mental Health ◽  
Mental Health Recovery ◽  
Service Users ◽  
Cross Sectional ◽  
Content Type ◽  
Positive Effects ◽  
Stakeholder Groups ◽  
Before And After ◽  
Recovery Narratives ◽  
The Impact

Purpose The purpose of this paper is twofold: first, assess the effects of the peers’ recovery narratives on service users’ perceived mental health recovery; and second, explore various stakeholders’ perspectives on the program, specifically its facilitators and barriers. Design/methodology/approach The study used a convergent mixed-method design. First, a pre-test post-test design was used with service users to evaluate the peer recovery narrative program. They completed the Recovery Assessment Scale (RAS) and participated in qualitative interviews that explored perspectives on their mental health recovery before and after the program. Second, a cross-sectional design was used to explore stakeholder groups’ perspectives on the recovery narrative program immediately after listening to the narratives. Findings While findings show that there was no statistical difference between scores on the RAS before and after the peer narratives, thematic analysis revealed a change in service users’ understanding of recovery post-narratives. Other stakeholder groups confirmed this change. However, some healthcare professionals questioned the universal positive effects of the peer recovery narrative program on service users. Stakeholders agreed that beyond effects of the peer recovery narrative program on service users, there were also positive effects among the peers themselves. Originality/value To the authors’ knowledge, this is the first Canadian study, and one of the first studies to rely on mixed-methods and various stakeholder groups to evaluate the impact of peer recovery narratives on service users. The research, thus, fills a knowledge gap on peer recovery narratives.

scholarly journals Management of a High-Performing Mental Health Recovery Research Group

2021 ◽  
Vol 18 (8) ◽  
pp. 4007
Author(s):  
Mike Slade
Keyword(s):  
Mental Health ◽  
Lived Experience ◽  
Research Group ◽  
Global Mental Health ◽  
Mental Health Recovery ◽  
Personal Perspective ◽  
Team Members ◽  
High Performing ◽  
And Performance ◽  
Recovery Narratives

A personal perspective is given on the processes involved in managing and sustaining a high-performing mental health recovery research group. The broader context of scholarship in the United Kingdom is outlined, in which academic productivity is commodified specifically in relation to peer-reviewed journal papers. Four leadership choices in developing a high-performing research group are discussed: optimal group size; sharing the workload; maintaining a programmatic focus; and performance expectations. Approaches to maximising innovation are identified, including emotional and intellectual engagement of team members, working with diverse stakeholders and convening communities of practice. We use a highly managed approach to publications from inception to acceptance, which is described in detail. The use of these approaches is illustrated in relation to the Recovery Research Team which was formed in 2009. Specific recovery-related issues covered include demonstrating the ability to develop a significant recovery research portfolio (our four current large [>UK£2 m] studies relate to recovery narratives, global mental health peer support work, digital interventions and Recovery Colleges); the positive implications of actively recruiting researchers with mental health lived experience; how performance issues are managed; our approach to involving lived experience co-authors in papers; and our decision to conduct mixed-methods rather than solely qualitative studies.

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