Recovery-oriented support work: the perspective of people with lived experience

2019 ◽  
Vol 14 (6) ◽  
pp. 457-468
Author(s):  
Dagmar Narusson ◽  
Jean Pierre Wilken
Keyword(s):  
Mental Health ◽  
Lived Experience ◽  
Health Care Services ◽  
Recovery Process ◽  
Structured Interview ◽  
Personal Recovery ◽  
Content Type ◽  
Care Services ◽  
Mental Health Difficulties ◽  
Support Work

Purpose The purpose of this paper is to focus on individuals who experience mental health difficulties with the services they receive from “support workers” as part of a personal recovery model, this study will obtain individuals reflections, experiences and opinions on how support helps them stay well and facilitates their personal recovery process. Recovery is seen through the lens of the CHIME framework (Connectedness–Hope–Identity–Meaning–Empowerment). Design/methodology/approach The sample size included 13 people who experience mental health difficulties and are receiving support from mental health care services. The structured interview was designed based on the INSPIRE measurement and the CHIME framework structure. The qualitative content analyses, discursive framing approach and CHIME as a framework made it possible to examine the key activities of recovery-oriented support work revealed in the data. Findings Participants valued the enhancement of hope provided by support workers and also expressed it was important as they were non-judgemental. Identity and meaning in recovery could be enhanced by sharing powerful stories about the individuals’ own life and health experiences, and those of support workers or others. Inclusive behaviour in public spaces and trying out new interest-based activities together were considered as empowering. Originality/value This research helps to understand the value of personal recovery support activities given the societal changes (tension between survival vs self-expression values) and highlights the need for value-based recovery-oriented education and practice.

scholarly journals Personal recovery and socio-structural disadvantage: A critical conceptual review

2021 ◽  
pp. 136345932110142
Author(s):  
Dimitar Karadzhov
Keyword(s):  
Mental Health ◽  
Lived Experience ◽  
Recovery Process ◽  
Mental Health Recovery ◽  
Empirical Literature ◽  
Structural Constraints ◽  
Personal Recovery ◽  
Structural Disadvantage ◽  
Mental Health Difficulties ◽  
The Impact

Despite its seeming breadth and diversity, the bulk of the personal (mental health) recovery literature has remained strangely ‘silent’ about the impact of various socio-structural inequalities on the recovery process. Such an inadequacy of the empirical literature is not without consequences since the systematic omission or downplaying, at best, of the socio-structural conditions of living for persons with lived experience of mental health difficulties may inadvertently reinforce a reductionist view of recovery as an atomised, individualised phenomenon. Motivated by those limitations in extant scholarship, a critical literature review was conducted to identify and critique relevant research to problematise the notion of personal recovery in the context of socio-structural disadvantage such as poverty, homelessness, discrimination and inequalities. The review illuminates the scarcity of empirical research and the paucity of sociologically-informed theorisation regarding how recovery is shaped by the socio-structural conditions of living. Those inadequacies are especially pertinent to homelessness research, whereby empirical investigations of personal recovery have remained few and undertheorised. The gaps in the research and theorising about the relational, contextual and socio-structural embeddedness of recovery are distilled. The critical review concludes that personal recovery has remained underresearched, underproblematised and undertheorised, especially in the context of homelessness and other forms of socio-structural disadvantage. Understanding how exclusionary social arrangements affect individuals’ recovery, and the coping strategies that they deploy to negotiate those, is likely to inform anti-oppressive interventions that could eventually remove the structural constraints to human emancipation and flourishing.

Recovery colleges: long-term impact and mechanisms of change

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Holly Thompson ◽  
Laura Simonds ◽  
Sylvie Barr ◽  
Sara Meddings
Keyword(s):  
Mental Health ◽  
Lived Experience ◽  
Positive Impact ◽  
Evidence Base ◽  
College Attendance ◽  
Personal Recovery ◽  
Structured Interviews ◽  
Content Type ◽  
Educational Paradigm ◽  
Long Term Impact

Purpose Recovery Colleges are an innovative approach which adopt an educational paradigm and use clinician and lived experience to support students with their personal recovery. They demonstrate recovery-orientated practice and their transformative role has been evidenced within mental health services. The purpose of this study is to explore how past students understand the influence of the Recovery College on their on-going recovery journey. Design/methodology/approach An exploratory, qualitative design was used and semi-structured interviews took place with 15 participants. Data was analysed using the “framework method” and inductive processes. Findings All participants discussed gains made following Recovery College attendance that were sustained at one year follow-up. Three themes emerged from the data: Ethos of recovery and equality; Springboard to opportunities; and Intrapersonal changes. Originality/value This research explores students’ experiences a year after attendance. This contrasts to most research which is completed immediately post course. This study contributes to the emergent evidence base highlighting the longitudinal positive impact of Recovery Colleges. This study is of value to those interested in recovery-oriented models within mental health. Recovery Colleges are gaining traction nationally and internationally and this research highlights processes underlying this intervention which is of importance to those developing new Recovery Colleges.

scholarly journals Qualitative systematic literature review: the experience of being in seclusion for adults with mental health difficulties

2017 ◽  
Vol 22 (1) ◽  
pp. 1-15 ◽  
Author(s):  
Amy Mellow ◽  
Anna Tickle ◽  
Michael Rennoldson
Keyword(s):  
Mental Health ◽  
Literature Review ◽  
Lived Experience ◽  
Systematic Literature Review ◽  
Data Extraction ◽  
Qualitative Assessment ◽  
Content Type ◽  
Mental Health Difficulties ◽  
Positive Experiences

Purpose The purpose of this paper is to conduct a systematic search of the peer-reviewed qualitative literature investigating the lived experience of seclusion for adults with mental health difficulties, to appraise the quality of the existing literature and synthesise findings. Background: seclusion is a controversial intervention for the short-term management of unsafe behaviours in inpatient mental health services. There has been some sporadic interest in service users’ experiences of this. Design/methodology/approach Systematic literature review and meta-synthesis: data sources – databases MEDLINE, EMBASE, CINAHL and PSYCINFO were searched in July 2015; review methods – the Joanna Briggs Institute’s Qualitative Assessment and Review Instrument tools for critical appraisal and data extraction were used to review papers and synthesise findings. Findings A small number of papers were found, which were of mixed quality. Originality/value The existing research is limited in both quantity and quality. Although most participants from the existing research described seclusion as mostly negative with the potential for causing iatrogenic harm, some described more positive experiences, often in the context of compassionate interactions with staff.

Socioeconomic status and primary health service use for mental health problems among immigrants with short and long lengths of stay

2016 ◽  
Vol 12 (2) ◽  
pp. 85-98 ◽  
Author(s):  
Melanie Lindsay Straiton ◽  
Anne Reneflot ◽  
Esperanza Diaz
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Services ◽  
Service Use ◽  
Mental Health Problems ◽  
Health Problems ◽  
Content Type ◽  
Care Services ◽  
Primary Health ◽  
The Relationship

Purpose – High socioeconomic status (SES) is associated with better health and lower use of health care services in the general population. Among immigrants, the relationship appears less consistent. The purpose of this paper is to determine if the relationship between income level (a proxy for SES) and use of primary health care services for mental health problems differs for natives and five immigrant groups in Norway. It also explores the moderating effect of length of stay (LoS) among immigrants. Design/methodology/approach – Using data from two registers with national-level coverage, logistic regression analyses with interactions were carried out to determine the association between income level and having used primary health care services for mental health problems. Findings – For Norwegian men and women there was a clear negative relationship between income and service use. Interaction analyses suggested that the relationship differed for all immigrant groups compared with Norwegians. When stratifying by LoS, income was not associated with service use among recently arrived immigrants but was negatively associated among immigrants staying more than two years (with the exception of Pakistani and Iraqi women). Research limitations/implications – Country of origin and LoS should be considered when applying measures of SES in immigrant health research. Social implications – There may be an initial transition period for recently arrived immigrants where competing factors mask the association between SES and service use. Originality/value – This study benefits from nationwide coverage, eliminating self-selection biases. It demonstrates the complexity of the relationship between SES and health care use.

scholarly journals Walking side-by-side: Recovery Colleges revolutionising mental health care

2018 ◽  
Vol 22 (1) ◽  
pp. 18-26 ◽  
Author(s):  
Joanne Sommer ◽  
Katherine Gill ◽  
Jane Stein-Parbury
Keyword(s):  
Mental Health ◽  
Lived Experience ◽  
Thematic Analysis ◽  
Evidence Base ◽  
Fundamental Aspect ◽  
Health Staff ◽  
Personal Recovery ◽  
Mental Health Staff ◽  
Content Type ◽  
Group Interviews

Purpose The Recovery College model is an innovative approach to providing education to consumers, carers and mental health staff, with the potential to facilitate both personal recovery gains and organisational transformation towards recovery-focused service provision. The purpose of this paper is to explore the experiences of students who attended the South Eastern Sydney Recovery College (SESRC). Design/methodology/approach An exploratory, descriptive qualitative design was employed with data collected through seven focus group interviews with consumers and mental health staff who had participated in courses run by the SESRC. Thematic analysis of the data was conducted using both deductive and inductive processes in order to interpret the data. Findings All participants were positive about their involvement in the RC. Four themes emerged from the thematic analysis: connection with others, hope for the future, the importance of the lived experience, and changing attitudes and systems. Originality/value The outcomes of this study indicate that the SESRC is achieving its aims in relation to both personal recovery gains, and the potential to impact on service transformation. It highlights the centrality of co-production as a fundamental aspect of the Recovery College model. This paper contributes to the emerging evidence base for this model and provides evidence that this model is applicable to the Australian context.

Religion, spirituality and personal recovery among forensic patients

2019 ◽  
Vol 21 (3) ◽  
pp. 190-200
Author(s):  
Emily Glorney ◽  
Sophie Raymont ◽  
Amy Lawson ◽  
Jessica Allen
Keyword(s):  
Mental Health ◽  
Interpretative Phenomenological Analysis ◽  
Recovery Process ◽  
Personal Meaning ◽  
Service Users ◽  
Religion And Spirituality ◽  
Personal Recovery ◽  
Structured Interviews ◽  
Hospital Data ◽  
Content Type

Purpose Religion and spirituality are well-researched concepts within the field of psychology and mental health yet they have rarely been researched in high-secure services within the UK. Research in mental health and prison contexts suggests benefits of religion/spirituality to coping, social support, self-worth, symptoms of depression and anxiety and behavioural infractions. The purpose of this paper is to investigate the role of religion/spirituality in high-secure service users’ personal recovery. Design/methodology/approach Semi-structured interviews were carried out with 13 male patients in a high-secure hospital, with primary diagnoses of mental illness (n=11) or personality disorder (n=2). Participants were from a range of religious/spiritual backgrounds and were asked about how their beliefs impact their recovery and care pathways within the hospital. Data were analysed using interpretative phenomenological analysis. Findings Three superordinate themes were identified: “religion and spirituality as providing a framework for recovery”; “religion and spirituality as offering key ingredients in the recovery process”; and “barriers to recovery through religion/spirituality”. The first two themes highlight some of the positive aspects that aid participants’ recovery. The third theme reported hindrances in participants’ religious/spiritual practices and beliefs. Each theme is discussed with reference to sub-themes and illustrative excerpts. Practical implications Religion/spirituality might support therapeutic engagement for some service users and staff could be more active in their enquiry of the value that patients place on the personal meaning of this for their life. Originality/value For the participants in this study, religion/spirituality supported the principles of recovery, in having an identity separate from illness or offender, promoting hope, agency and personal meaning.

An embodied distress: African asylum seekers’ experiences of mental health difficulties while awaiting an asylum outcome in Ireland

2020 ◽  
pp. 136346152096610
Author(s):  
Rebecca Murphy ◽  
Brian Keogh ◽  
Agnes Higgins
Keyword(s):  
Mental Health ◽  
Asylum Seekers ◽  
Health Care Services ◽  
Mental Distress ◽  
Narrative Form ◽  
Embodied Experience ◽  
Narrative Study ◽  
Care Services ◽  
Embodied Experiences ◽  
Mental Health Difficulties

The mental health of asylum seekers has attracted significant interest and examination. Quantitative studies have consistently indicated that asylum seekers experience mental distress at a higher rate than both host populations and their refugee counterparts. Qualitative insight into asylum seekers’ embodied experience of mental distress is limited. This qualitative narrative study aimed to explore African asylum seekers’ everyday embodied experiences of mental distress. Sixteen semi-structured one-to-one interviews were conducted with African asylum seekers who had experienced mental distress and were receiving mental health care services in Ireland. Narrative data were analysed using a holistic analysis framework of narrative form and content. Participants described their everyday endurance of relentless rumination, shame, self-loathing, anger, and mistrust, and of becoming demoralised and hopeless. Study findings indicate that asylum seekers’ mental distress interweaves the physical, psychological, emotional, and social realms, thus impacting on the whole of their being. Consequences for asylum seekers include feeling anaesthetised, having a severely diminished capacity to connect and interact with their external surroundings and other people, and, for some, efforts to end their life. Examinations of, and responses to, asylum seekers’ mental distress must delve beyond the confines of diagnostic categorisations and codifications of symptomology. To achieve heightened understanding and efficacious interventions, we must empathetically listen and engage with asylum seekers’ narratives of distress and the socio-cultural and socio-political context they inhabit.

Ohjauksen käsitteet mielenterveys- ja päihdetyössä – näkyykö asiakkaan osallisuus?

Kuntoutus ◽  
2021 ◽  
Vol 44 (2) ◽  
pp. 25-35
Author(s):  
Suvi Saarinen ◽  
Nina Kilkku
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Substance Abuse ◽  
Lived Experience ◽  
Health Care Services ◽  
Substance Abuse Services ◽  
Care Services ◽  
The Social ◽  
Client Involvement ◽  
Recovery Approach

Sosiaali- ja terveydenhuollon suunniteltujen uudistusten myötä asiakkaiden ja palveluiden ohjaus on noussut esiin yhtenä keskeisenä kehittämisen kohteena. Ohjauksen käsitteitä on useita, ja niiden käyttö vaihtelee kontekstin mukaan. Tässä tutkimuksessa mielenkiinnon kohteena oli erityisesti osallisuuden näkyminen ohjauksen eri käsitteissä ja niiden sisällöllisissä kuvauksissa. Osallisuus liittyy keskeisesti sosiaali- ja terveysalalla sekä asiakaslähtöisyyteen että mielenterveys- ja päihdetyössä yhtenä lähtökohtana olevaan toipumisorientaatioon. Tutkimuksen tarkoituksena oli selvittää, mitä ohjauskäsitteitä suomalaisissa mielenterveys- ja päihdetyötä koskevissa raporteissa on käytetty, mitkä ovat näitä käsitteitä kuvaavat tekstisisällöt ja mitkä näkökulmat näissä sisällöissä kuvastuvat. Tutkimus toteutettiin dokumenttianalyysina, ja aineisto analysoitiin sekä määrällisesti että laadullisesti. Analyysin tuloksena tunnistettiin kolme käytettyä ohjauksen käsitettä sekä kolme näkökulmaa, joista työntekijän näkökulma painottui eniten ja asiakkaan näkökulma vähiten. Tulosten perusteella voidaan todeta, että mielenterveys- ja päihdetyön alueella ohjauksen käsitteitä tulisi sekä sisällöllisesti kuvata tarkemmin että edelleen kehittää, jotta ne mahdollistavat asiakkaan osallisuuden. Tätä kehittämistyötä tulisi toipumisorientaation lähestymistavan mukaisesti tehdä yhdessä mielenterveys- ja päihdepalvelujen käyttäjien kanssa.  Abstract Concepts of guidance in the context of mental health and substance abuse care – is client involvement enabled?   Changes in the social and health care services as well as the development and utilization of the new technological methods in the everyday practice of the social and health care, have revealed a need to increase the competence of staff in different guidance activities. This need was recognized in several studies especially in the planning phase of the social and health care reform. In practice, several concepts are nowadays used when describing guidance. In the presented study the main interest was on the concepts used in the context of mental health and substance abuse care, in which the recovery approach with strong emphasis on client involvement is the main approach today. With the document analysis the aim was to describe which concepts of guidance have been used in the Finnish reports on mental health and substance abuse care, the content of these concept descriptions and the perspectives their present. Data was gathered with stepwise PRISMA process. As a result, three concepts describing the guidance were found and the most common perspective in these concepts was the employee’s perspective, two others being the client’s and service perspectives. Client perspective was the least described in the contents of these concepts, which indicates that the participation of the client is not made visible or well-supported in practice.  It should be noted that this study has certain limitations, but the results are suggesting a need to develop the concepts of guidance towards more client-inclusive descriptions. It is recommended to work together with people with lived experience on mental health and substance abuse problems in this development process. Keywords: guidance, involvement, mental health and substance abuse services, document analysis  

Recovery colleges in mental health-care services: an Australian feasibility and acceptability study

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Liza Hopkins ◽  
Andrew Foster ◽  
Sue Belmore ◽  
Shelley Anderson ◽  
Di Wiseman
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Service ◽  
Health Service ◽  
Mental Health Care ◽  
Health Care Services ◽  
Community Care ◽  
Health Care Service ◽  
Content Type ◽  
Care Services

Purpose This study aims to evaluate the feasibility and acceptability of establishing a recovery college in an Australian acute and community adult mental health service. Very little has been published on efforts to incorporate recovery colleges in inpatient settings other than forensic. This study offers an evaluation of feasibility and acceptability of this service model within a health-care setting. Design/methodology/approach Participant feedback and qualitative implementation data, from an acute mental health-care inpatient ward and adult community care were used. Participants were mental health service consumers and staff. The intervention involved a co-produced, co-designed, co-delivered and co-received educational opportunity for mental health consumers, carers, staff and the community. Findings Feedback from course participants indicates that learning objectives were met by the majority of participants, while stakeholders identified that establishing a recovery college within both the inpatient and community health-care service was feasible at a service level and broadly acceptable to consumers. Originality/value Establishing an adult recovery college in inpatient and community care is likely to be effective re-orientating mental health-care services as well as improving outcomes for consumers.

Assessing students’ mental health crisis skills via consumers with lived experience: a qualitative evaluation

2019 ◽  
Vol 14 (5) ◽  
pp. 361-371
Author(s):  
Claire L. O’Reilly ◽  
Rebekah J. Moles ◽  
Evelyn Boukouvalas ◽  
Sarira El-Den
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Focus Groups ◽  
Lived Experience ◽  
Structured Interview ◽  
Pharmacy Students ◽  
Simulated Patients ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Content Type

Purpose Suicide is a major cause of preventable mortality and primary healthcare professionals, including pharmacists, require appropriate training to communicate with and support people at risk of suicide. Mental Health First Aid (MHFA) training teaches participants how to communicate with and support people experiencing suicidal thoughts. The purpose of this paper is to use a novel MHFA assessment approach involving simulated role-plays enacted by people with a lived experience of mental illness and explore MHFA participants’ and simulated patients’ views of participating in simulated role-plays of mental health crises. Design/methodology/approach MHFA is embedded into the Sydney School of Pharmacy curriculum. Post-MHFA training, pharmacy students were randomly allocated to participate in or observe a simulated role-play of one of three suicide crisis scenarios, with a person with a lived experience of mental illness. Two purpose-designed, semi-structured interview guides were used to conduct student focus groups and interviews with simulated patients to explore their views. Focus groups and interviews were digitally recorded, transcribed verbatim and thematically content analysed using a constant comparison approach. Findings In total, 22 pharmacy students participated in two focus groups and three simulated patients participated in interviews. Five themes emerged including: the benefits of participating; the value of having a lived experience; challenges with suicide assessment; communication; and the value of immediate feedback and debrief. Originality/value Students and simulated patients both benefited from participating in the role-plays. Students valued practicing their MHFA skills post-training with simulated patients with lived experiences. This unique approach to post-training assessment provides an opportunity to practice skills realistically and authentically, in a safe, learning environment.

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