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Oshodi, Abiola, and Gavin Rush. "Recovery from mental illness: changing the focus of mental health services." Irish Journal of Psychological Medicine 28, no. 3 (2011): 161–64. http://dx.doi.org/10.1017/s0790966700012180.
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AbstractThe concept of recovery entered the lexicon of the mental health services in the 1980s following the publication of a series of studies and personal narratives which demonstrated that the course of mental illness was not always one of inevitable deterioration and that people diagnosed with severe mental illness could reclaim or recover meaningful lives. For a long time, recovery was not thought possible by many family members, service providers and researchers. However globally, specific policy and clinical strategies are being developed to implement recovery principles although key questions remain. In fact, the possibility of recovery is still debated by some. In this paper, we include information about the recovery model and the medical model; we provide evidence for recovery and document changes in mental health practices and policies incorporating recovery as the guiding principle. We also attempt to address the debate as to whether recovery is an evidence based practice. We propose that evidence based practice should be complementary to value-based and narrative-based practices and we suggest an integrative model that maximises the virtues and minimises the weaknesses of each practices (see Figure 1).
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Dihoff, Debra G., and Michael Weaver. "Mental Health Recovery." North Carolina Medical Journal 73, no. 3 (2012): 212–15. http://dx.doi.org/10.18043/ncm.73.3.212.
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Jones, Lani V., Eric R. Hardiman, and Jenneth Carpenter. "Mental Health Recovery." Journal of Human Behavior in the Social Environment 15, no. 2-3 (2007): 251–69. http://dx.doi.org/10.1300/j137v15n02_15.
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Whitwell, David. "The myth of recovery from mental illness." Psychiatric Bulletin 23, no. 10 (1999): 621–22. http://dx.doi.org/10.1192/pb.23.10.621.
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Recovery from mental illness is a fairly straightforward concept to members of the general public: “am I going to recover”, “what are the chances of recovery”, or “is our son/daughter ever likely to recover”? These are the sorts of questions that doctors and psychiatrists get asked every day.
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Thoits, Peggy A. "Mental Health Treatment Histories, Recovery, and Well-being." Society and Mental Health 12, no. 1 (2022): 1–16. http://dx.doi.org/10.1177/21568693211068879.
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Epidemiological and sociological research on recovery from mental disorder is based on three rarely tested medical model assumptions: (1) recovery without treatment is the result of less severe illness, (2) treatment predicts recovery, and (3) recovery and well–being do not depend on individuals’ treatment histories. I challenge these assumptions using National Comorbidity Survey-Replication data for individuals with any disorder occurring prior to the current year ( N = 2,305). Results indicated that (1) untreated remissions were fully explained by less serious prior illness, (2) treated individuals were less likely to recover due to more serious illness, and (3) people who had past–only treatment were more likely to recover than the never–treated, while those in recurring and recently initiated care were less likely to recover. Treatment histories predicted greater well–being only if recovery had been attained. Histories of care help to explain recovery rates and suggest new directions for treatment–seeking theory and research.
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Williams, Anne, Ellie Fossey, John Farhall, Fiona Foley, and Neil Thomas. "Recovery After Psychosis: Qualitative Study of Service User Experiences of Lived Experience Videos on a Recovery-Oriented Website." JMIR Mental Health 5, no. 2 (2018): e37. http://dx.doi.org/10.2196/mental.9934.
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Background Digital interventions offer an innovative way to make the experiences of people living with mental illness available to others. As part of the Self-Management And Recovery Technology (SMART) research program on the use of digital resources in mental health services, an interactive website was developed including videos of people with lived experience of mental illness discussing their recovery. These peer videos were designed to be watched on a tablet device with a mental health worker, or independently. Objective Our aim was to explore how service users experienced viewing the lived experience videos on this interactive website, as well as its influence on their recovery journey. Methods In total, 36 service users with experience of using the website participated in individual semistructured qualitative interviews. All participants had experience of psychosis. Data analysis occurred alongside data collection, following principles of constructivist grounded theory methodology. Results According to participants, engaging with lived experience videos was a pivotal experience of using the website. Participants engaged with peers through choosing and watching the videos and reflecting on their own experience in discussions that opened up with a mental health worker. Benefits of seeing others talking about their experience included “being inspired,” “knowing I’m not alone,” and “believing recovery is possible.” Experiences of watching the videos were influenced by the participants’ intrapersonal context, particularly their ways of coping with life and use of technology. The interpersonal context of watching the videos with a worker, who guided website use and facilitated reflection, enriched the experience. Conclusions Engaging with lived experience videos was powerful for participants, contributing to their feeling connected and hopeful. Making websites with lived experience video content available to service users and mental health workers demonstrates strong potential to support service users’ recovery.
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Parker, J. "Recovery in mental health." South African Medical Journal 104, no. 1 (2013): 77. http://dx.doi.org/10.7196/samj.7732.
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Lipczynska, Sonya. "Recovery from mental illness." Journal of Mental Health 20, no. 4 (2011): 420–22. http://dx.doi.org/10.3109/09638237.2011.600787.
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Dinniss, S. "Recovery-oriented mental healthcare." British Journal of Psychiatry 189, no. 4 (2006): 384. http://dx.doi.org/10.1192/bjp.189.4.384.
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Egeland, Karina Myhren, Jūratė Šaltytė Benth, and Kristin Sverdvik Heiervang. "Recovery‐oriented care: mental health workers’ attitudes towards recovery from mental illness." Scandinavian Journal of Caring Sciences 35, no. 3 (2021): 998–1005. http://dx.doi.org/10.1111/scs.12958.
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Dickens, Geoff, Judy Weleminsky, Yetunde Onifade, and Philip Sugarman. "Recovery Star: validating user recovery." Psychiatrist 36, no. 2 (2012): 45–50. http://dx.doi.org/10.1192/pb.bp.111.034264.
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Aims and methodMental Health Recovery Star is a multifaceted 10-item outcomes measure and key-working tool that has been widely adopted by service providers in the UK. We aimed to explore its factorial validity, internal consistency and responsiveness. Recovery Star readings were conducted twice with 203 working-age adults with moderate to severe mental health problems attending a range of mental health services, and a third time with 113 of these individuals.ResultsMental Health Recovery Star had high internal consistency and appeared to measure an underlying recovery-oriented construct. Results supported a valid two-factor structure which explained 48% of variance in Recovery Star ratings data. Two Recovery Star items (‘relationships’ and ‘addictive behaviour’) did not load onto either factor. There was good statistically significant item responsiveness, and no obvious item redundancy. Data for a small number of variables were not normally distributed and the implications of this are discussed.Clinical implicationsRecovery Star has been received enthusiastically by both mental health service providers and service users. This study provides further evidence for its adoption in recovery-focused mental health services and indicates that items relating to addictive behaviour, responsibilities and work could be further developed in future.
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Palmer, Victoria J., Caroline L. Johnson, John S. Furler, Konstancja Densley, Maria Potiriadis, and Jane M. Gunn. "Written plans: an overlooked mechanism to develop recovery-oriented primary care for depression?" Australian Journal of Primary Health 20, no. 3 (2014): 241. http://dx.doi.org/10.1071/py12128.
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There is a global shift to foster patient-centred and recovery-oriented mental health services. This has resulted from the expansion of how the concept of recovery is understood in mental health literature and practice. Recovery is now more than a return to function or reduction in symptoms; it is a subjective, individualised and multi-faceted experience. To date there has not been investigation of how recovery-oriented services can be translated and implemented into the primary mental health care system. This paper presents the results of a survey from a prospective cohort of primary care patients with probable depression about the importance of written plans to recover. The benefits of having a written plan to recover from depression, as outlined by the participants, were analysed using Leximancer software. The findings provide insights into how written plans may be an important mechanism for implementing a recovery-oriented primary mental health care system. We conclude that the benefits of a written plan provide insight into how patients conceptualise recovery.
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Phillips, Sally, and Lesley Pitt. "Maternal mental health: Making a difference." Aotearoa New Zealand Social Work 23, no. 3 (2016): 31–37. http://dx.doi.org/10.11157/anzswj-vol23iss3id158.
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This research project explores what makes a difference in women’s recovery from postpartum distress. As postpartum distress can interfere in the establishment of secure attachment the need for early intervention is vital. This project, based on principles of feminist research, used questionnaires and interviews to canvas women who had accessed the mainstream maternal mental health service of Taranaki District Health Board. The women in this study felt they had benefited from individual and group work alongside medication, but crucial to their recovery was also informal support from family and friends and self care. While evidence-based practice is a dominant discourse in health at present, what these women told us was that kind, non judgemental support helped them recover. When women didn’t have this kind of support from their families, friends or professionals the recovery process was impeded.
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Alessandra, Martinelli, and Ruggeri Mirella. "An overview of mental health recovery-oriented practices: potentiality, challenges, prejudices, and misunderstandings." Journal of Psychopathology 26 (February 3, 2020): 147–54. https://doi.org/10.36148/2284-0249-353.
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<strong>SUMMARY</strong> <em>Objectives</em> The implementation of recovery-oriented practices in the daily activities of mental health organizations is nowadays a challenge internationally. However, there is a lack of studies on the methodology of these practices and on the challenges faced by organizations in implementing them. The purpose of this paper is to report the state-of-the-art of recovery-oriented practices in mental health organizations. <em>Methods</em> This paper is a narrative literature review of relevant articles and prior works that have been central to the topic including the history of recovery-oriented practices, recovery-oriented interventions, advantages, and obstacles in implementing recovery-oriented practices in mental health organizations. <em>Results</em> Procedures for implementing recovery-oriented practices in mental health organizations and several recovery-oriented interventions have been tested. Despite unsolved challenges, recovery-oriented practices have shown the potential to improve mental health care, with a positive impact on the quality of life, the autonomy of service users and health outcomes. <em>Conclusions</em> The implementation of recovery-oriented practices requires a change in the paradigm of care in mental health services that may need to modify traditional priorities, and also for the stakeholders who need to review, redefine and re-evaluate their roles and personal identities. Thus, specific strategies might be adopted to reduce the fear of innovations and increase the awareness of advantages.
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Wilrycx, G. K. M. L., M. A. Croon, A. H. S. van den Broek, and Ch van Nieuwenhuizen. "Mental Health Recovery: Evaluation of a Recovery-Oriented Training Program." Scientific World Journal 2012 (2012): 1–8. http://dx.doi.org/10.1100/2012/820846.
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Aim. This study investigates the effectiveness of a recovery-oriented training program on knowledge and attitudes of mental health care professionals towards recovery of people with serious mental illness.Methods. Using data from a longitudinal study of recovery, changes in knowledge and attitudes of 210 mental health care professionals towards recovery were explored using the Recovery Attitude Questionnaire and the Recovery Knowledge Inventory. The study uses a two-group multiple intervention interrupted time-series design which is a variant of the stepped-wedge trial design. A total of six measurements occasions took place.Results. This study shows that professionals' attitudes towards recovery from mental illness can improve with training. After two intensive recovery-oriented training sessions, mental health care professionals have a more positive attitude towards recovery in clinical practice.Conclusion. A recovery-oriented training program can change attitudes of mental health care professionals towards recovery of serious mental illness.
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Adams, Katie, Virginia Minogue, and Mike Lucock. "Nutrition and mental health recovery." Mental Health and Learning Disabilities Research and Practice 7, no. 1 (2010): 43–57. http://dx.doi.org/10.5920/mhldrp.2010.7143.
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Onifade, Yetunde. "The mental health recovery star." Mental Health and Social Inclusion 15, no. 2 (2011): 78–87. http://dx.doi.org/10.1108/20428301111140921.
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Holttum, Sue. "Mental health recovery is social." Mental Health and Social Inclusion 18, no. 3 (2014): 110–15. http://dx.doi.org/10.1108/mhsi-05-2014-0014.
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Purpose – The purpose of this paper is to summarise two 2014 research papers that highlight the role of social interactions and the social world in recovery in the context of mental distress. Design/methodology/approach – The author summarise two papers: one is about two theories from social psychology that help us understand social identity – our sense of who we are. The other brings together and looks at the similarities and differences between ten different therapies that can be called resource-oriented – that is, they focus on people's strengths and resources rather than what is wrong with them. Findings – The paper on social identity gives a convincing case for incorporating teaching about social identity – and the social groups to which people belong – into the training of mental health professionals. The paper on resource-oriented therapies suggests that social relationships are a main component of all ten therapies examined. This second paper suggested a need for more research and theory relating to resource-oriented therapies. Social identity theory could help address this issue. Mental health services may be able to help people more by focusing on their established and desired social identities and group-belonging, and their strengths, than is usual. Originality/value – These two papers seem timely given the growing recognition of the role of social factors in the development and maintenance of mental distress. More attention to social factors in recovery could help make it more self-sustaining.
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Fenton, Lara, Catherine White, Karen Gallant, Susan Hutchinson, and Barb Hamilton-Hinch. "Recreation for mental health recovery." Leisure/Loisir 40, no. 3 (2016): 345–65. http://dx.doi.org/10.1080/14927713.2016.1252940.
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McWade, Brigit. "Temporalities of mental health recovery." Subjectivity 8, no. 3 (2015): 243–60. http://dx.doi.org/10.1057/sub.2015.8.
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Smith, Steve. "Recovery in Mental Health Nursing." Nursing Standard 32, no. 29 (2018): 34. http://dx.doi.org/10.7748/ns.32.29.34.s27.
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Chesters, Janice, Meredith Fletcher, and Rebecca Jones. "Mental illness recovery and place." Australian e-Journal for the Advancement of Mental Health 4, no. 2 (2005): 89–97. http://dx.doi.org/10.5172/jamh.4.2.89.
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Whitley, Rob, Victoria Palmer, and Jane Gunn. "Recovery from severe mental illness." Canadian Medical Association Journal 187, no. 13 (2015): 951–52. http://dx.doi.org/10.1503/cmaj.141558.
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Gao, R. Y., and E. C. L. Lin. "The undergraduate nursing students’ encountering experience with recovery patients as educators." European Psychiatry 65, S1 (2022): S848. http://dx.doi.org/10.1192/j.eurpsy.2022.2196.
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Introduction Nursing students’ attitudes towards mental illness will affect their perception about caring patients with mental illness and their willingness to work in the field of mental health. Evidence supported that contact with recovery patients can change people’s perception of mental illness. Objectives The study aims to explore the undergraduate nursing students’ encountering experience with recovery patients as educators. Methods A qualitative study using purposive sampling was conducted with undergraduate nursing students in southern Taiwan. Content analysis was used to identify the students’ experience as encountering with the recovery patient as an educator. Results As recovery patients participated in class, sharing their recovery journey and learning with students to produce a recovery story, it provided recovery patients and students an equal and mutually beneficial partnership. Four main themes about undergraduate nursing students’ attitudes were identified as. (1)Changing the mindset to patients with mental illness — We are human beings. There’s not much difference between us. (2)Turning positive attitudes towards patients with mental illness — We can compose a better life together! (3)Closing the distance between students and patients with mental illness — I am willing to be close to you. (4)Reflecting and growing in self-understanding and values — I am recovered, too. Conclusions This study found that the strategy of recovery patients as educators can improve future nurses’ attitudes towards mental illness, help them deeply learn about patient’ recovery journey. It might beneficial to help students developing their competency in patient-centered care. Future study could examine the effect of the recovery patients as educators. Disclosure No significant relationships.
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Roach, Anna, Diliniya Stanislaus Sureshkumar, Kathryn Elliot, et al. "One-year recovery rates for young people with depression and/or anxiety not receiving treatment: a systematic review and meta-analysis." BMJ Open 13, no. 7 (2023): e072093. http://dx.doi.org/10.1136/bmjopen-2023-072093.
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ObjectivesTo systematically review 1-year recovery rates for young people experiencing depression and/or anxiety who are not receiving any specific mental health treatment.DesignSystematic review and meta-analysis.Data sourcesMEDLINE, Embase, PsycINFO, Web of Science and Global Health were searched for articles published from 1980 through to August 2022.Eligibility criteriaArticles were peer-reviewed, published in English and had baseline and 1-year follow-up depression and/or anxiety outcomes for young people aged 10–24 years without specific treatment.Data extraction and synthesisThree reviewers extracted relevant data. Meta-analysis was conducted to calculate the proportion of individuals classified as recovered after 1 year. The quality of evidence was assessed by the Newcastle-Ottawa Scale.ResultsOf the 17 250 references screened for inclusion, five articles with 1011 participants in total were included. Studies reported a 1-year recovery rate of between 47% and 64%. In the meta-analysis, the overall pooled proportion of recovered young people is 0.54 (0.45 to 0.63).ConclusionsThe findings suggest that after 1 year about 54% of young people with symptoms of anxiety and/or depression recover without any specific mental health treatment. Future research should identify individual characteristics predicting recovery and explore resources and activities which may help young people recover from depression and/or anxiety.PROSPERO registration numberCRD42021251556.
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Strand, Monica, Deede Gammon, Lillian Sofie Eng, and Cornelia Ruland. "Exploring Working Relationships in Mental Health Care via an E-Recovery Portal: Qualitative Study on the Experiences of Service Users and Health Providers." JMIR Mental Health 4, no. 4 (2017): e54. http://dx.doi.org/10.2196/mental.8491.
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Background The quality of working relationships between service users and health providers is fundamental in the processes of recovery in mental health. How Internet-based interventions will influence these relationships for persons with long-term care needs, and the measures that can be taken to maintain and enhance working relationships through Internet, is still not well understood. Objective The aim of this study was to gain insights into how service users and health providers experience their working relationships when they are offered the option of supplementing ongoing collaboration with an e-recovery portal. Methods In this exploratory and descriptive study, an e-recovery portal was used by service users and their health providers in 2 mental health communities in Norway for at least 6 months and at most 12 months (2015-2016). The portal consists of secure messaging, a peer support forum, and a toolbox of resources for working with life domains including status, goals and activities, network map, crisis plan, and exercises. The portal was owned and managed by the service user while health providers could remotely access parts of the service user–generated content. The participants could use the portal in whatever way they wished, to suit their collaboration. Data from 6 focus groups, 17 individual interviews, and an interview with 1 dyad about their experiences of use of the portal over the study period were inductively coded and thematically analyzed. Results The thematic analysis resulted in 2 main themes: (1) new relational avenues and (2) out of alignment, illustrated by 8 subthemes. The first main theme is about dyads who reported new and enriching ways of working together through the portal, particularly related to written communication and use of the goal module. Illustrative subthemes are ownership, common ground, goals and direction, and sense of presence and availability. The second main theme illuminates the difficulties that arose when service users’ and health providers’ expectations for portal use were not aligned, and the consequences of not addressing these difficulties. Illustrative subthemes are initiative and responsibility, waiting for the other, feeling overwhelmed, and clarifications and agreements. Conclusions The degree to which dyads benefited from using the e-recovery portal appeared to be mainly associated with the degree to which the dyads’ relations were open and flexible before the portal was introduced. For those who experienced frustrations, the portal may have both exposed and added to suboptimal working relationships. Use of the goal module appeared to strengthen the person-centered nature of collaboration. A key question is how health providers balance between enabling service users’ greater control over their care, without relinquishing responsibility for the quality of the working relationship, also when using an e-recovery portal. Implications for implementation are discussed.
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Provencher, Helene L., and Corey L. M. Keyes. "Complete mental health recovery: bridging mental illness with positive mental health." Journal of Public Mental Health 10, no. 1 (2011): 57–69. http://dx.doi.org/10.1108/17465721111134556.
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Merellano-Navarro, Eugenio, Marta Camacho-Cardenosa, Gabriel Peinado Costa, et al. "Effects of Different Protocols of Moderate-Intensity Intermittent Hypoxic Training on Mental Health and Quality of Life in Brazilian Adults Recovered from COVID-19: The AEROBICOVID Double-Blind Randomized Controlled Study." Healthcare 11, no. 23 (2023): 3076. http://dx.doi.org/10.3390/healthcare11233076.
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The aim of this study was to investigate the effects of different protocols of moderate-intensity intermittent hypoxic training in patients who had recovered from COVID-19 on quality of life (QoL) and mental health. The sample of this clinical trial-controlled double-blind study consisted of 67 participants aged 30–69 years, who were organized randomly according to Normoxia, Hypoxia, Hypoxia Recovery or Control Group. Eight weeks of cycle ergometer training were performed with a frequency of three training sessions per week in normoxic or hypoxic conditions (with or without hypoxic recovery). Health-related QoL and Mental Health Status were evaluated by 12-Item Short Form Survey and Depression Anxiety and Stress Scale instruments, respectively. All training groups improved the QoL’s physical dimensions (Baseline–Post: Normoxia Group 42.1 (11.0)–48.7 (7.0), Hypoxia Group 46.9 (11.8)–53.5 (6.6) and Hypoxia Recovery Group 45.8 (9.2)–51.1 (5.3)) and mental dimensions (Baseline–Post: Normoxia Group 48.8 (7.9)–54.6 (4.6), Hypoxia Group 45.2 (7.7)–53.2 (3.8) and Hypoxia Recovery Group 46.5 (9.7)–52.0 (9.9)). Regarding mental health outcomes, all training groups decreased depressive symptoms (66.7% Normoxia, 31.2% Hypoxia Recovery and 31% Hypoxia groups), anxiety symptoms (46.5% Normoxia, 45.9% Hypoxia Recovery and 39.5% in the Hypoxia groups) and stress symptoms (40.6% Normoxia, 36.3% Hypoxia Recovery and 22.1% Hypoxia groups). Significant statistical difference was not found between groups. Normoxic and hypoxic training showed a similar effect on QoL and the mental health of Brazilian adults who had recovered from COVID-19.
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Roberts, Glenn, and Paul Wolfson. "The rediscovery of recovery: open to all." Advances in Psychiatric Treatment 10, no. 1 (2004): 37–48. http://dx.doi.org/10.1192/apt.10.1.37.
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‘Recovery’ is usually taken as broadly equivalent to ‘getting back to normal’ or ‘cure’, and by these standards few people with severe mental illness recover. At the heart of the growing interest in recovery is a radical redefinition of what recovery means to those with severe mental health problems. Redefinition of recovery as a process of personal discovery, of how to live (and to live well) with enduring symptoms and vulnerabilities opens the possibility of recovery to all. The ‘recovery movement’ argues that this reconceptualisation is personally empowering, raising realistic hope for a better life alongside whatever remains of illness and vulnerability. This paper explores the background and defining features of the international recovery movement, its influence and impact on contemporary psychiatric practice, and steps towards developing recovery-based practice and services.
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Elsegood, Kelly J., Lucinda Anderson, and Rachel Newton. "Introducing the recovery inspiration group: promoting hope for recovery with inspirational recovery stories." Advances in Dual Diagnosis 11, no. 4 (2018): 137–46. http://dx.doi.org/10.1108/add-03-2018-0004.
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Purpose The purpose of this paper is to undertake a preliminary evaluation of a novel intervention – Recovery Inspiration Group, which uses recovery stories to promote hope and inspiration for recovery among people with complex mental health difficulties. Design/methodology/approach The Recovery Inspiration Group was delivered to women on a specialist personality disorder inpatient unit, who were concurrently participating in a dialectical behaviour therapy (DBT) Programme. In total, 12 service users participated in the RIG and as part of the intervention, wrote down key reflections after hearing each recovery story. A thematic analysis of these reflections formed the primary basis of the evaluation. Descriptive statistics derived from a service user feedback survey (n=6) supplemented the qualitative findings. Findings Three themes were identified in the qualitative data, suggesting that participants had engaged with recovery-oriented reflections and experiences: recovery stories as validating and inspiring; Generalisation of DBT skills; shifting perspectives of recovery: doing better rather than being better. The survey results unanimously endorsed the RIG as a worthwhile and validating experience, which participants would recommend to other service users. Practical implications Recovery Inspiration Group appears to be a low-cost and easily replicable intervention with the potential to promote hope and inspiration for recovery among people with complex mental health difficulties. Originality/value Recovery Inspiration Group is a novel approach to harnessing the wisdom of people with lived experience of mental health difficulties, to foster hope among users of mental health inpatient services.
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Harper, David, and Ewen Speed. "Uncovering Recovery: The Resistible Rise of Recovery and Resilience." Studies in Social Justice 6, no. 1 (2012): 9–26. http://dx.doi.org/10.26522/ssj.v6i1.1066.
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Discourses of recovery and resilience have risen to positions of dominance in the mental health field. Models of recovery and resilience enjoy purchase, in both policy and practice, across a range of settings from self-described psychiatric survivors through to mental health charities through to statutory mental health service providers. Despite this ubiquity, there is confusion about what recovery means. In this article we problematize notions of recovery and resilience, and consider what, if anything, should be recovered from these concepts. We focus on three key issues, i) individualization, ii) the persistence of a deficit model, and iii) collective approaches to recovery. Through documentary analysis we consider these issues across third sector organizations, and public and mental health policy. Firstly, definitional debates about recovery reflect wider ideological debates about the nature of mental health. The vagueness of these concepts and implicit assumptions inherent in dominant recovery and resilience discourses render them problematic because they individualize what are social problems. Secondly, these discourses, despite being seen as inherently liberatory are conceptually dependent on a notion of deficit in that talk of “positives” and “strengths” requires the existence of “negatives” and “weaknesses” for these concepts to make sense. We argue that this does little to substantially transform dominant understandings of psychological distress. Thirdly, these issues combine to impact upon the progressive potential of recovery. It comes to be seen as an individualistic experiential narrative accompaniment to medical understandings where the structural causes of distress are obscured. This in turn impacts upon the potential for recovery to be used to explore more collective, political aspects of emotional distress. Drawing on the work of Fraser, we use this critique to characterize “recovery” as a “struggle for recognition,” founded on a model of identity politics which displaces and marginalizes the need for social, political and economic redistribution to address many of the underlying causes of emotional distress. We conclude by stating that it is only when the collective, structural experiences of inequality and injustice are explicitly linked to processes of emotional distress that recovery will be possible.
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Fox, Joanna, and Shula Ramon. "Recovery." Social Work and Social Sciences Review 14, no. 3 (2012): 10–22. http://dx.doi.org/10.1921/swssr.v14i3.500.
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We introduce the new meaning of recovery and reflect on its potential to develop current thinking and practice in mental health with adults, and look at its implications for service providers and service users. We analyse the relevance of this concept to the context of the UK government’s policy to move disabled people, including mental health service users, from ‘welfare to work’. The social and economic climate that drives this policy agenda and the implications for society of the focus on employment are outlined, as we reflect on the role of work in supporting or hindering the recovery process and identity re-formation, in part through the experience of the first author. We conclude by suggesting how practice can enable a process of returning to ordinary living, including employment, that supports recovery through a process of shared responsibilities.
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de Jonge, Jan, Yannick Balk, and Toon Taris. "Mental Recovery and Running-Related Injuries in Recreational Runners: The Moderating Role of Passion for Running." International Journal of Environmental Research and Public Health 17, no. 3 (2020): 1044. http://dx.doi.org/10.3390/ijerph17031044.
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This pilot study investigates the moderating role of passion for running in the relation between mental recovery from running and running-related injuries (RRIs). We predict that the relation between recovery and injuries is dependent on the level of passion. A cross-sectional survey study was conducted among 246 Dutch recreational runners. Multivariate logistic regression analyses revealed that the negative association between mental recovery after running and RRIs is moderated (i.e., strengthened) by harmonious passion. Put differently, runners who are able to mentally recover well after running were less likely to report RRIs in the case of harmonious passion. Additionally, findings demonstrated that obsessively passionate runners were more likely to report RRIs. Passionate runners may benefit from education programs to help them integrate running more harmoniously with other aspects of life, and to prevent injuries. In addition, they should be educated about the crucial role of appropriate mental recovery from running. Considering mental aspects in running such as mental recovery from running and passion for running seems to be worthwhile to gain a better understanding of the incidence and/or prevalence of RRIs. Future (quasi-experimental) studies should investigate the issues raised here more profoundly.
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Zahra, Salim Jessani. "Importance of Insight in the Recovery of Mental Illness." Singapore Journal of Nursing Research 1, no. 1 (2020): 4. https://doi.org/10.5281/zenodo.4035785.
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<strong><em>ABSTRACT</em></strong> <strong>Background:</strong> Mental illness makes a person denies of its own existence. It interferes with their thoughts, beliefs and perception which creates difficulty to understand one’s illness and becomes a barrier to recovery. The problem arises when an individual doesn’t comprehend about their illness which hinders in the treatment regimen. Hence, it is essential for an individual to have clear understanding of their illness in order to cope well. <strong>Objective:</strong> To evaluate the importance of Insight in the Recovery of Mental Illness. <strong>Method:</strong> Literature review conducted to explore the importance of Insight in the Recovery of Mental Illness Different electronic engines were explored from 1959 to 2014. <strong>Results</strong>: Literature suggests that 97% in India believes that people with poor insight should be excluded from society in which lack of family support plays a crucial role. Therefore, due to the lack of acceptance, motivation from the society and family, it has become an obstacle for a person to recover from illness to a wellness state <strong>Conclusion:</strong> Mental illness affects cognitive ability and makes it difficult for a person to recover because they don’t take responsibility for the treatment and don’t remain compliant with treatment regimen. It is our duty to cater patients with different strategies like Cognitive behavioral therapy so that they can cope effectively. <strong><em>Keywords: </em></strong><em>Insight, Mental Health and Recovery.</em>
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Penas, P., M. C. Moreno, J. J. Uriarte, P. Ridgway, and I. Iraurgi. "How is Evaluated Mental Health Recovery?" European Psychiatry 41, S1 (2017): S199. http://dx.doi.org/10.1016/j.eurpsy.2017.01.2145.
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IntroductionThere is an increasingly recognition of the concept of recovery in the treatment of mental illness. Recovery defined as living a fulfilling, rewarding life, even in the ongoing presence of a mental illness. Consequently, a number of instruments have been designed to assess recovery-oriented outcomes.ObjectiveThe objective of the study was to conduct a systematic revision of the instruments used to assess recovery with appropriate psychometric properties.MethodA systematic review of the literature has been realized. The adequacy of the instruments utilization, the content validity and psychometrics properties were gathered and analyzed.Results/discussionAfter a systematic review, it has been obtained 25 different instruments for measuring personal recovery and 17 for assessing the orientation of recovery in mental health services. As a consequence of the lack of consensus that exists in the conceptualization of recovery; several instruments have been developed and used to assess the different recovery domains. But it is essential to select scales that match with the recovery model and assess adequately the individual's recovery, and also, the recovery orientation of services. Moreover, those instruments should have appropriate psychometric properties and should be suitable to be introduced in routinely clinical settings.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Dunn, Warren. "Secure Recovery: approaches to Recovery in forensic mental health settings." Journal of Forensic Psychiatry & Psychology 25, no. 2 (2014): 238–39. http://dx.doi.org/10.1080/14789949.2014.902648.
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Kealeboga, Kebope Mongie, Mofatiki Eva Manyedi, and Salaminah Moloko-Phiri. "Nurses’ Perceptions on How Recovery-Oriented Mental Health Care Can Be Developed and Implemented." Nursing Research and Practice 2023 (August 23, 2023): 1–11. http://dx.doi.org/10.1155/2023/4504420.
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Aim. This study explored how nurses working in inpatient mental health units perceived the development and implementation of a recovery-oriented mental healthcare programme (ROMHCP). Background. The recovery-oriented mental healthcare approach (ROMHCA) in mental health is regarded as the future of mental health services and has been implemented in different countries worldwide. However, regarding developing and implementing the recovery approach, Africa appears to have been left behind by the rest of the continents. Design. The study used a qualitative approach to describe how a recovery-oriented mental healthcare approach could be developed. Methods. Thirty nurses who worked in Botswana’s four inpatient mental health facilities consented and voluntarily participated in the study. Data were collected from February to mid-March 2022 through online focus group discussions and analysed using thematic analysis. The COREQ checklist was used to report the findings. Results. Two main themes emerged as follows: (i) developing and implementing a recovery-oriented mental healthcare programme is possible and (ii) certain elements are required to develop and implement ROMHCP. Conclusion. The participants believed that people diagnosed with mental illness could recover from the illness and suggested how it could be achieved. They also contended that the programme’s success would lie mainly with multisectoral support from policymakers, facilities, hospital personnel, patients, and the community. Clinical Relevance. ROMHCP has the potential to benefit people with mental illness in the country. In addition, it would allow nurses to improve their knowledge and skills in managing mental illnesses. Patient or Public Contribution. The patients and the general public did not contribute to the study’s concept, design, and outcomes. However, the nurses working in mental health facilities volunteered to participate in the study.
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Dell, Nathaniel A., Charvonne Long, and Michael A. Mancini. "Models of Recovery in Mental Illness." Social Science Protocols 3 (March 15, 2020): 1–9. http://dx.doi.org/10.7565/ssp.2020.2805.
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Background. Discourse on the possibility of recovery from serious mental illness has become increasingly dominant among mental health professionals. Mental health recovery has been conceptualized variously by researchers, practitioners, policy-makers, and persons with mental illness. Several systematic reviews have synthesized the experience of recovery from the perspective of persons with mental illness, and offer different models of recovery. This proposed overview aims to summarize the methodological characteristics of systematic reviews on mental health recovery and to synthesize models of recovery from the perspective of persons with mental illness.
 Design and analysis. The authors will use systematic review methods to identify and synthesize systematic reviews on the phenomenon of recovery in mental illness. A pre-specified search strategy will be used to search academic databases and libraries of the Campbell Collaboration, Cochrane Collaboration, and Joanna Briggs Institute for published and gray literature. Two authors will independently screen titles/abstracts and full texts. Authors will pilot the data extraction form before independently extracting data and appraising study quality. Reflexive thematic analysis, informed by a hermeneutic orientation towards the included texts, will be used to synthesize models of recovery presented in eligible studies.
 Discussion. This overview will synthesize systematic review evidence on consumer perspectives of mental health recovery. Findings could inform future research, clinical practice, and policy by elucidating similarities and differences in recovery models across demographic or diagnostic categories and identifying how environmental, interpersonal, and intrapersonal factors contribute to recovery.
 Systematic review registration: PROSPERO CRD42019142970
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Slade, M. "Personal recovery, clinical recovery and patient-rated measures." European Psychiatry 66, S1 (2023): S35. http://dx.doi.org/10.1192/j.eurpsy.2023.135.
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AbstractThis talk will cover two common areas of confusion. First, the relationship between personal recovery and clinical recovery will be described, using recent meta-analytic evidence. It will be argued that personal recovery is not the same as clinical recovery, and that there is now an established policy and practice consensus that supporting personal recovery is the primary aim of mental health systems. Traditional clinical recovery-oriented treatments which target for example symptomatology or relapse prevention can for many people with mental health issues contribute to their recovery at points in their lives, but for others different approaches are needed. This variation in clinical need is addressed in the second area – patient-rated measures. The rationale for measures of experiential knowledge will be given. A distinction will be drawn between Patient-rated outcome measures (PROMs) and Patient-rated experience measures (PREMs), and between peer-developed patient-generated PROMs (PG-PROMs) compared with those developed by non-peer research teams. It will be argued that modern mental health systems should be judged by their impact on recovery, as measured using PROMs and PREMs in preference to staff-rated measures.Disclosure of InterestNone Declared
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Orui, Masatsugu, Satomi Nakajima, Yui Takebayashi, et al. "Mental Health Recovery of Evacuees and Residents from the Fukushima Daiichi Nuclear Power Plant Accident after Seven Years—Contribution of Social Network and a Desirable Lifestyle." International Journal of Environmental Research and Public Health 15, no. 11 (2018): 2381. http://dx.doi.org/10.3390/ijerph15112381.
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The 2011 Fukushima nuclear accident resulted in the exposure to radiation and evacuation, which has created psychological distress among the Fukushima residents. With the provision of multi-faceted support and the progress of the reconstruction, their mental health has appeared to show signs of recovery. However, there have been few studies investigating their recovery. To clarify the related factors associated with mental health recovery, a cross-sectional questionnaire survey was conducted. Subjects whose answers were associated with Resilience, Recovery, and Remitting patterns of mental health status were categorized in the Recovery group, while those associated with Delayed/Chronic dysfunction were placed in the Non-recovered group. In a multivariable logistic regression analysis, disaster-related unemployment (odds ratio (OR): 0.80, 95% CI (confidence interval): 0.65–0.99) and economic hardship (OR: 0.80, 95% CI: 0.65–0.98) were associated with the hindrance of recovery. In contrast, overall good health (OR: 1.47, 95% CI: 1.20–1.80), regular physical activity (OR: 1.23, 95% CI: 1.01–1.50), social interaction with friends (OR: 1.25, 95% CI: 1.00–1.55), and established social roles (OR: 1.44, 95% CI: 1.14–1.82) were associated with the promotion of recovery. In conclusion, our study showed a positive association between mental health recovery and a desirable lifestyle and social network, particularly with social roles. Thus, the provision of active social roles can promote recovery related to a disaster as with multi-faceted support.
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Thongsalab, Jutharat. "Personal Recovery from Serious Mental Illness." Babali Nursing Research 1, no. 2 (2020): 68–80. http://dx.doi.org/10.37363/bnr.2020.1227.
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Personal rehabilitation from severe mental illness (SMI) refers to the cycle of living independent and active lives in the community, where individuals with significant mental disorders can be satisfactory. The aim of the concept analysis to clarify what is meant by a personal recovery of SMI internationally by the attributes, antecedents, and consequences. This study using a technique the analysis method of Walker & Avant through 8 steps techniques. The attributes of personal recovery of SMI include connectedness, hope and optimism about future, identity, meaning in life, and empowerment. Antecedents of personal recovery of SMI is a stigma attached to a mental health diagnosis. The consequences of personal recovery of SMI are usual from SMI, self-restoration, and excellent Quality of life. Symptom reduction (e.g., clinical recovery) becomes an integral part of someone's recovery if the person is something they want to be because recovery is unique for everyone.
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Lord, Sarah, Sarah K. Moore, Alex Ramsey, Susan Dinauer, and Kimberly Johnson. "Implementation of a Substance Use Recovery Support Mobile Phone App in Community Settings: Qualitative Study of Clinician and Staff Perspectives of Facilitators and Barriers." JMIR Mental Health 3, no. 2 (2016): e24. http://dx.doi.org/10.2196/mental.4927.
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Background Research supports the effectiveness of technology-based treatment approaches for substance use disorders. These approaches have the potential to broaden the reach of evidence-based care. Yet, there is limited understanding of factors associated with implementation of technology-based care approaches in different service settings. Objectives In this study, we explored provider and staff perceptions of facilitators and barriers to implementation of a mobile phone substance use recovery support app with clients in 4 service settings. Methods Interviews were conducted with leadership and provider stakeholders (N=12) from 4 agencies in the first year of an implementation trial of the mobile phone app. We used the Consolidated Framework for Implementation Research as the conceptual foundation for identifying facilitators and barriers to implementation. Results Implementation process facilitators included careful planning of all aspects of implementation before launch, engaging a dedicated team to implement and foster motivation, working collaboratively with the app development team to address technical barriers and adapt the app to meet client and agency needs, and consistently reviewing app usage data to inform progress. Implementation support strategies included training all staff to promote organization awareness about the recovery support app and emphasize its priority as a clinical care tool, encouraging clients to try the technology before committing to use, scaling rollout to clients, setting clear expectations with clients about use of the app, and using peer coaches and consistent client-centered messaging to promote engagement. Perceived compatibility of the mobile phone app with agency and client needs and readiness to implement emerged as salient agency-level implementation facilitators. Facilitating characteristics of the recovery support app itself included evidence of its impact for recovery support, perceived relative advantage of the app over usual care, the ability to adapt the app to improve client use, and its ease of use. The mobile phone itself was a strong motivation for clients to opt in to use the app in settings that provided phones. App access was limited in settings that did not provide phones owing to lack of mobile phone ownership or incompatibility of the app with clients’ mobile phones. Individual differences in technology literacy and provider beliefs about substance use care either facilitated or challenged implementation. Awareness of patient needs and resources facilitated implementation, whereas external policies and regulations regarding technology use introduced barriers to implementation. Conclusions The conceptually grounded facilitators and barriers identified in this study can guide systematic targeting of strategies to improve implementation of mobile phone interventions in community treatment settings. Results also inform the design of technology-based therapeutic tools. This study highlights directions for research with regard to implementation of technology-based behavioral health care approaches.
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Pietilä, Julia, Elina Helander, Ilkka Korhonen, Tero Myllymäki, Urho M. Kujala, and Harri Lindholm. "Acute Effect of Alcohol Intake on Cardiovascular Autonomic Regulation During the First Hours of Sleep in a Large Real-World Sample of Finnish Employees: Observational Study." JMIR Mental Health 5, no. 1 (2018): e23. http://dx.doi.org/10.2196/mental.9519.
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Background Sleep is fundamental for good health, and poor sleep has been associated with negative health outcomes. Alcohol consumption is a universal health behavior associated with poor sleep. In controlled laboratory studies, alcohol intake has been shown to alter physiology and disturb sleep homeostasis and architecture. The association between acute alcohol intake and physiological changes has not yet been studied in noncontrolled real-world settings. Objective The aim of this study was to assess the effects of alcohol intake on the autonomic nervous system (ANS) during sleep in a large noncontrolled sample of Finnish employees. Methods From a larger cohort, this study included 4098 subjects (55.81%, 2287/4098 females; mean age 45.1 years) who had continuous beat-to-beat R-R interval recordings of good quality for at least 1 day with and for at least 1 day without alcohol intake. The participants underwent continuous beat-to-beat R-R interval recording during their normal everyday life and self-reported their alcohol intake as doses for each day. Heart rate (HR), HR variability (HRV), and HRV-derived indices of physiological state from the first 3 hours of sleep were used as outcomes. Within-subject analyses were conducted in a repeated measures manner by studying the differences in the outcomes between each participant’s days with and without alcohol intake. For repeated measures two-way analysis of variance, the participants were divided into three groups: low (≤0.25 g/kg), moderate (>0.25-0.75 g/kg), and high (>0.75 g/kg) intake of pure alcohol. Moreover, linear models studied the differences in outcomes with respect to the amount of alcohol intake and the participant’s background parameters (age; gender; body mass index, BMI; physical activity, PA; and baseline sleep HR). Results Alcohol intake was dose-dependently associated with increased sympathetic regulation, decreased parasympathetic regulation, and insufficient recovery. In addition to moderate and high alcohol doses, the intraindividual effects of alcohol intake on the ANS regulation were observed also with low alcohol intake (all P<.001). For example, HRV-derived physiological recovery state decreased on average by 9.3, 24.0, and 39.2 percentage units with low, moderate, and high alcohol intake, respectively. The effects of alcohol in suppressing recovery were similar for both genders and for physically active and sedentary subjects but stronger among young than older subjects and for participants with lower baseline sleep HR than with higher baseline sleep HR. Conclusions Alcohol intake disturbs cardiovascular relaxation during sleep in a dose-dependent manner in both genders. Regular PA or young age do not protect from these effects of alcohol. In health promotion, wearable HR monitoring and HRV-based analysis of recovery might be used to demonstrate the effects of alcohol on sleep on an individual level.
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Johnson, Wendy. "Support and compassion speeds mental recovery." Nursing Standard 17, no. 49 (2003): 30. http://dx.doi.org/10.7748/ns.17.49.30.s45.
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Boardman, Jed, and Geoff Shepherd. "Implementing recovery in mental health services." International Psychiatry 9, no. 1 (2012): 6–8. http://dx.doi.org/10.1192/s1749367600002897.
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The ideas of ‘recovery’ arise from the experiences of people with mental health problems. The recovery approach emerged in the North American civil rights and consumer and survivor movements from the 1970s onwards. It is concerned with social justice, individual rights, citizenship, equality, freedom from prejudice and discrimination. In this paper we discuss a project in England that has examined how mental health services may be transformed to be more supportive of recovery and the implications that this has for professional practice.
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Nurser, Kate P., Imogen Rushworth, Tom Shakespeare, and Deirdre Williams. "Personal storytelling in mental health recovery." Mental Health Review Journal 23, no. 1 (2018): 25–36. http://dx.doi.org/10.1108/mhrj-08-2017-0034.
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Purpose Creating more positive individual narratives around illness and identity is at the heart of the mental health care recovery movement. Some recovery services explicitly use personal storytelling as an intervention. The purpose of this paper is to look at individual experiences of a personal storytelling intervention, a recovery college Telling My Story (TMS) course. Design/methodology/approach Eight participants who had attended the TMS course offered at a UK recovery college were interviewed. Data were analysed using interpretative phenomenological analysis. Findings Five key themes, namely a highly emotional experience, feeling safe to disclose, renewed sense of self, two-way process and a novel opportunity, were emerged. Originality/value The findings suggest that storytelling can be a highly meaningful experience and an important part of the individual’s recovery journey. They also begin to identify elements of the storytelling process which might aid recovery, and point to pragmatic setting conditions for storytelling interventions to be helpful. More time could be dedicated to individuals telling their story within UK mental health services, and the authors can use this insight into the experience of personal storytelling to guide any future developments.
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Jensen, Anita. "Mental health recovery and arts engagement." Journal of Mental Health Training, Education and Practice 13, no. 3 (2018): 157–66. http://dx.doi.org/10.1108/jmhtep-08-2017-0048.
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PurposeArts and cultural activities have been illustrated to be beneficial for mental health service users. The purpose of this paper is to explore the benefits of museum visits and engage in arts activities for mental health service users.Design/methodology/approachSemi-structured interviews were conducted with 17 mental health service users in Denmark. A thematic approach was used to analyse the data and theoretical lens of sociological theories of institutional logics was employed to explore the findings.FindingsThese benefits are perceived to include empowerment and meaning in life, which are two of the core principles of recovery; arts engagement can, therefore, be a useful tool in recovery. The findings also show that the experience of visiting a museum was not always positive and depended upon the interaction with the museum educators.Originality/valueThe service users identified arts engagement as creating meaning in life and empowerment, which are two element in the conceptual framework, CHIME (an acronym for: Connectedness, Hope and optimism, Identity, Meaning in life and Empowerment), that describes the human process of recovery. The findings also highlighted that if museums want to engage positively with people with mental health problems and contribute to their recovery then the training of staff and the improvement of institutional approaches to support working with vulnerable people are essential.
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Sandoz, Jeff. "Mental Imagery and Metaphors for Recovery." American Journal of Pastoral Counseling 8, no. 2 (2005): 43–53. http://dx.doi.org/10.1300/j062v08n02_03.
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Amering, Michaela, Monika Mikus, and Sigrid Steffen. "Recovery in Austria: Mental health trialogue." International Review of Psychiatry 24, no. 1 (2012): 11–18. http://dx.doi.org/10.3109/09540261.2012.655713.
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Quosh, Constanze. "Mental health, forced displacement and recovery." Intervention 11, no. 3 (2013): 295–320. http://dx.doi.org/10.1097/wtf.0000000000000012.
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