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Putting recovery into mental health practice
- Authors:
- SHEPHERD Geoff, BOARDMAN Jed, SLADE Mike
- Journal article citation:
- Mental Health Today, May 2008, pp.28-31.
- Publisher:
- Pavilion
- Place of publication:
- Hove
While the concept of recovery requires further development, the author argues that it provides a framework that could bring a radical transformation of mental health services in the UK. This article, based on a longer policy paper produced by the Sainsbury Centre, presents some of the key ideas and their implications for the delivery of mental health services.
Making recovery a reality
- Authors:
- SHEPHERD Geoff, BOARDMAN Jed, SLADE Mike
- Publisher:
- Sainsbury Centre for Mental Health
- Publication year:
- 2008
- Pagination:
- 16p., bibliog.
- Place of publication:
- London
Helping people to recover their lives should be the top priority for mental health services. This means giving service users the chance to determine what future they want for themselves and offering practical support to help them to achieve it. While recovery is already government policy, the reality is that mental health services still focus more on managing people's symptoms than their work, education and family life. Yet these are what matter most to most people. The authors say "Recovery is a truly radical idea. It turns mental health services' priorities on their heads. Traditional services wait until a person's illness is cured before helping them to get their life back. Recovery-focused services aim from day one to help people to build a life for themselves. The medical care they give is in support of that bigger purpose." Making Recovery a Reality says mental health services need to change radically to focus on recovery. They need to demonstrate success in helping service users to get their lives back and giving service users the chance to make their own decisions about how they live their lives.
Personal recovery and mental illness: a guide for mental health professionals
- Author:
- SLADE Mike
- Publisher:
- Cambridge University Press
- Publication year:
- 2009
- Pagination:
- 288p.
- Place of publication:
- Cambridge
The central thesis of this book is that the main aim of mental health services should be to promote personal recovery. The book argues that this will require fundamental change in the values and working practices of mental health professionals, from a focus on treating illness in order to produce clinical recovery to a new focus on supporting personal recovery by promoting well-being. It is intended primarily for mental health professionals, and aims to convince that a focus on personal recovery is the right direction for mental health services, to crystallise what personal recovery means, and to promote practice focusing on personal recovery. It proposes a new conceptual basis for mental health services prioritising the person over the illness (the Personal Recovery Framework), and identifies the contribution of personal and social identity to recovery. It also discusses what recovery focused services look like and includes 26 case studies from around the world.
Choosing methods in mental health research: mental health research from theory to practice
- Editors:
- SLADE Mike, PRIEBE Stefan, (eds.)
- Publisher:
- Routledge
- Publication year:
- 2006
- Pagination:
- 298p., bibliog.
- Place of publication:
- London
This book is concerned with how to choose the most appropriate mental health research method, not only to address a specific question, but to maximize the potential impact on shaping mental health care. The editors focus attention on the types of audience that the researcher is seeking to influence, the types of evidence each audience accepts as valid, and the relative strengths and limitations of each type of methodology. A range of research methodologies are described and critically appraised, and the use of evidence by different groups is discussed. This produces some important findings about the interplay between research production and consumption, and highlights directions for future mental health research theory and practice. The findings presented here will be relevant to mental health service users and professionals who use research evidence to inform decision-making.
Use of standardised outcome measures in adult mental health services: randomised controlled trial
- Authors:
- SLADE Mike, et al
- Journal article citation:
- British Journal of Psychiatry, 189(4), October 2006, pp.330-336.
- Publisher:
- Cambridge University Press
A randomised controlled trial, involving 160 representative adult mental health patients and paired staff (ISRCTN16971059). The intervention group (n=101) (a) completed monthly postal questionnaires assessing needs, quality of life, mental health problem severity and therapeutic alliance, and (b) received 3-monthly feedback. The control group (n=59) received treatment as usual. The intervention did not improve primary outcomes of patient-rated unmet need and of quality of life. Other subjective secondary outcome measures were also not improved. The intervention reduced psychiatric inpatient days (3.5 v.16.4 mean days, bootstrapped 95% CI1.6–25.7), and hence service use costs were £2586 (95% CI 102–5391) less for intervention-group patients. Net benefit analysis indicated that the intervention was cost-effective. Routine use of outcome measures as implemented in this study did not improve subjective outcomes, but was associated with reduced psychiatric inpatient admissions.
Evidence in mental health care
- Editors:
- PRIEBE Stefan, SLADE Mike
- Publisher:
- Brunner-Routledge
- Publication year:
- 2002
- Pagination:
- 267p.,bibliog.
- Place of publication:
- Hove
This book evaluates a range of research methodologies and examines what types of 'evidence' have been appealed to. It comprises an historical and conceptual analysis of what was regarded as evidence and how this has impacted on mental health care. Presenting different methodological approaches it discusses their strengths and weaknesses in providing evidence, an how evidence is applied in different treatment and care modalities. Different angles on the the way forward for providing evidence to improve current treatments are scrutinised.