Kliknij ten link, aby zobaczyć inne rodzaje publikacji na ten temat: Mental recovery.
Rozprawy doktorskie na temat „Mental recovery”
Utwórz poprawne odniesienie w stylach APA, MLA, Chicago, Harvard i wielu innych
Sprawdź 50 najlepszych rozpraw doktorskich naukowych na temat „Mental recovery”.
Przycisk „Dodaj do bibliografii” jest dostępny obok każdej pracy w bibliografii. Użyj go – a my automatycznie utworzymy odniesienie bibliograficzne do wybranej pracy w stylu cytowania, którego potrzebujesz: APA, MLA, Harvard, Chicago, Vancouver itp.
Możesz również pobrać pełny tekst publikacji naukowej w formacie „.pdf” i przeczytać adnotację do pracy online, jeśli odpowiednie parametry są dostępne w metadanych.
Przeglądaj rozprawy doktorskie z różnych dziedzin i twórz odpowiednie bibliografie.
1
Dey, Josephine M. "Mental patients constructions of recovery /." Title page, contents and forward only, 1985. http://web4.library.adelaide.edu.au/theses/09P/09pd528.pdf.
Pełny tekst źródła
2
Andresen, Retta. "The experience of recovery from schizophrenia development of a definition, model and measure of recovery /." Access electronically, 2007. http://www.library.uow.edu.au/adt-NWU/public/adt-NWU20080703.161126/index.html.
Pełny tekst źródła
3
Harvey, Megan E. "Mental Health Service Provider Knowledge, Attitudes and Competencies Regarding Recovery From Serious Mental Illness." University of Cincinnati / OhioLINK, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1147840868.
Pełny tekst źródła
4
Bibby, Paul. "Experiences of recovery in mental illness." Thesis, University of Edinburgh, 2009. http://hdl.handle.net/1842/4104.
Pełny tekst źródłaStreszczenie:
Introduction In recent years the concept of ‘recovery’ has become increasingly prevalent in both government and health service policy, and in the terminology used by mental health service users. The current study examines the experiences of recovery as described by service users living in a rural / semi-rural population. This is in contrast to the majority of similar studies, which have tended to focus on urban centres where population characteristics, and the services available to service users, differ in many ways. As such, the aim of the current study was to add to the growing theory regarding what constitutes recovery from the viewpoint of service users living in a relatively remote area of the UK. Methodology Eight adult participants, all of whom defined themselves as either recovering or having recovered from significant mental health problems, were interviewed about their experiences using a semi-structured interview. Interviews were audio-recorded, transcribed and analysed for emerging themes using a social constructionist version of Grounded Theory. Data Analysis & Discussion Analysis revealed a consistent set of themes emerging from the participant interviews. These are encapsulated in the concept of reflection and integration, and the dynamic nature of these phenomena over time. Participants made reference to the nature of their problems and the impact they had on relationships, the treatment they had sought and received, and the effects of their experiences on their notions of themselves as individuals. Conclusions The findings of the current study are discussed in the light of existing relevant literature and in relation to current policy initiatives. Comparisons to the emerging theory regarding recovery are drawn, and distinctions made between the existing theory and the findings which appear to be particularly pertinent to the sample population. Suggestions for clinical applications are made. Limitations of the study are also addressed, and areas for potential further research are outlined.
5
Murphy, K. "Recovery-orientation in mental health services." Thesis, Canterbury Christ Church University, 2012. http://create.canterbury.ac.uk/11184/.
Pełny tekst źródłaStreszczenie:
Policy initiatives are calling for mental health services to change their ways of working to prioritising the promotion of service users’ personal recovery. This requires a major re-negotiation of working practices and the relationship between service users and staff/services and their respective social positions. Preliminary research has shown that change has been problematic. The present study aimed to explore the construction of recovery and the positioning of service users and staff during the adoption of recovery-oriented practices in a community support and recovery team. Transcripts of two rounds of focus groups with service users (n=9) and staff (n=5) held six months apart, service user care plans and Recovery Star notes were analysed using a Foucauldian Discourse Analysis. The study found that recovery was constructed as clinical/medical and personal recovery, at different times and in tension with each other. These constructions positioned service users as dependent, passive and hopeless or empowered and hopeful, and staff as helpless or facilitative. It was also apparent that a discourse of personal recovery was not available to service users. Staff oscillated between the constructions of recovery as medical and personal resulting in different subject positions and opportunities for action. The study concluded that adopting a recovery-orientation in services should lead to service users being positioned as more influential in decisions about their treatment and modes of support from the service, and services less likely to dictate their treatment. However, this can only happen if the recovery-orientation constitutes a widely shared discourse with all its assumptions and associated practices. The problematic aspects of the medical discourse and how it can position people socially and how those positions impact on the potential for personal recovery needs to be highlighted.
6
Jackson-Blott, Kim. "Recovery in mental health : multiple perspectives." Thesis, Cardiff University, 2018. http://orca.cf.ac.uk/114445/.
Pełny tekst źródłaStreszczenie:
Recovery has become a guiding principle for mental health service delivery. This thesis aimed to address gaps in the recovery literature and is presented as three papers: (1) a systematic literature review, (2) an empirical study and (3) a critical reflection. The systematic literature review used narrative synthesis methodology to explore and consolidate the quantitative literature regarding recovery-oriented training programmes for mental health professionals. Sixteen studies of variable methodological quality were included. The heterogeneity among study designs and training programmes limited the conclusions that could be drawn. Recovery training appeared somewhat effective in improving recovery-oriented outcomes for mental health professionals, however the evidence regarding service-user and service-level outcomes was inconclusive. The review concludes that staff recovery training may have limited capacity to influence clinical practice if implemented in isolation. Key implications for clinical practice and future research are identified. The empirical study used Q methodology to explore staff and service-users’ views on factors deemed important to recovery from psychosis in a forensic setting. Four distinct perspectives were identified: (1) Personal growth and psychosocial aspects of recovery, (2) Gaining insight and reducing recidivism, (3) Self-focused aspects of recovery, and (4) Making amends and service engagement. The heterogeneity of recovery beliefs indicated that multiple dimensions of recovery are important within clinical practice, however the bio-medical model of care appeared most prominent. Notions of ‘personal recovery’ (aligning with the recovery movement) were most strongly expressed in factor 1, which was not endorsed by psychiatrists or service-user participants. The findings highlight important considerations for clinical practice and future research. The final paper includes a critical reflection on the research process. This entails an appraisal of the decision-making processes and of the research conducted. Consideration is also given to the thesis as a whole with reference to its strengths, limitations and implications.
7
O'Rourke, Michael. "The Role of the Wellness Management and Recovery (WMR) Program in Promoting Mental Health Recovery." Connect to full text in OhioLINK ETD Center, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1244751085.
Pełny tekst źródła
8
Adame, Alexandra Lynne. "Recovered voices, recovered lives a narrative analysis of psychiatric survivors' experiences of recovery /." Oxford, Ohio : Miami University, 2006. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=miami1152813614.
Pełny tekst źródła
9
Quenneville, Brenda. "Walking Recovery Talk : Mental Health Organizational Change." Thesis, Laurentian University of Sudbury, 2014. https://zone.biblio.laurentian.ca/dspace/handle/10219/2180.
Pełny tekst źródłaStreszczenie:
The full experience of mental illness cannot be described in isolation from the context in which one lives, yet the internal physical manifestation of symptoms has been the focus of treatment in western cultures. The “recovery” paradigm is emerging as best-practice philosophy for mental health practice and represents a significant departure from existing standards thereby challenging mental health organizations to re-negotiate their relationship with the dominant bio-medical model. Despite the growing acceptance of recovery philosophy, literature exploring large-scale recovery-oriented organizational change is sparse. The purpose of this research was twofold; 1) to outline the steps taken by change agents within an organization embarking on recovery organizational change, and 2) to understand the experience, including successes and challenges associated with change. The qualitative data obtained from interviewing seventeen participants revealed the impact of organizational contextual factors, leadership and communication on recovery organizational change. Further, the data exposed the complexity of challenging preconceptions and practice when trying to adopt recovery approaches. The findings may guide other community based mental health organizations in their recovery journey.
10
Carless, David. "Mental health and physical activity in recovery." Thesis, University of Bristol, 2003. http://hdl.handle.net/1983/261d3734-2195-480d-aef8-64dde3fed29e.
Pełny tekst źródła
11
Farrell, Kathleen M. "SELF-STIGMATIZATION AND RECOVERY FROM MENTAL ILLNESS." University of Cincinnati / OhioLINK, 2001. http://rave.ohiolink.edu/etdc/view?acc_num=ucin984583293.
Pełny tekst źródła
12
Le, Boutillier Clair. "Mental health staff perspectives on supporting recovery." Thesis, King's College London (University of London), 2017. https://kclpure.kcl.ac.uk/portal/en/theses/mental-health-staff-perspectives-on-supporting-recovery(46c5d4eb-05c2-4219-968d-e23c157e40ef).html.
Pełny tekst źródłaStreszczenie:
Background: Recovery has come to mean living a life beyond mental illness, and mental health services are encouraged to consider their role in supporting recovery. Staff perspectives are central to understanding how recovery support can be adopted in mental health care, because staff provide front-line services and are the vehicle bridging the gap between policy rhetoric and clinical practice. Aims: To explore staff perspectives on supporting recovery and to identify factors that help or hinder their efforts to provide support for recovery. Methods: A thematic analysis of 30 international documents offering recovery-orientated practice guidance was conducted. Ten focus groups were then conducted with multidisciplinary clinicians (n=34) and team leaders (n=31) from five NHS Mental Health Trusts across England, followed by individual interviews with clinicians (n=18), team leaders (n=6) and senior managers (n=8) using grounded theory methodology. A systematic review and narrative synthesis of empirical studies (n=22) identifying clinician and manager conceptualisations of recovery-orientated practice was then conducted. Results: The synthesis of existing practice guidance identified four practice domains of recovery support: Promoting Citizenship, Organisational Commitment, Supporting Personally Defined Recovery, and Working Relationship. The grounded theory identified a core category of Competing Priorities, with subcategories Health Process Priorities, Business Priorities and Staff Role Perception. The contextualising systematic review identified three conceptualisations of recovery support: Clinical Recovery, Personal Recovery and Service-defined Recovery. Conclusions: The conceptual framework of recovery-orientated practice contributes to the understanding of recovery-orientation. Competing priorities influence how recovery-orientated practice is understood and supported by staff. Service-defined recovery is a new and un-researched influence in mental health systems. The impact of service-led approaches to operationalising recovery in practice has not been evaluated.
13
Leonard, Lucy. "Metacognition and recovery style in psychosis." Thesis, Canterbury Christ Church University, 2011. http://create.canterbury.ac.uk/10324/.
Pełny tekst źródłaStreszczenie:
Section A reviews the literature which has investigated variables found to relate to recovery style in individuals with psychosis. Studies exploring the attachment, self-esteem, depression and executive functioning are evaluated and conclusions drawn. Section B reports the findings of an empirical study investigating the relationship between metacognition, recovery style, anxiety and depression in a community sample of individuals with psychosis. Objective; Research has shown that individuals with psychosis will either integrate their experience of psychosis or seal the experience over. Little is known about what leads to these different styles of recovery but poor attachment, depression, low self-esteem and poor executive functioning have been linked to a sealing-over style. This study hypothesised that sealing is linked to unhealthy metacognitive beliefs and also to higher levels of anxiety and depression. Method; Forty-three participants with a diagnosis of psychosis were recruited. They completed the Metacognitions Questionnaire-30, Recovery Style Questionnaire and the Hospital Anxiety and Depression Scale. Results; Correlational analysis revealed that only one facet of metacognition linked to sealing over; this being positive beliefs about worry and this was maintained when the effects of anxiety and depression were accounted for. Contrary to the hypothesis, recovery style did not correlate with anxiety or depression but unhealthy metacognition was linked to both anxiety and depression. Conclusions; The findings of this study suggest that a sealing-over recovery style may be linked to one specific area of metacognitive dysfunction. They also cast doubt on previous theories which link low mood to a sealing-over style. Limitations of this study include its cross-sectional design. Future research which expands on these findings is encouraged and longitudinal research is particularly called for. Section C provides a critical evaluation of the project, answering four questions regarding what the author has learnt from the study, what might have been done differently, how the study might affect the author‟s clinical work in future and possible future research directions.
14
Topor, Alain. "Managing the contradictions : Recovery from severe mental disorders." Doctoral thesis, Stockholms universitet, Institutionen för socialt arbete - Socialhögskolan, 2001. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-37506.
Pełny tekst źródłaStreszczenie:
One of the assumptions made when mental problems are defined as a medical problem is that certain problems, certain diagnoses, are chronic. Nevertheless, a substantial number of follow-up studies have shown that the course of development in patients with these diagnoses is neither uniform nor chronic. The aim of this dissertation is to summarise the state of the art in the knowledge about recovery from severe mental disorders and to examine in depth which factors people who have recovered regard as having helped them in their recovery, and in which ways. These two aims have resulted in two separate but complementary presentations of results. The review of the state of the art, which focuses on the diagnosis schizophrenia, shows that some two-thirds of the patients who received this diagnosis have recovered, either totally or socially. The variation in the percentage of persons who have recovered is explained in the study by such factors as fluctuations in national and local unemployment rates, in definitions of the diagnoses and in access to psychiatric care. On the other hand, the introduction of various treatment interventions seems to have had no noticeable effect on the recovery rate, although it has affected the relapse frequency. There is still a long way to go towards understanding the recovery process and how it can be facilitated. The interview study with persons who have been treated for severe mental disorders and recovered show the patients themselves to be a crucial factor in their own recovery. Throughout the whole course of the disorder, they struggle to find ways to manage both their symptoms and the factors that cause them. What appears to others as symptoms might instead be theperson’s unsuccessful attempts to manage existential problems. Entering into and maintaining relationships with other people is another crucial factor in recovery work. Professionals from a variety of backgrounds as well as family members and other laypersons can contribute to recovery, first and foremost in that they represent continuity between diverse facets of the person’s life; they engage with the person in his/her full complexity, not as someone reduced to a diagnosis and a given patient role, nor by denying the fact of the person’s suffering. Still another factor in recovery work is material conditions which impact on the person’s possibility to regain an identity as a full member of the community. Lastly, the descriptions that the respondents give of their recovery practice have certain constructed meanings in common. These meanings can be categorised as medical, therapeutic, spiritual and interactional. In many of the life stories collected in this study, several of these categories of meaning appear in unison, co-existing in one and the same life story. There is a recurrent theme running through these practice stories of recovery: that people in their everyday lives are not reducible to their problems, but at the same time these problems must not be denied. That people have both weaknesses and strengths, sometimes existing within the same spheres of life and occurring simultaneously; but that in relationships with other people they are given scope to manage and live with these contradictions is of central importance for recovery practice.
15
Sutherland, Sophie. "Forensic mental health service users' narratives of recovery." Thesis, Staffordshire University, 2018. http://eprints.staffs.ac.uk/4904/.
Pełny tekst źródłaStreszczenie:
This thesis aims to explore the recovery experiences of forensic mental health service users. In doing so, it seeks to add to the small but growing field of literature exploring the application of recovery principles in forensic settings. Paper one is a review of the current literature, synthesising the recovery experiences and perceptions of forensic mental health service users. A total of 10 papers were included in the thematic review. Five themes were identified; hope; connecting with others; meaningful occupation, roles and identity; the powerful environment of the hospital; and coming to terms with the past and diagnosis. Paper two is an empirical paper which explores the recovery stories of five male participants who had been detained in a low secure forensic service and discharged into the community. A narrative analysis reveals the shared personal, community and dominant cultural recovery narratives. Counterstories were also identified. The findings are discussed in relation to the clinical implications, in particular how to work within a cultural narrative of openness about mental illness stories, but secrecy around offending narratives. Further research implications are also discussed. Paper three is an executive summary which seeks to provide an accessible summary of the empirical research paper. This provides an overview of the research, highlighting the key points and salient information in terms of clinical implications for service delivery in a forensic context.
16
Emrich, Laura. "Recovery from psychosis : a mental health inpatient perspective." Thesis, University of Essex, 2018. http://repository.essex.ac.uk/22808/.
Pełny tekst źródłaStreszczenie:
Background: Within the recovery literature there has been a drive towards obtaining service users' conceptualisations of recovery as opposed to medicalised conceptualisations, in order to inform service provision. The focus remains on community populations who have described recovery from psychosis as a journey involving rebuilding the self, finding hope, and reclaiming a purpose in life. There is limited literature conceptualising recovery from psychosis for those accessing MHI services. Aims: To gain a deeper understanding of MHIs' lived experiences of recovery from psychosis and to conceptualise recovery from psychosis through MHIs' descriptions. Methodology: In-depth semi-structured interviews were conducted with MHIs and analysed via interpretative phenomenological analysis (IPA). Results: Five superordinate themes and accompanying subordinate themes emerged. The superordinate themes developed were: "My future is just being ripped out in front of me": Living with psychosis is a struggle; "Would you want to be in here?": Traumatic experience of being in hospital; "I know roughly why I got ill anyway and what caused this": A journey towards reaching an understanding; Recovery/Rehabilitation/Recuperation: A process of evolution; and "You need all the help you can get": Facilitators of Recovery. Living with psychosis is a struggle reflects the struggles experienced which appeared to hinder recovery. The experience of hospitalisation was described as traumatic and was seen by many as preventing recovery. Recovery was described as an evolutionary process involving reaching an understanding about individual experiences. Facilitators of recovery were identified. Conclusions: This study highlighted that for the participants interviewed, MHI settings are not settings where everyone can be in recovery or approaching recovery however the concept of recovery is viewed. For some participants recovery appeared to be an 'empty signifier' that is meaningless and is a word used by services that does not necessarily correspond with some of their experiences of MHI settings.
17
Thompson, Riki. "Virtual recovery : governing mental health and self-improvement online /." Thesis, Connect to this title online; UW restricted, 2007. http://hdl.handle.net/1773/9419.
Pełny tekst źródła
18
Eriksson, Emma, and Elin Nermark. "Elitidrottares mentala återhämtning : Elitidrottares upplevelser och erfarenheter av mental återhämtning." Thesis, Karlstads universitet, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-84770.
Pełny tekst źródłaStreszczenie:
Att vila fysiskt är för många en självklarhet, däremot pratas det sällan om den mentala återhämtningen. Båda är viktiga och har stor påverkan på prestation och hälsa. I den här studien är syftet att undersöka elitidrottares upplevelser och erfarenheter av mental återhämtning. För att ta reda på detta har vi genomfört kvalitativa intervjuer. På vilket sätt respondenterna får återhämtning, hur de påverkas av frånvaro av mental återhämtning och om dessa idrottare upplever ett samband mellan frånvaron av mental återhämtning och psykisk ohälsa presenteras i resultatet. När vi analyserade resultaten av intervjuerna gjorde vi innehållsanalyser. Vi kom fram till att samtliga får återhämtning genom att tänka på annat än idrotten och genom att utöva aktiviteter som är roliga. Vid frånvaro av mental återhämtning upplevde majoriteten en försämrad prestation och att hälsan påverkades negativt. Respondenterna beskrev ett samband mellan psykisk ohälsa och frånvaro av mental återhämtning. Det finns relativt lite forskning inom detta område, däremot stämde resultaten med tidigare forskning som idag finns tillgänglig.<br>To many people, resting physically is a matter of course, however, mental recovery is rarely talked about. Both are important and have major impact on performance and health. In this study, the aim is to investigate athletes experiences of mental recovery. In order to find out, we have conducted qualitative interviews. In what way the respondents receive recovery, how they are affected by the absence of mental recovery and if these athletes experience a connection between the absence of mental recovery and mental illness is presented in the results. When we analyzed the results of the interviews, we used content analyses. We concluded that all respondents receive recovery by thinking about other things than sport and by doing activities that are fun. In the absence of mental recovery, the majority experienced a deterioration in performance and a negative impact on health. The respondents described a link between mental illness and the absence of mental recovery. There is limited research in this area, but the results were consistent with previous research available today.
19
Madders, S. "A discourse analysis of recovery stories." Thesis, University of Essex, 2018. http://repository.essex.ac.uk/22410/.
Pełny tekst źródłaStreszczenie:
Following a rise in people 'speaking out' about their recovery and thus challenging traditional psychiatric ideas of chronicity, the recovery approach has become a central guiding vision within mental health services. This thesis comprises two parts. The first part applies a genealogical method to conduct a genealogical analysis of the recovery approach through exploration of UK policy within the last decade. This explores the conditions of possibility for its emergence in UK policy and mental health services and its growth. In the second part, a Foucauldian discourse analysis is used to analyse stories of recovery. Recovery stories are collected from organisational websites in the third sector and public sector. Subject positioning and power/knowledge implications are discussed in light of eleven discursive constructions: personal interpretation, person al responsibility, socioeconomic opportunity, self - management, an ongoing process, expertise and sharing stories, professional embodiment, fulfilment through work, living well without work, acceptance of illness and acceptance by others. These 'personal' testimonies might reflect wider discourses in the mental health system. The research shows the powerful interests at play under the discourse of recovery, and the promotion of particular 'truths' that this brings with it. Counter to this are smaller sites of resistance. Implications are discussed for clinical practice and further research.
20
YANGARBER-HICKS, NATALIA ISAACOVNA. "RELIGIOUS COPING STYLES AND RECOVERY FROM SERIOUS MENTAL ILLNESS." University of Cincinnati / OhioLINK, 2002. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1021898649.
Pełny tekst źródła
21
Barbic, Skye. "The effectiveness of the recovery workbook as a psychoeducation intervention for facilitating recovery in persons with serious mental illness." Thesis, Kingston, Ont. : [s.n.], 2007. http://hdl.handle.net/1974/491.
Pełny tekst źródła
22
Henderson, Anthony Roy. "Consumer perspectives of recovery from the effects of a severe mental illness : a grounded theory study." University of Western Australia. School of Psychiatry and Clinical Neurosciences, 2007. http://theses.library.uwa.edu.au/adt-WU2007.0220.
Pełny tekst źródłaStreszczenie:
Interest in the ability of people to recover from a severe mental illness has a long history. During the 1980s, however, there was a paradigm shift away research driven by clinicians immersed in the quantitative, objective microcosm of anatomy and physiology towards understanding recovery from a consumer perspective. Even so the experiences of consumers has remained relatively unexplored, with the lion's share of research emanating from the United States of America. At the time of writing the proposal for this study in 2000, there was not even one Australian study of a mental health consumer perspective of recovery from severe mental illness reported in the literature. The principal aim of conducting this research was to address this need. The author, therefore, undertook this grounded theory study to: (a) explore what recovery from the effects of a severe mental illness meant to the consumers in Western Australia; (b) identify what consumers of mental health services in Western Australia wanted in their lives; and thus (c) develop a substantive theory of recovery. Fifteen participants diagnosed with either an affective disorder or schizophrenia were each interviewed and the resultant data were analysed using the constant comparative method. Comparative analysis is a long-held method of analysing data in sociology. Analysis is achieved by asking questions such as what, when, where, how, of the data and comparing similarities and differences with the various concepts within and across sets of data. The findings revealed that the basic social psychological problem (BSPP) for participants was LOSS. In order to address this problem, participants engaged in the basic social process (BSP) of OVERCOMING LOSS. The BSP is a title given to the central theme that emerges from the data and illustrates that a social process occurs overtime. The BSP emerged as a process comprising three phases: First Recuperation, second Moving Forward and third Getting Back. The analysis further revealed that the participants viewed recovery as either
23
Trustam, Emma. "Exploring recovery in people with learning disabilities." Thesis, Canterbury Christ Church University, 2014. http://create.canterbury.ac.uk/12767/.
Pełny tekst źródłaStreszczenie:
A literature review examines how mental health difficulties may differ for people with learning disabilities (PwLD) and the general population; with respect to their vulnerability to mental ill-health and the definition, presentation and treatment of mental health problems. Factors which have been found to positively impact on the mental health of PwLD are then explored. The review considers methodological limitations and gaps in our understanding, highlighting a need for further research focusing on mental health recovery for individuals with learning disabilities. Section B presents a study exploring what recovery means for people with learning disabilities and mental health difficulties. Interviews were conducted with nine individuals and Interpretative Phenomenological Analysis used. A model was developed which described participants’ entry to the therapeutic service and their progression towards recovery. The model firstly describes how participants felt entering the service, their Mental Health/Therapy Experience, and explains how these experiences were validated and the recovery process enabled through the therapeutic alliance. Once enabled, the second dimension of the model is detailed, that of the Client Recovery Experience which extends across three phases of recovery. The first phase, Feeling Better describes elements perceived as integral to improved mental health. The second phase, Recovery Ongoing identifies that more input is required. Thirdly, Attainability?: Reality, Ideals and Fantasy, reveals PwLD’s perceptions of recovery and the techniques used in striving to achieve this. Salient features of recovery specific to PwLD are recognised as important to clinical practice, and results suggest there is a need to openly discuss LD identity, and address idealisations surrounding a non-LD one. This would involve setting realistic goals and managing expectations accordingly and focussing on social integration as a way of enabling ongoing recovery.
24
Laithwaite, Heather Morag. "Recovery after psychosis : a compassion focused recovery approach to psychosis in a forensic mental health setting." Thesis, University of Glasgow, 2010. http://theses.gla.ac.uk/1759/.
Pełny tekst źródłaStreszczenie:
Over the past fifty years, there has been significant improvement in the expected outcomes of individuals with psychosis, due to advances in psychotropic medication, and through the development and application of psychological approaches such as Cognitive Behavioural Therapy. Such improvements in outcome have been demonstrated through various outcome studies and meta-analyses of outcome studies. However, the recovery/consumer movement has criticised outcome studies on the basis that they focus on symptomatic outcome and do not incorporate into their studies measures of outcome as defined by individuals who experience psychosis. The aim of this thesis was therefore to explore the experiences of individuals with psychosis in a forensic mental health setting. The objective was to develop recovery focused psychological interventions based on patients’ experiences of what helped them to cope in hospital, and in essence, what they valued in their recovery. The first study employed a social constructionist version of grounded theory methodology to explore the experiences of patients residing in a secure hospital. Thirteen individuals who had experience of psychosis were interviewed in depth about their experiences of recovery. Contrasting accounts of recovery were apparent from the way in which participants spoke about their experiences. Some participants gave rich and reflective accounts of their recovery. These participants spoke about the nature of their past experiences, the importance of those experiences in contextualising their problems and reflected on the implications of this on the tasks of recovery. In contrast, other participants’ transcripts tended to be short and unelaborated. Recovery tasks seemed to be segregated from previous experiences and their reflection on their experience of psychosis seemed minimised. All participants spoke about the importance of developing their sense of self, and the importance of developing relationships with staff and with family. This study is presented in Chapter Four. The findings of the grounded theory study led to the development of a self-esteem intervention. Research has shown that low self-esteem is common in individuals with psychosis (Bowins & Shugar, 1998; Silverstone, 1991), and that it is implicated in the development and maintenance of psychotic experiences such as delusions and auditory hallucinations (Garety et al., 2001; Smith et al., 2006). This intervention was based on a previous study carried out by Hall and Tarrier (2003), but adapted for delivery in a group setting in a secure hospital. Fifteen patients completed the self-esteem group intervention and significant improvements were found on self-esteem and depression. These improvements were maintained over a three month-follow up period. This study is reported in detail in Chapter Five. A recovery group was developed after this. The modules in this programme were developed from the themes of the grounded theory study and the observations made during the self-esteem programme. The recovery group was based on Compassion Focused Therapy (CFT, see below) and aimed to promote emotional recovery with the aim of improving self-soothing, coping with distress and the development of inner warmth. This programme was developed following observations that although individuals in the self-esteem group could challenge self-critical thoughts through the use of skills they had acquired in the group, they reported that they continued to feel negative and worthless about themselves. Compassion Focused Therapy (CFT) was developed by Gilbert and colleagues (Gilbert, 1992, 1997, 2000; Gilbert and Irons, 2005) for individuals with shame and self-critical and attacking thoughts. It is based on social mentality theory (Gilbert, 1989, 2001, 2005), which explains how people come to experience an internalised self-attacking narrative. This often develops as a result of trauma, abuse and loss and results in an individual experiencing shame and feeling a sense of threat. It also has implications for an individual’s ability to cope with distress and to regulate affect. The purpose of CMT is therefore to help individuals move from a self-attacking style to one of self-soothing and compassion. It is anticipated that this style of self-relating will promote recovery and enable individuals to be less critical about themselves and their experiences and so, be able to seek help should they face relapse in the future. With this in mind, the Recovery After Psychosis (RAP) programme was piloted and eighteen individuals completed the group. Significant effects were found for depression, self-esteem and an improvement in sense of self compared to others. This study is discussed in Chapter Six. The findings of the studies contained within this thesis are further discussed in Chapter seven. The findings are compared with previous studies on recovery, and also compared with other interventions employing compassion-focused approaches. The limitations of the research in this thesis are discussed. A model of compassion focused service delivery is described along with implications for future clinical practice and research.
25
Richardson, Kathryn. "Perceptions of recovery from mental health difficulties, and associated factors." Thesis, University of Sheffield, 2016. http://etheses.whiterose.ac.uk/13787/.
Pełny tekst źródła
26
McCauley, Claire Odile. "Exploring young adult service users' perspectives on mental health recovery." Thesis, Ulster University, 2015. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.678024.
Pełny tekst źródłaStreszczenie:
Aims and Objectives: The aim of this study was to explore young adult service users' (18-35) perspectives on mental health recovery. Objectives included the exploration of factors that feature in an individual's perspective of recovery; the investigation of meaning and growth in suffering and the exploration of the 'temporality of being' within young adults' conceptualisation of recovery. Theoretical Perspective: The study was informed by a dual theoretical framework including Eriksson's (2006) theory on "The Suffering Human Being" and Kleinman's (1988) theory on explanatory models to explore young adult service user's understanding of recovery. Method: The study involved a three phased qualitative design. Phase 1: A concept analysis of recovery was conducted using Rodgers' (2000) evolutionary method. Phase 2: Two engagement groups with service users were undertaken to co-produce a semistructured interview schedule. Phase 3: Semi structured qualitative interviews with 25 young adult services users were conducted to ensure an in depth understanding of their recovery. Findings: Phase one findings propose a new conceptual definition suggesting the term "recovery" is not reflective of the identified conceptual characteristics. Phase two developed a collaborative co-production with service users of a semi-structured interview schedule used in phase three. Phase three findings revealed recovery is understood as an unchatted, timely and personal process of engaging and transcending pain. Perceived barriers to mental health recovery and the internal dynamics experienced within the process have been highlighted. Recovery acquires real life relevance when applied to the contextual factors that provide meaning in life. Conclusion: This research study has contributed to the knowledge base by revealing the hidden internal processes experienced within mental health recovery and how it is cognised. A novel comparison has been presented between the conceptual characteristics of recovery and how the concept is understood and lived by young adult service users.
27
Xie, Huiting. "Personal Strengths and Recovery in Adults with Serious Mental Illnesses." Case Western Reserve University School of Graduate Studies / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=case1333579633.
Pełny tekst źródła
28
Walstad, Kristin Y. "Latino Perspectives of Mental Health Recovery: A Grounded Theory Analysis." University of Toledo / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1429760231.
Pełny tekst źródła
29
Withall, Adrienne Lee. "Cognitive function and recovery in major depressive disorder." Thesis, The University of Sydney, 2006. https://hdl.handle.net/2123/28184.
Pełny tekst źródłaStreszczenie:
The term ‘depression’ is used to refer to conditions ranging from non-clinical low mood to severe clinical conditions often resulting in hospitalization (American Psychiatric Association, 1994). Most people will experience low mood at some time during their lives however Major Depressive Disorder (MDD) is much more severe and very common, being experienced by approximately one in five persons. MDD is also associated with significantly impaired daily function (Andrews, Henderson, & Hall, 2001; Bland, 1997). Depression is also a chronic illness that is predicted to become the second leading cause of world-wide disability by the year 2020, second only to ischaemic heart disease (Lewis &
Araya, 2001).
30
Francis, Jennifer. "Cognitive change in recovery from depression /." [St. Lucia, Qld.], 2002. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe17069.pdf.
Pełny tekst źródła
31
Walby, Gary W. "Associations between individual, social, and service factors, recovery expectations and recovery strategies for individuals with mental illness." [Tampa, Fla.] : University of South Florida, 2006. http://purl.fcla.edu/usf/dc/et/SFE0002203.
Pełny tekst źródła
32
Roy, Philippe. "Listen to me : experiences of recovery for mental health service users." Thesis, University of British Columbia, 2008. http://hdl.handle.net/2429/1563.
Pełny tekst źródłaStreszczenie:
There is increasing awareness that mental health consumers may have important information for the development of services. In this qualitative study, I interviewed 10 consumers with the purpose of exploring in depth their experiences in interacting with service providers in the greater Vancouver area. Using constant comparative analysis, I found that the data suggested participants’ experiences of recovery developed largely out of connecting with other consumers rather than with service providers. Current services were portrayed as primarily reliant on the use of psychiatric medication. Consumers pointed to numerous difficulties in seeking help, including a lack of treatment alternatives, stigma and isolation. They also presented a strong demand for services and policies that promote an individual sense of recovery and support their fundamental human rights. Mental health service providers need to critically reflect on their current practices and policies, and how they may negatively impact their clients' lives by failing to properly listen to their narratives, grievances, experiences and perceptions. This study suggests further inclusion of consumer's views and participation in services to foster collaborative, recovery-oriented practices.
33
Rye, Owen. "Perspectives on recovery and recall to hospital in forensic mental health." Thesis, University of Oxford, 2017. https://ora.ox.ac.uk/objects/uuid:3bd28a0b-26e6-42db-b692-d9709791068b.
Pełny tekst źródłaStreszczenie:
People who are mentally unwell and have committed a criminal offence are cared for by forensic mental health services. Their treatment is provided in secure hospitals so that any risks to the public are minimised. The complex nature of the mental health difficulties experienced by this clinical population means that they are typically treated in secure hospitals for several years, incurring high economic and personal costs. The need for meaningful approaches to treatment and management of these individuals is therefore paramount. The first paper systematically reviewed eighteen qualitative research papers that explored stakeholder perspectives on the personal recovery approach to care in forensic contexts. Principles of personal recovery were perceived to be meaningful and applicable in forensic contexts if adaptations were made to overcome inherent barriers such as restrictions due to risk management. Methodological quality of the reviewed studies was limited by shortcomings in the transparency of study procedures. The second paper explored the experiences of a significant subpopulation of forensic service users who were discharged to the community subject to conditions including ongoing monitoring, then recalled back to a secure hospital due to a relapse in their mental state or other indicators of increased risk. Using grounded theory, a theoretical model was developed of how these individuals make sense of being recalled. This was found to be a recursive process influenced by their perceptions of events before their recall, during the recall itself, and their subsequent experiences.
34
Nurser, Kate. "A qualitative exploration of Telling My Story in mental health recovery." Thesis, University of East Anglia, 2017. https://ueaeprints.uea.ac.uk/66565/.
Pełny tekst źródłaStreszczenie:
Purpose: The aim of this thesis project is to explore the role of personal storytelling in mental health recovery. Design: The project is presented in portfolio format, including the following sections: a brief introduction to the portfolio, a systematic review of the literature on storytelling interventions for mental health recovery, an empirical paper exploring the qualitative experience of storytelling in a UK mental health recovery context, an extended methodology chapter, and an overall discussion and critical evaluation. Findings: The systematic review identified some preliminary evidence for the usefulness of storytelling in mental health recovery, but identified a need for inductive exploration of this in a UK mental health context to guide future developments of storytelling approaches. The empirical paper used Interpretative Phenomenological Analysis to explore the experience of storytelling for individuals who had attended the Telling My Story course offered at a UK recovery college. Findings showed that storytelling has the potential to have a profound impact at the individual level, at the same time as being a social act where the role of the listener(s) is central to the experience. Five key themes were identified: a highly emotional experience, feeling safe to disclose, renewed sense of self, two-way process and a novel opportunity. The group environment of mutual storytelling was perceived as beneficial for most, although not all, participants. Originality/value: Storytelling can be a highly meaningful aspect of one’s recovery journey and more time could be dedicated to individuals telling their story within UK mental health services. The findings of the empirical paper offer insight into how storytelling is experienced by those who use it, which can be used to guide future developments and provide direction for measurement of outcomes. Areas for further research are considered.
35
Bodine, Megan N. "Validation of the Mental Health Recovery Measure as a Clinical Assessment." University of Toledo / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1372776438.
Pełny tekst źródła
36
Leith, Jaclyn E. "Recovery and Transformations from Loss in Adults with Serious Mental Illness." Bowling Green State University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1404701821.
Pełny tekst źródła
37
McWade, Brigit. "Enacting recovery in an English NHS 'arts for mental health' service." Thesis, Lancaster University, 2014. http://eprints.lancs.ac.uk/77629/.
Pełny tekst źródłaStreszczenie:
This thesis explores the emergence of recovery in/from serious mental health problems as a conceptual frame, and as a set of practices and policy orientations. I provide a specific empirical account of recovery in practice. “Recovery” has multiple meanings and is enmeshed in on-going challenges to the validity of biomedical psychiatry as a medical science. It emerges, in part, out of psychiatric survivor/user activists’ contention that psychiatric discourse prevents the possibility of recovery. In academic literature, it is framed as a new paradigm in mental healthcare in which patients and professionals work in partnership. These multiple iterations of recovery raise questions about what mental (ill) health is and how it should be treated. I investigate how recovery is enacted in contemporary English mental health policy and practice through autoethnographic research with a NHS arts for mental health service called Create, which works with adults categorised as having severe and enduring mental health needs. Drawing upon the material-semiotic approach of feminist technoscience studies and its concept of enactment, I ask: What are the practices of recovery here? What forms of evidence are appropriate in demonstrating recovery? What does recovery as set of a socio-material practices tell us about mental (ill) health more broadly? I find that in Create the focus on art activity and an attention to aesthetics facilitates collaborative care partnerships, helping service-users to feel differently about themselves. I argue that recovery is enacted spatially, temporally and relationally in these located care practices. Nevertheless, there are paradoxes in the implementation of recovery-orientated practice in mental health services, which Create service-users and service-staff continually negotiate.
38
Flintoft, Christopher Barry. "An exploration of the role of employment in mental health recovery." Thesis, Sheffield Hallam University, 2008. http://shura.shu.ac.uk/3210/.
Pełny tekst źródłaStreszczenie:
For people with mental health problems gaining employment is a significant factor in social inclusion and often seen as an indication of mental well-being. Mental health services are dominated by a medical model of illness which focuses on the control of symptoms. In recent decades, service users have written about their experiences of "recovery" from mental illness. Recovery is about the subjective experience of wellness and can exist even if symptoms remain. This research was designed following an observation that employment seemed to be a significant factor in people's recovery. Research was conducted to explore the relationship between employment and recovery. A grounded theory approach was used to gather and analyse data from nine participants who live in the north of England and have experience of unemployment and mental health problems, but who are now in a process of recovery and are employed. Semi-structured interviews and a workshop were conducted. Data were transcribed and analysed using Nvivo software. Many of the well documented recovery themes were evident in the data. In addition participants talked about factors which make employment either 'toxic' or beneficial to mental health recovery. The research indicated that unemployment and the wrong work at the wrong time are damaging to mental health and result in reduced prospects of gaining employment; the right work at the right time perpetuates a process of wellness and valued employment. Factors significant in understanding why the right work at the right time is beneficial to recovery are induced from the data. These factors are set out in a matrix and used to consider some implications for practice.
39
Austin, Katie. "The concept of recovery within child and adolescent mental health : is family recovery relevant? : a grounded theory approach." Thesis, University of Surrey, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.600021.
Pełny tekst źródłaStreszczenie:
The principles of Recovery have become prominent in shaping UK health care policy across the lifespan. However there has been little research conducted to determine Recovery's applicability to young people or their families. This study therefore aimed to explore whether a Recovery concept was relevant to the family's experience of childhood mental illness. Method A qualitative methodology was applied to the study. 11 participants took part in semi-structured interviews. A social constructionist position was adopted and Abbreviated Grounded Theory was used to analyse the transcripts. Results Four related categories were constructed from the data, including "Experiencing Distress". "Family Reactivity, "Gaining Control as Individuals" and "Adjusting the Status Quo". Individuals' search for containment and connection resonated as core processes across categories. Conclusions The constructed model was compared against the current literature on Recovery. Whilst the data did not support the notion of a collective Family Recovery, similarities with the Recovery literature supported an argument for the presence of a Family Member Recovery process. However, a direct transfer from the adult literature could not be supported in the data, with clear differences identified between the current conceptualisation and the themes within the adult Family Recovery literature. A critique of the study was considered and implications of the results for policy, practise and research development were discussed.
40
Lim, Eric. "How mental health nurses can use recovery-focused care to reduce aggression in the acute mental health settings." Thesis, Curtin University, 2022. http://hdl.handle.net/20.500.11937/88694.
Pełny tekst źródłaStreszczenie:
This hybrid thesis presents a two-phase sequential exploratory mixed methods research that explored mental health nurses’ and consumers’ beliefs of how recovery-focused care can be used to reduce aggression in the acute mental health settings. The thesis is comprised of traditional thesis chapters and five peer-reviewed publications. The findings of this research provide evidence-based knowledge for mental health nurses to understand how they can translate the use of recovery-focused care clinically to reduce aggression.
41
Stuart, Simon Robertson. "Exploring recovery from severe and enduring mental illness using qualitative methods : a portfolio thesis." Thesis, University of Edinburgh, 2015. http://hdl.handle.net/1842/28695.
Pełny tekst źródłaStreszczenie:
This thesis offers a critical consideration of the recovery approach to severe and enduring mental-health problems (Roberts & Boardman, 2013; Anthony, 1993), with the primary-research element focused on recovery after forensic secure care. A systematic review of qualitative research into recovery processes was conducted, using best-fit framework synthesis as a method of analysis (chapter 2). An expansion of the CHIME recovery model (Leamy et al., 2011) is proposed, in which the difficulties experienced by service users are more prominently considered. Chapters 3 and 4 report an investigation of the barriers to recovery perceived by people discharged from forensic secure care, using interpretative phenomenological analysis as a method (Smith et al., 2009). Eight participants were interviewed, and five superordinate themes are proposed: living in the shadow of the past, power imbalances, security and care, reconfigured relationships, and ‘recovery’ as a barrier to recovery. The final chapter of the portfolio is a shorter reflective paper considering the wider context of the work.
42
Tuffour, Isaac. "Black African service users experiences of recovery from mental illness in England." Thesis, City, University of London, 2017. http://openaccess.city.ac.uk/18096/.
Pełny tekst źródłaStreszczenie:
Background: Recovery is a complex and contested concept. Many studies have explored the meaning of the concept from the perspectives of service users suffering from mental illness. However, too little attention has been paid to the experiences of Black African service users (BASUs) living in England. At the time of writing this work there were no studies that have explored recovery from the perspectives of BASUs in England. Aims of the study: The aim of the present study is to explore experiences of recovery from mental illness of BASUs in England. Methodology and methods: Semi-structured interviews were conducted with twelve BASUs. The interviews were analysed using Interpretative Phenomenological Analysis (IPA). Findings: Five superordinate themes were derived from the analysis: (1) it is different in Africa; (2) it all started in England; (3) shattered; 4) ‘freaked out’; and (5) focus on recovery. An in-depth explanation of these superordinate themes and the related subordinate themes is presented. The findings highlight the multifaceted ways in which BASUs understand their experiences of mental illness and recovery. Discussion: The insight gained from these findings provided rich information about the complexities of the participants’ experiences of recovery from mental illness. Participants’ explanatory models of mental illness included the complexities of migration, African-centred worldviews and negative life experiences. Participants conceptualised recovery in the context of their social and cultural backgrounds, remission or eradication of symptoms, spirituality, resourcefulness, resilience and unique personal identities. An emerging conceptual model of recovery is formed (Figure 3). Findings are discussed considering existing theory and literature. Implications for clinical practice in relation to the provision of care and promoting recovery for BASUs in England are considered.
43
Flannery, Halina. "Lay perceptions of illness and recovery for physical and mental health difficulties." Thesis, University of Surrey, 2014. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.658862.
Pełny tekst źródłaStreszczenie:
Objective: This study aimed to explore illness representations and attitudes about personal recovery in physical and mental health conditions in a lay sample. Design: 263 participants took part in an experimental study using vignettes describing the symptoms of four conditions: depression, schizophrenia, psoriasis and Type 1 diabetes. The within group factor was condition type (physical and mental health). The between groups factor was duration of symptoms (two weeks/ 'acute' or one year/ 'chronic'). Measures: Participants completed the lllness Perception Questionnaire - Revised for Healthy Individuals (Figueiras & Alves, 2007) and questions regarding their attitudes about the importance of personal attributes, such as optimism and resilience, in recovery (,personal recovery'). Results: The inter-relationship of illness representations followed some of the general patterns found in previous research. Participants attributed mental health vignettes to more psychosocial causes and placed more importance on personal recovery than they did for physical health vignettes, although there were some interaction effects of chronicity. Personal recovery attitudes positively correlated with psychosocial causes in all conditions and perceived personal control in all conditions except diabetes. Conclusion: Preliminary evidence was found that lay attitudes about personal attributes being important for recovery was more endorsed in mental health than physical health conditions and was related to perceptions of personal control and psychosocial causes of illness.
44
Zenga, Debbie. "Perceived Effects of Microaggression on Peer Support Workers in Mental Health Recovery." Thesis, Alliant International University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10815486.
Pełny tekst źródłaStreszczenie:
<p> This study explored the perceived effects of microaggressions on Peer Support Specialists (PSS). Although some research exists on the perceived effects of microaggression on individuals with lived experience of mental illness, known culturally as a marginalized group (Sue, 2010); none exists on PSS. The mental health movement began in the early 1900’s, which later evolved into mental health recovery and psychiatric rehabilitation. This movement brought forth the development of psychopharmacology, supportive services, and mental health programs. During the early phases of mental health recovery and treatment, individuals with lived experience of mental illness were utilized as peers and eventually as peer support specialists, or liaisons. Peer support specialists (PSS) provide an invaluable resource to individuals struggling with mental illness, as the literature supports. Despite strides towards societal acceptance, individuals with mental illness, continue to experience discrimination, stigma and microaggressions. Research on historical trauma, although beyond the scope of this research will be reviewed to provide an understanding of how microaggressions are passed on and additionally a narrative review of Adverse Childhood Experiences (ACEs) and the Connor-Davidson Resilience Scale (CD-RISC-25), aimed to contribute to the understanding of the history of trauma, engagement, and recovery. This research qualitatively explored the experience of sixteen participants who are PSS and in active recovery of mental illness. Semi structured focus group interviews revealed five major themes: Category 1–Microinvalidation: (1.1) Invalidation; (1.2) Second Class Citizen; Category 2–Resilience: (2.1) Advocacy; (2.2) Belonginess; (2.3) Perseverance.</p><p>
45
Vella, Elizabeth Jane. "Anger Expression, Harassment, and Evaluation: Cardiovascular Reactivity and Recovery to Mental Stress." Diss., Virginia Tech, 2005. http://hdl.handle.net/10919/28039.
Pełny tekst źródłaStreszczenie:
Anger and hostility have been attributed as early risk factors of coronary heart disease (CHD). However, many inconsistencies exist in the literature linking both of these constructs to CHD, as well as to cardiovascular reactivity (CVR) to stressors likely to give rise to CHD. A potential moderating influence discussed in the CVR literature concerns the issue of anger provocation, whereas assessment of the ability to evaluate the source of provocation may moderate the recovery process. The current study adopts a multivariate approach to assess the interactive effects of dispositional anger in predicting the CVR and recovery to mental arithmetic (MA) stress with and without harassment in 47 male undergraduate psychology students. Results revealed anger out (AO) to be associated with high vagal and low frequency power suppression in response to the MA task with harassment. Exposure to experimenter evaluation was associated with attenuated diastolic blood pressure recovery and facilitated vagal recovery in high AO subjects, whereas the opposite pattern was apparent for low AO subjects. The general findings suggest that trait anger interacts with situational influences to predict CVR and recovery to stressors.<br>Ph. D.
46
Anthony, Kathleen Hope. "Exploring Helper and Consumer Partnerships That Facilitate Recovery From Severe Mental Illness." Bowling Green State University / OhioLINK, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1131125531.
Pełny tekst źródła
47
Shanahan, Patricia. "Pathways to employment for people in the recovery phase of mental illness." Thesis, Middlesex University, 2015. http://eprints.mdx.ac.uk/18499/.
Pełny tekst źródłaStreszczenie:
The study sought to identify through the action research process what local employers concerns were in relation to the employment of individuals in a phase of recovery from mental illness. The barriers to employment experienced by service users living in a North London Borough were also explored. The study aimed to gain an in-depth understanding of the reluctance by employers to employ individuals with a known mental illness who are in a phase of recovery. It also sought to hear about the lived experiences and perspectives on the barriers experienced to accessing or being in employment from a service user’s perspective. There is limited literature examining this area within this North London Borough. This qualitative study was informed by my professional background where I hold a dual role of managing mental health services in the community and as a lecturer in Cognitive Behavioural Therapy at Middlesex University. Both roles are concerned with promoting the mental health well-being of individuals who experience mental illness. The study adopted an action research design, where six focus groups were held, three with service users and three with employers or employer representatives within a North London Borough.16 employer representatives and 28 service users participated across the six focus groups. The data gathered from each focus group was digitally recorded and transcribed verbatim. Thematic analysis was used to identify the main themes and subsequent sub –themes from the data gathered. The findings from the research indicate that there are many stakeholders that are involved in supporting individuals back into employment. They also show that mental health and mental ill health are poorly understood in workplace environments. Evidence from this study indicated that while work and employment were thought by both participant types to be important determinants of mental health those individuals with diagnosed mental illnesses remain at a significant disadvantage in the employment market. This points to a need for developments that educate employers, employees and various other stake-holders involved in the employment process on mental health and mental illness in the work- place environment. The main contribution of this research is that of a support and educational package for employers and employees, which has core content but will change in its focus depending on the audience it is being delivered to.
48
Bird, Victoria Jane. "Supporting the recovery of black individuals who use community mental health services." Thesis, King's College London (University of London), 2015. http://kclpure.kcl.ac.uk/portal/en/theses/supporting-the-recovery-of-black-individuals-who-use-community-mental-health-services(bf52050a-9911-4a9e-8c53-ac22f5ebca4d).html.
Pełny tekst źródłaStreszczenie:
Despite a recovery orientation being mental health policy within England, the perceptions of recovery and the effectiveness of recovery-focused interventions for black individuals are under-researched. This thesis describes the development and evaluation of an intervention to support the recovery of black individuals who use community mental health services. The Medical Research Council (MRC) framework for designing and evaluating complex interventions was the guiding scientific framework, with an embedded experimental mixed method design adopted. A systematic review and narrative synthesis identified the evidence base regarding the meaning of recovery for mental health service users. The Conceptual Framework of Recovery was developed from the review. Only one study included in the review focused on the perceptions of recovery for black individuals. Four focus groups with 26 participants and 14 semi-structured interviews were conducted with service users who self-ascribed their ethnicity as black. The results were used to develop the Framework of Recovery Support, in which identity - (re)gaining a positive sense of self, was central to recovery. The Conceptual Framework of Recovery and Framework of Recovery Support were used to develop a component of the REFOCUS pro-recovery intervention called Working Practice 1: Understanding Values and Treatment Preferences. The effectiveness of the REFOCUS intervention for black individuals was assessed in a pre-planned subgroup analysis of a cluster randomised controlled trial (RCT). One hundred and ten service users participated in the RCT, with 81 (74%) followed up after 12 months. The two primary outcomes were personal recovery (Questionnaire about the Process of Recovery) and service satisfaction (Client-Satisfaction Questionnaire - 8 item version). Secondary outcomes included hope, empowerment, wellbeing, quality of life, symptom levels and clinical need. Multilevel mixed-effects regression modelling, which controlled for clustering at the team level, was conducted for the analysis of treatment effect. A process evaluation embedded within the trial included interviews with eight individuals who had received the intervention. Results indicated that the intervention had no effect on either recovery (p=0.693) or service satisfaction (p=0.77). However, the intervention significantly improved service user-rated level of met need. Overall the intervention was well-received and associated with positive experiences, however the process evaluation highlighted issues with routine implementation.
49
Netto, Julie Ann. "Vocational recovery in mental illness - the gap between policy and person-centredness." Thesis, Curtin University, 2013. http://hdl.handle.net/20.500.11937/901.
Pełny tekst źródłaStreszczenie:
Vocation has been described as a calling and a means of fulfilment; and personal recovery as the process of living life as well as possible. Vocational recovery can be envisaged as a person with mental illness regaining or establishing valued roles associated with vocation as it is broadly defined. This thesis explores how people with mental illness establish and achieve their vocational recovery goals within the context of complex and ever-changing policy and service settings.
50
Medved, David G. "A Grounded Theory Investigation of Public Stigma, Internalized Stigma, and Mental Health Recovery in the Wellness Management and Recovery Program." University of Toledo / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1407873240.
Pełny tekst źródła