Search results for ‘Subject term:"mental health problems"’ Sort:
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Facilitators and barriers in dual recovery: a literature review of first-person perspectives
- Authors:
- NESS Ottar, BORG Marit, DAVIDSON Larry
- Journal article citation:
- Advances in Dual Diagnosis, 7(3), 2014, pp.107-117.
- Publisher:
- Emerald
Purpose: The co-occurrence of mental health and substance use problems is prevalent, and has been problematic both in terms of its complexity for the person and of the challenges it poses to health care practitioners. Recovery in co-occurring mental health and substance use problems is viewed as with multiple challenges embedded in it. As most of the existing literature on recovery tends to treat recovery in mental health and substance use problems separately, it is critical to assess the nature of our current understanding of what has been described as “complex” or “dual” recovery. The purpose of this paper is to identify and discuss what persons with co-occurring mental health and substance use problems describe as facilitators and barriers in their recovery process as revealed in the literature. Design/methodology/approach: The method used for this study was a small-scale review of the literature gleaned from a wider general view. Searches were conducted in CINAHL, Psych info, Medline, Embase, SweMed+, and NORART. Findings: Three overarching themes were identified as facilitators of dual recovery: first, meaningful everyday life; second, focus on strengths and future orientation; and third, re-establishing a social life and supportive relationships. Two overarching themes were identified as barriers to dual recovery: first, lack of tailored help and second, complex systems and uncoordinated services. Originality/value: The recovery literature mostly focuses on recovery in mental health and substance use problems separately, with less attention being paid in the first-person literature to what helps and what hinders dual recovery. (Publisher abstract)
Shifting practices of recovery under community mental health reform: a street-level organizational ethnography
- Author:
- SPITZMUELLER Matthew C.
- Journal article citation:
- Qualitative Social Work, 13(1), 2014, pp.26-48.
- Publisher:
- Sage
This article is part of a larger ethnographic study that seeks to understand how community mental health practice has changed over time in response to shifts in Medicaid management and financing. In this article, I examine the struggle that took place on the ground in one emblematic community mental health agency as frontline workers strived to realize their ‘recovery’ vision under emerging managerial arrangements of fee-for-service billing. This study finds that managerial reforms conflict with locally forged practices that emphasize self-determination and program responsiveness. By analyzing how street-level workers respond to formal policy in a real-time, situated context, this article gives greater transparency to policies that are otherwise uncertain, providing a fuller picture of how policy is produced in everyday life. (Publisher abstract)
My evolving understanding of recovery
- Author:
- LEES Robyn Lorna
- Journal article citation:
- Mental Health and Social Inclusion, 18(3), 2014, pp.125-132.
- Publisher:
- Emerald
Purpose: The purpose of this viewpoint is to discuss a personal account of the author's personal journey of recovery and evolving understanding of recovery. Design/methodology/approach: A personal narrative describing the ways in which the author's understanding of recovery has been challenged and has evolved. Reference to theories of learning is made to understand this process. Findings: That reflection and re-evaluation of long held beliefs is a painful process. It involves not simply adding to existing knowledge but “supplantive learning” – learning as loss: changing how the author sees things having processed new “threshold concepts” (Atherton, 2013b). Originality/value: A personal account of the painful process of change that has relevance for both people rebuilding their lives with mental health conditions and those who are working with them. (Publisher abstract)
The spiritual developmental process for people in recovery from severe mental illness
- Authors:
- STARNINO Vincent R., CANDA Edward R.
- Journal article citation:
- Journal of Religion and Spirituality in Social Work, 33(3-4), 2014, pp.274-299.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article gives insights about the various ways that people with severe mental illnesses experience spiritual benefits and struggles in the context of their life journeys, and how these are navigated through time as part of a spiritual development process. Multiple in-depth interviews were conducted with 18 individuals with a range of diagnoses and spiritual affiliations receiving services at community mental health centres and consumer-run organisations in a Midwestern state. The study identified four patterns in the way people with severe mental illnesses utilised spirituality as part of their lives and recovery through time, which were named “basic impact” on recovery; “symptoms as a barrier” to using spirituality in recovery; learning to use spirituality for recovery “in progress”; and “high synergy” between spirituality and recovery. Implications for social workers and related mental health practitioners are discussed. (Edited publisher abstract)
The Recovery Rocks Community story
- Author:
- WAEGELI Amanda
- Journal article citation:
- Mental Health and Social Inclusion, 18(2), 2014, pp.61-67.
- Publisher:
- Emerald
This article describes the history and development of the Recovery Rocks Community of peers in recovery, a community that exists in Perth, Western Australia. The community is successful in providing mutual support in members journeys of recovery. It offers an innovative approach to fostering recovery in a peer support community that could act as a model for the development of other similar communities. (Edited publisher abstract)
Establishing a recovery college in a Scottish University
- Authors:
- MCCAIG Marie, et al
- Journal article citation:
- Mental Health and Social Inclusion, 18(2), 2014, pp.92-97.
- Publisher:
- Emerald
Purpose: This paper uses a narrative approach to describes the establishment of the Dumfries and Galloway Wellness and Recovery College (The College) within the University of the West of Scotland. Social implications: It is believed that stigma and discrimination are pernicious and pervasive and a concerted and deliberately conscious attempt is needed to establish an inclusive, egalitarian and aligned approach whereby practices match values base. Originality/value: This is justified as being in keeping with a philosophy based on the concepts of recovery, co-production co-delivery and co-receiving. Although not without precedent this development is innovative in being embedded within the university sector and challenging existing paradigms in terms of the positive and inclusive approach to mental health. (Edited publisher abstract)
“Is there a getting better from this, or not?” examining the meaning and possibility of recovery from mental disorder
- Journal article citation:
- Child and Youth Services, 35(2), 2014, pp.116-136.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The concept of “recovery” from mental disorder is widely used in the national conversation about youth and adult mental health treatment as if everyone is on the same page about what it means. Fundamental disagreements among researchers and practitioners exist, however, on a variety of issues related to the precise nature and meaning of recovery from mental, emotional, and behavioural disorder generally. Among these issues are: (a) The meaning of recovery; (b) The possibility of full recovery; and (c) Effective support for recovery. After reviewing diverging responses for each of these three issues, the authors then trace practical implications of competing interpretations for treatment and recovery itself. As demonstrated throughout, the stance taken on these questions can have profound and lifelong consequences for youth and children in treatment. (Edited publisher abstract)
Making recovery a reality in forensic settings: briefing
- Authors:
- DRENNAN Gerard, WOOLDRIDGE James
- Publishers:
- Centre for Mental Health, NHS Confederation. Mental Health Network
- Publication year:
- 2014
- Pagination:
- 27
- Place of publication:
- London
Examines how recovery principles may be applied to forensic settings. People in forensic services are doubly stigmatised with repeated or prolonged contact with the criminal justice system in addition to mental health problems. But the process of recovery is as important for them as it is for anyone else. This briefing discusses the challenges and addresses their implications for staff, considering five key areas of work that can contribute to the creation of an environment in which recovery processes can take root in the men and women who become ‘forensic patients’. These include: supporting recovery along the care pathway; quality of relationship; risk and safety; opportunities for building a ‘life beyond illness’ and having a meaningful occupation; and peer support. It describes current best practice within forensic services and articulates quality indicators for care at both an individual and an organisational level. It concludes that for forensic service users, personal recovery needs to include offender recovery. This means addressing guilt, shame, confusion, turmoil – sometimes denial – with sensitivity and respect. (Edited publisher abstract)
Risk, safety and recovery
- Authors:
- BOARDMAN Jed, ROBERTS Glenn
- Publishers:
- Centre for Mental Health, NHS Confederation. Mental Health Network
- Publication year:
- 2014
- Pagination:
- 22
- Place of publication:
- London
This briefing paper examines current approaches to risk management in mental health care and explains why these need to be changed to be more support of people's personal recovery. It identifies ways of moving towards recovery-orientated risk assessment based on involving service users in shared decision making and jointly produced 'safety plans'. It argues that jointly produced ‘safety plans’ can be more effective ways of managing risk as well as enabling people to get on with their lives. The paper also looks at the organisational issues that need to be considered when taking a person-centred safety planning approach and presents ten key recommendations. (Edited publisher abstract)
The recovery framework as a way of understanding families' responses to mental illness: balancing different needs and recovery journeys
- Authors:
- WYDER Marianne, BLAND Robert
- Journal article citation:
- Australian Social Work, 67(2), 2014, pp.179-196.
- Publisher:
- Taylor and Francis
Personal recovery is a guiding principle in mental health and suggests that consumers own and are responsible for their own recovery. An exclusive focus on the recovery of those living with mental illness challenges the relevance of recovery concepts to families’ experiences. This paper extends these recovery principles to consider if the recovery framework is helpful in understanding families’ experiences. We distinguished the family's recovery task by recovery-oriented support and the family's own recovery journey. By applying recovery frameworks developed by Davidson et al. and Leamy et al. to these two tasks, we were able to highlight similarities and points of tension between consumer and family recovery tasks. The tasks for families include: (1) maintaining hope; (2) reconnecting; (3) overcoming secondary trauma; and (4) journeying from carer to family. Family response to mental illness is a dynamic, multilayered process rather than a static and enduring role of caregiving. The recovery framework offers an alternative way to understand a family's response to mental illness and suggests possibilities for social work practice with families. (Edited publisher abstract)