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A qualitative inquiry on recovery needs and resources of individuals with intellectual disabilities labelled not criminally responsible
- Authors:
- AGA Natalie, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 33(4), 2020, pp.673-685.
- Publisher:
- Wiley
Background: Recovery is a widely accepted paradigm in mental health care, whilst the correctional and forensic–psychiatric field is still searching for foundations for its implementation. Knowledge regarding recovery of persons with intellectual disabilities in secure contexts is limited. This study assesses recovery needs and resources among persons with intellectual disabilities labelled not criminally responsible and investigates the impact of the judicial label on recovery processes. Methods: A sample of 26 individuals was composed purposively, and in‐depth interviews were conducted. Recurrent themes were identified using thematic analysis. Results: Traditional recovery themes emerged from the narratives, next to aspects of recovery in a forensic or correctional context. However, the operationalization and proportional impact are specific for this sample. Conclusions: The social dimension overarches all other recovery dimensions. The integration of an explicit social rhetoric is imperative, including contextual, relational, interactional and societal dimensions. This offers pathways to reverse the traditional, paternalistic model of exclusion and classification. (Edited publisher abstract)
The recovery model, its growth in Ireland, and its importance in social work practice
- Author:
- JOY Brid
- Journal article citation:
- Irish Social Worker, Autumn 2012, pp.13-19.
- Publisher:
- Irish Association of Social Workers
The ‘recovery model’ is a new way of thinking about mental health problems. Recovery is not about going back to a pre illness state, and, in contrast to the medical model, it does not emphasise the control of symptoms. Instead it involves a transformation of the self, in which one both accepts ones limitations and discovers a new world of possibility. A mental health service which promotes recovery assists service users to feel that, with support, they can develop coping strategies to deal with their difficulties and gain a sense of control over their lives. The idea of recovery in Ireland is beginning to find wide acceptance. The document ‘A recovery model approach within the Irish Mental Health Services – a framework for development’ (2008) provides a framework on how to integrate a recovery approach into the Irish mental health services. It discusses the role of: leadership; person centred and empowering care; hope inspiring relationships; access and inclusion; education; and research and evaluation.
From Communism to schizophrenia and beyond: one man's long road to recovery
- Author:
- McMANUS Gordon
- Publisher:
- Whiting and Birch
- Publication year:
- 2012
- Pagination:
- 232p.
- Place of publication:
- London
This book discusses one of the two main approaches to the study of recovery from severe mental heath; personal recovery as opposed to clinical recovery. It does so through the story of one man's journey from communist politics, to schizophrenia and recovery. The book is a collaboration between the first author who was a leading authority in the British Communist movement, until he developed schizophrenia in his forties, and his psychologist. Reflecting how the recovery approach can change the nature of the traditional doctor patient relationship. The first section of the book tells Gordon's story in three parts: his life as a political activist; his ‘lost years’ with schizophrenia and the journey of recovery. Contributions from the social worker and nurse who worked with him are included along with the views of his family and friends. The second section of the book provides an overview of the recovery approach, as well as describing the innovative methods pioneered in South London and Maudsley NHS Trust.
Outcome measurement in a Scottish mental health charity
- Authors:
- MONGER Bridey, et al
- Journal article citation:
- Mental Health Today, March 2012, pp.24-27.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Routine outcome measurement (ROM) refers to the planned, systematic measurement and recording of clearly defined variables using specified and robust measures. Data collected as part of ROM can be used to map progress, provide feedback to service users, and help clinicians to monitor the impact of their interventions. ROM can also enable services to monitor their effectiveness, plan future developments, and provide evidence of cost efficiency. This article describes how the Scottish mental health charity Penumbra is embedding ROM in its everyday work and the effect it is having. Penumbra has developed a tool, the Individual Recovery Outcomes Counter (i-ROC) which measures recovery on a 1-6 Likert scale across 12 indicators. Once completed, service user’s i-ROC scores are displayed on a spidergram which can be used to track changes over time. I-ROC has been extensively trialled by Penumbra over the past 4 years, and staff and service users have demonstrated their confidence in and liking for the tool. Further work is in place to formally assess its psychometric properties.
Commentary on “Substance abuse recovery after experiencing homelessness and mental illness: case studies of change over time”
- Author:
- WHITLEY Rob
- Journal article citation:
- Journal of Dual Diagnosis, 8(31), July 2012, pp.247-249.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The author comments on a paper by Henwood et al (Ibid p.238) that examined the impact of homelessness on people struggling to overcome dual diagnosis. He congratulates the authors on a well-executed and thoughtful study, the results of which are located in the current literature and concur with many other findings. This commentary discusses the observations in the context of an older literature derived from both medical sociology and social psychiatry. The author believes this approach can stretch and enrich the key findings as well as providing an alternative framework for thinking about recovery from dual diagnosis. He focuses on three factors in recovery: biographical disruption and reconstruction; ontological security; and fresh start experiences. It appears that the paper by Henwood et al indicates a role for all three and that further studies could usefully explore whether these factors are really facilitators of recovery and the interrelation between them.
The making of a film about recovery
- Authors:
- CARSON Jerome, et al
- Journal article citation:
- Mental Health and Social Inclusion, 16(2), 2012, pp.72-78.
- Publisher:
- Emerald
The Recovery Film, a 20 minute film about recovery directed and edited by someone who has lived experience of mental health problems and featuring only service users, was launched in 2011. It was funded by the charitable trustees of the South London and Maudsley NHS Foundation Trust. This article explains how the film came about and describes the process of making it. A number of service users were auditioned for the film and four were chosen to participate. The article illustrates the main themes from the film, with quotations from participants to illustrate the narrative: the experience of being mentally ill, what caused mental illness, what recovery is, what helped people, and the process of recovery. The film is available on the internet http://www.slam.nhs.uk/patients/recovery.aspx www.slam.nhs.uk/patients/recovery.aspx (Edited publisher abstract)
Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis
- Authors:
- LEAMY Mary, et al
- Journal article citation:
- British Journal of Psychiatry, 199(6), December 2011, pp.445-452.
- Publisher:
- Cambridge University Press
A recovery orientation is mental health policy in most Anglophone countries. However the implications of recovery orientation for working practice are unclear and guidelines for developing recovery–based services have only recently become available. Current approaches to understanding personal recovery are primarily based on qualitative research or consensus methods. The aims of this study were to undertake a systematic review of the available literature and to use a modified narrative synthesis to develop a new conceptual framework for recovery. A conceptual framework in this context being a network, or a plane, of interlinked concepts that together provide a comprehensive understanding of the phenomenon and an empirical basis for future recovery-orientated research and practice. A total of 5208 papers were identified, 366 reviewed, and 97 were included in this analysis. The emergent conceptual framework consists of: 13 characteristics of the recovery journey; five recovery processes comprising: connectedness; hope and optimism about the future; identity; meaning in life; and empowerment (giving the acronym CHIME); and recovery stage descriptions which mapped onto the transtheoretical model of change. Studies that focused on recovery for individuals of black and minority ethnic origin showed greater emphasis on spirituality and stigma and identified two additional themes: culturally specific facilitating factors and collectivist notions of recovery.
Complete mental health recovery: bridging mental illness with positive mental health
- Authors:
- PROVENCHER Helene L., KEYES Corey L. M.
- Journal article citation:
- Journal of Public Mental Health, 10(1), 2011, pp.57-69.
- Publisher:
- Emerald
In this paper, the authors argue that the study and promotion of recovery can be augmented by adopting the model of mental health as a complete state. The article describes a model of positive mental health incorporating 13 dimensions which relate to emotional well-being (positive emotions such as happiness and life satisfaction) and positive functioning (a sense of engagement and fulfilment reflecting psychological well-being and social well-being). It discusses the relevance of positive mental health to recovery, asserting that from the perspective of complete mental health, recovery is seen as restoration from mental illness and optimisation of positive mental health, and illustrates pathways to complete mental health over the recovery process. The authors note that both the alleviation of mental illness and the promotion of positive mental health, distinct but complementary processes, are viewed as necessary to move towards recovery.
How experienced social workers apply recovery-oriented mental health policies in everyday practice
- Author:
- KARPETIS George
- Journal article citation:
- European Journal of Social Work, 23(1), 2020, pp.106-117.
- Publisher:
- Taylor and Francis
In the wider mental health literature, there is a shortage of empirical studies elaborating on how exactly the recovery principle is effectively operationalised in everyday practice. This study explores how statutory mental health social workers implement recovery policies in Australia. Adopting the interpretative phenomenology framework, the researcher conducted in-depth interviews with six experienced statutory mental health social workers. The data were thematically analysed to identify the participants’ perspectives on how they experience the recovery practice phenomenon and, thus, how exactly they apply recovery policies in their everyday practice. The study contributes new knowledge to the literature by means of translating the main aspects of recovery policies into identifiable practice behaviours and demonstrates that the terminology the practitioners adopt considerably aligns with the critical and humanistic theoretical perspectives that similarly underpin the majority of the current recovery-oriented policy documents. The study concludes that there is a need for further research on how exactly personal and clinical recovery are effectively operationalised in statutory mental health practice, under different theoretical perspectives. (Publisher abstract)
Questioning the professionalization of recovery: a collaborative exploration of a recovery process
- Authors:
- DE RUYSSCHER Clara, et al
- Journal article citation:
- Disability and Society, 34(5), 2019, pp.797-818.
- Publisher:
- Taylor and Francis
While the recovery concept strongly resonates in clinical mental health care today, it first arose in service user-led contexts. A major risk of this professionalization shift is that recovery primarily becomes defined by treatment providers. This study aims to keep the debate on recovery alive through a collaborative exploration of Pete’s recovery process by means of a bricolage approach. This resulted in an idiographic portrait of Pete’s experiences of recovery and treatment, clustered around four themes: life rebuilding, identity, continuity of care and the role of drugs. His experiences illustrate a number of contradictions in the operationalization of the recovery ethos in today’s mental health care; whilst recovery appears as a hopeful vision of empowerment, it also risks being reduced to a tokenistic model that fails to address the social realities of people in recovery and in which the assumption that mental illness is chronic is still latently present. (Edited publisher abstract)