scholarly journals Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis

2011 ◽  
Vol 199 (6) ◽  
pp. 445-452 ◽  
Author(s):  
Mary Leamy ◽  
Victoria Bird ◽  
Clair Le Boutillier ◽  
Julie Williams ◽  
Mike Slade
Keyword(s):  
Systematic Review ◽  
Mental Illness ◽  
Conceptual Framework ◽  
Transtheoretical Model ◽  
Meaning In Life ◽  
Transtheoretical Model Of Change ◽  
Narrative Synthesis ◽  
Personal Recovery ◽  
Recovery Stage ◽  
Recovery Processes

BackgroundNo systematic review and narrative synthesis on personal recovery in mental illness has been undertaken.AimsTo synthesise published descriptions and models of personal recovery into an empirically based conceptual framework.MethodSystematic review and modified narrative synthesis.ResultsOut of 5208 papers that were identified and 366 that were reviewed, a total of 97 papers were included in this review. The emergent conceptual framework consists of: (a) 13 characteristics of the recovery journey; (b) five recovery processes comprising: connectedness; hope and optimism about the future; identity; meaning in life; and empowerment (giving the acronym CHIME); and (c) recovery stage descriptions which mapped onto the transtheoretical model of change. Studies that focused on recovery for individuals of Black and minority ethnic (BME) origin showed a greater emphasis on spirituality and stigma and also identified two additional themes: culturally specific facilitating factors and collectivist notions of recovery.ConclusionsThe conceptual framework is a theoretically defensible and robust synthesis of people's experiences of recovery in mental illness. This provides an empirical basis for future recovery-oriented research and practice.

scholarly journals Conceptual framework for personal recovery in mental health among children and adolescents: a systematic review and narrative synthesis protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e029300 ◽  
Author(s):  
Anna Ballesteros-Urpi ◽  
Mike Slade ◽  
David Manley ◽  
Hector Pardo-Hernandez
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Conceptual Framework ◽  
Children And Adolescents ◽  
Grey Literature ◽  
Health Conditions ◽  
Narrative Synthesis ◽  
Personal Recovery ◽  
Systematic Review Methodology ◽  
Mental Health Conditions

IntroductionPersonal recovery has been defined as ‘a profound personal and unique process for the individual to change their attitudes, values, feelings, goals, abilities and roles in order to achieve a satisfactory, hopeful and productive way of life, with the possible limitations of the illness’. However, research on personal recovery has focused almost exclusively on adults. This project aims to systematically review the available literature on definitions of personal recovery among children and adolescents with mental health conditions and to undertake a narrative synthesis to develop a conceptual framework of recovery.Methods and analysisSystematic review and narrative synthesis consisting (1) searching scientific literature databases, (2) handsearching, (3) citation tracking, (4) grey literature searching, (5) web-based searching and expert consultation. We will include qualitative and quantitative studies or systematic reviews providing a definition, theoretical or conceptual framework, domains or dimensions of personal recovery among eligible participants. The study will follow standard systematic review methodology for study selection and data extraction. We will assess quality of the evidence using tools appropriate for each study design. We will develop a new conceptual framework using a modified narrative synthesis approach, as follows: (1) describing eligible studies and conducting a preliminary synthesis, (2) determining relationships within and between studies and (3) determining the robustness of the synthesis.Ethics and disseminationWe obtained a waiver of approval from our local Research Ethics Committee. Results will be disseminated via publications in international peer-reviewed journals and conference proceedings.This study will result in a theoretical framework that is based on an exhaustive review of the literature and the input of experts in the field of recovery. We expect that this framework will foster a better understanding of the stages and processes of recovery in children and adolescents with mental health conditions.PROSPERO registration numberCRD42018064087.

scholarly journals Non-pharmacological interventions for reducing aggression and violence in serious mental illness: A systematic review and narrative synthesis

2016 ◽  
Vol 34 ◽  
pp. 17-28 ◽  
Author(s):  
J Rampling ◽  
V Furtado ◽  
C Winsper ◽  
S Marwaha ◽  
G Lucca ◽  
...  
Keyword(s):  
Systematic Review ◽  
Mental Illness ◽  
Serious Mental Illness ◽  
Thinking Skills ◽  
Evidence Base ◽  
Primary Diagnosis ◽  
Narrative Synthesis ◽  
Mentally Disordered Offenders ◽  
Pharmacological Interventions ◽  
Manual Search

AbstractBackgroundFor people with mental illness that are violent, a range of interventions have been adopted with the aim of reducing violence outcomes. Many of these interventions have been borrowed from other (offender) populations and their evidence base in a Serious Mental Illness (SMI) population is uncertain.AimsTo aggregate the evidence base for non-pharmacological interventions in reducing violence amongst adults with SMI and PD (Personality Disorder), and to assess the efficacy of these interventions. We chose to focus on distinct interventions rather than on holistic service models where any element responsible for therapeutic change would be difficult to isolate.MethodsWe performed a systematic review and narrative synthesis of non-pharmacological interventions intended to reduce violence in a SMI population and in patients with a primary diagnosis of PD. Five online databases were searched alongside a manual search of seven relevant journals, and expert opinion was sourced. Eligibility of all returned articles was independently assessed by two authors, and quality of studies was appraised via the Cochrane Collaboration Tool for Assessing Risk of Bias.ResultsWe included 23 studies of diverse psychological and practical interventions, with a range of experimental and quasi-experimental study designs that included 7 Randomised Controlled Trials (RCTs). The majority were studies of Mentally Disordered Offenders. The stronger evidence existed for patients with a SMI diagnosis receiving Cognitive Behavioural Therapy or modified Reasoning & Rehabilitation (R&R). For patients with a primary diagnosis of PD, a modified version of R&R appeared tolerable and Enhanced Thinking Skills showed some promise in improving attitudes over the short-term, but studies of Dialectical Behaviour Therapy in this population were compromised by high risk of experimental bias. Little evidence could be found for non-pharmacological, non-psychological interventions.ConclusionsThe evidence for non-pharmacological interventions for reducing violence in this population is not conclusive. Long-term outcomes are lacking and good quality RCTs are required to develop a stronger evidence base.

scholarly journals Conceptual framework for social connectedness in mental disorders: Systematic review and narrative synthesis

2019 ◽  
Vol 245 ◽  
pp. 188-199 ◽  
Author(s):  
Laurie Hare-Duke ◽  
Tom Dening ◽  
Déborah de Oliveira ◽  
Katja Milner ◽  
Mike Slade
Keyword(s):  
Systematic Review ◽  
Mental Disorders ◽  
Conceptual Framework ◽  
Social Connectedness ◽  
Narrative Synthesis

scholarly journals The use of pasung for people with mental illness: a systematic review and narrative synthesis

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Muhamad Taufik Hidayat ◽  
Sharon Lawn ◽  
Eimear Muir-Cochrane ◽  
Candice Oster
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Illness ◽  
Community Mental Health ◽  
Community Mental Health Services ◽  
Rehabilitation Program ◽  
Narrative Synthesis ◽  
Community Based ◽  
Cross Sectional ◽  
People With Mental Illness

Abstract Background Pasung is the term used in Indonesia and a number of other countries for seclusion and restraint of people with mental illness in the community, usually at home by their family. While pasung has been banned because it is contrary to human rights, its practice continues to exist within the community, particularly where community mental health services are limited, and in the absence of adequate social support, and pervasive negatives beliefs about mental illness. It is essential to understand the reasons for the ongoing use of pasung and to examine potential solutions. Methods A systematic review and narrative synthesis of peer-reviewed international literature was conducted to identify the socio-cultural contexts for pasung use, and interventions to address it. The analysis draws on the socio-ecological framework, which focused on relationships between the individual and their environment. Result Fifty published articles were included in the review; all studies were conducted in Asia and Africa, with 32 undertaken in Indonesia. Most studies were qualitative (n = 21). Others included one case–control study, one cross-sectional study, and seven surveys; only four studies examined the application of an intervention, and each used a pre and post methodology. Of these, two studies tested psychoeducational interventions which aimed to overcome family burden due to pasung, and each suggested a community mental health approach. The remaining two studies evaluated the intervention of ‘unlocking’; one study used a community-based culturally sensitive approach, and the other used a community-based rehabilitation program. Reasons for pasung given by family appear to be as a last resort and in the absence of other supports to help them care for the person with severe mental illness. Conclusion The findings highlight that a mixture of individual, interpersonal, community and policy interventions are needed to reduce the use of pasung. While consumer and carer involvement as part of a socio-ecological approach is understood to be effective in reducing pasung, an understanding of how to elaborate this in the management of pasung remains elusive. Review Registration CRD42020157543: CRD

Frailty and severe mental illness: A systematic review and narrative synthesis

2022 ◽  
Author(s):  
Ella Pearson ◽  
Dan Siskind ◽  
Ruth E. Hubbard ◽  
Emily H. Gordon ◽  
Elizabeth Coulson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Narrative Synthesis

The Process of Acceptance of Mental Illness

2016 ◽  
pp. 66-89
Author(s):  
Lauren Mizock ◽  
Zlatka Russinova
Keyword(s):  
Mental Illness ◽  
Mental Health Treatment ◽  
Recovery Process ◽  
Personal Recovery ◽  
Recovery Processes ◽  
Diagnostic Labels ◽  
Clinical Strategies ◽  
Research Interviews ◽  
Relationship Of ◽  
The Relationship

In this chapter, findings related to the process of acceptance of mental illness are presented using excerpts from research interviews with individuals with serious mental illness. Acceptance is located within the sequence of stages of the recovery process. Facets of the acceptance process are reviewed, especially with regards to acceptance of a diagnosis, acceptance of the need for mental health treatment, and acknowledgment and acceptance of associated losses and limitations. The stigma attached to diagnostic labels is also discussed. The close of the chapter includes a clinical strategies list, discussion questions, activities, the “Personal Recovery Processes Worksheet,” and a diagram of the relationship of acceptance to other components of personal recovery.

Acceptance and the Recovery Paradigm in Mental Health Care

2016 ◽  
pp. 17-36
Author(s):  
Lauren Mizock ◽  
Zlatka Russinova
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Mental Health Care ◽  
Serious Mental Illness ◽  
Well Being ◽  
Personal Recovery ◽  
Recovery Processes ◽  
Recovery Movement ◽  
Mental Illness Treatment

Chapter 2 offers an overview of the recovery movement in the provision of mental health care for serious mental illness. Within the recovery movement in mental illness treatment, recovery is understood as a process of living a satisfying life of well-being and autonomy, as opposed to mere symptom elimination. Early theory of the recovery paradigm is outlined, highlighting the process of acceptance of serious mental illness within this model. Applications of the recovery paradigm to mental health care are discussed, as well as the various types of recovery from a serious mental illness. Acceptance is examined as the neglected paradox of recovery. Other parts of the chapter include discussion questions, activities, the “Personal Recovery Processes Worksheet,” and diagrams.

scholarly journals End-of-life care and place of death in adults with serious mental illness: A systematic review and narrative synthesis

2019 ◽  
Vol 34 (1) ◽  
pp. 49-68 ◽  
Author(s):  
Rebecca Wilson ◽  
Nilay Hepgul ◽  
Irene J Higginson ◽  
Wei Gao
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Mental Illness ◽  
General Population ◽  
End Of Life ◽  
Serious Mental Illness ◽  
End Of Life Care ◽  
Place Of Death ◽  
Narrative Synthesis ◽  
Life Care

Background: People with serious mental illness have greater mortality risk than the general population. They experience health care inequalities throughout life; it is not clear if this persists to end of life. Aim: Assess the empirical evidence describing end-of-life care and place of death for people with serious mental illness. Design: A systematic review of original, peer-reviewed research, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Data were analysed using a narrative synthesis approach. Data sources: Five online databases (Embase, PsycArticles, PsycINFO, Medline, PubMed) and additional sources were searched (without time restriction) for primary research reporting health care utilisation in the last year of life or place of death in adults with serious mental illness. Results: After full-text screening, 23 studies were included. We found studies reporting hospital admissions, emergency department care, palliative care, and general practitioner (GP) visits at end of life. We found conflicting evidence for the association between serious mental illness and end-of-life care, although different patient groups, settings and measures were used across studies. People with serious mental illness were more likely to die in care homes than the general population. There were no patterns for other places of death. Conclusions: The evidence was sparse and heterogeneous, demonstrating variability in patterns and reporting of health care use and with little consensus on where people with serious mental illness are likely to die. Given that people with serious mental illness have increased mortality risk, this gap in the knowledge around end-of-life care outcomes is concerning; this area of research needs further development.

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