Search results for ‘Subject term:"mental health problems"’ Sort:
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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)
Self-care in mental health services: a narrative review
- Authors:
- LUCOCK Mike, et al
- Journal article citation:
- Health and Social Care in the Community, 19(6), November 2011, pp.602-616.
- Publisher:
- Wiley
Self-care is an important approach to the management of long-term health conditions. The aim of this review is to understand self-care from the perspective of mental health service users. Systematic searches of the literature were conducted for qualitative empirical studies of the views of people with mental health problems on self-care or the related concepts of self-management, self-help or recovery. These concepts all entail individuals having more choice and control over treatment and a greater role in recovery and maintaining their health and well-being. Twenty qualitative studies were selected which identify self-care behaviours and strategies that support the management of and recovery from mental health problems. The methods used in these studies are critically appraised and the key themes extracted. The findings highlight challenges to this approach in mental health. It is important for services to provide the right balance between providing care, support and treatment when required and the autonomy of the individual. The findings are used to develop a conceptual framework of the relationships between self-care support, self-care behaviours and strategies, and well-being for the individual.
Social recovery: a new interpretation to recovery-orientated services – a critical literature review
- Authors:
- NORTON Michael John, SWORDS Calvin
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 16(1), 2021, pp.7-20.
- Publisher:
- Emerald
Purpose: In 2020, the significance of “lived experience” and “service user” accounts of recovery has become central to the delivery of mental health policy and practice. Reflecting on the first known account of personal recovery in the late-20th century provided new hope and encouragement that those living with mental illness could live a fulfilling life. Taking this into consideration, the purpose of this paper is to explore the relevance to this experience of those using services today. Design/methodology/approach: The authors present a critical literature review, which is underpinned by a systematic approach adopted from Higgins and Pinkerton (1998). This involved a six-step approach seeking to answer the question – What are the service users’ views on the recovery concept within mental health services? Findings: The conceptualisation of recovery continues to focus on biomedical parameters. A new interpretation of recovery is beginning to materialise: social recovery. This new interpretation appears to be achievable through six key influencers: health, economics, social interaction/connection, housing, personal relationships and support. Originality/value: Building on Ramon’s (2018) argument regarding the need for mental health policy to focus on the concept of social recovery, this study extends on this proposition by providing a foundational evidence base. More specifically, it not only supports the need for this shift in policy but also identifies a new interpretation building in practice. Furthermore, the authors highlight six key pillars that could potentially shape such provisions for policy. (Edited publisher abstract)
“Come together”: a thematic analysis of experiences with belonging
- Authors:
- OGUNDIPE Esther, et al
- Journal article citation:
- Advances in Dual Diagnosis, 13(3), 2020, pp.123-134.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore, describe and interpret two research questions: How do persons with co-occurring mental health and substance abuse problems, living in supportive housing, experience belonging? How do residential support staff experience promoting a sense of belonging for persons with co-occurring mental health and substance abuse problems, living in a supportive housing? Design/methodology/approach: Individual semi-structured interviews were conducted with five persons with co-occurring mental health and substance abuse problems living in supportive housing in a Norwegian district. In addition, one semi-structured focus group was conducted with nine residential support staff. All interviews were transcribed verbatim and analyzed using thematic analysis. Findings: Analysis resulted in three main themes: “I do not go to sleep in my pajamas”, “Do I have a choice?” and “Be kind to each other”. Research limitations/implications: More research on how inclusive practices that are commonly described in guidelines actually affect the experience of residents and residential support staff is needed. Practical implications: Practices that incorporate a communal and contextual understanding when assigning supportive housing are warranted. Originality/value: By paying attention to the components of social recovery, this paper provides a nuanced understanding of how persons with co-occurring mental health and substance abuse problems, living in supportive housing, experience belonging. In addition, residential support staffs’ experiences with promoting a sense of belonging for this group are explored. (Edited publisher abstract)
Recovery from mental illness: a service user perspective on facilitators and barriers
- Authors:
- PETERSEN Kirsten Schultz, et al
- Journal article citation:
- Community Mental Health Journal, 51(1), 2015, pp.1-13.
- Publisher:
- Springer
Mental health services strive to implement a recovery-oriented approach to rehabilitation. Little is known about service users' perception of the recovery approach. The aim is to explore the service user's perspectives on facilitators and barriers associated with recovery. Twelve residents living in supported housing services are interviewed. The analysis is guided by a phenomenological-hermeneutic approach and the interpretation involves theories from critical theory, sociology, and learning. Learning, social relations, and willpower are identified as having an impact on recovery. Stigmatisation and social barriers occurred. Social relations to peer residents and staff were reported as potentially having a positive and negative impact on recovery. Studies have explored the user's perspectives on recovery but this study contributes with knowledge on how recovery-oriented services have an impact on recovery. (Publisher abstract)
Remarkable lives: Stuart Baker-Brown in conversation with Jerome Carson
- Authors:
- BAKER-BROWN Stuart, CARSON Jerome
- Journal article citation:
- Mental Health and Social Inclusion, 17(3), 2013, pp.122-126.
- Publisher:
- Emerald
Purpose – This paper aims to offer a profile of Stuart Baker-Brown. Design/methodology/approach – Stuart provides a short biography and is then interviewed by Jerome. Areas covered in the interview include his trek to Everest Base Camp, involvement with the Time to Change anti-stigma campaign and his work on the Recovery Archive. Findings – Stuart stresses the importance of giving hope to people with mental health problems. Individuals also need to believe that they can recover. He feels that the new Recovery Archive will help provide a more encouraging alternative perspective on living a life beyond the effects of mental illness. Originality/value – Stuart is one of comparatively few people trying to present psychosis in a more positive perspective. He has made a significant contribution to helping change public perceptions towards mental illness through his media work. (Publisher abstract)
Making sense of mental illness as a full human experience: perspective of illness and recovery held by people with a mental illness living in the community
- Authors:
- GWINNER Karleen, KNOX Marie, BROUGH Mark
- Journal article citation:
- Social Work in Mental Health, 11(2), 2013, pp.99-117.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Accounts related to recovery and illness expressed by eight people through a Participatory Action Research project are presented. The research facilitated entry to their subjective experiences of living in the community as an artist with a mental illness. Specific concern was raised of recovery as a clinical term with its requirement to meet distinct conventions of recovery formulated by health workers. This article emphasizes that individualized values of mental illness and recovery are interconnected to dynamic and complex perceptions drawn from experiencing life and experiencing things in their life. (Edited publisher abstract)
Development of a framework for recovery in older people with mental disorder
- Authors:
- DALEY Stephanie, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 28(5), 2013, pp.522-529.
- Publisher:
- Wiley
This study evaluates whether a conceptual framework of recovery developed for working age adults holds value for users of older people's mental health services, including those with dementia. Thirty-eight qualitative interviews were undertaken with service users and carers from an older people's mental health service in South London and were analysed using grounded theory methods. Components of recovery, which appear to be meaningful to older people with mental disorder include the following: (i) the impact of illness, (ii) the significance of personal responsibility, and (iii) specific coping strategies. Unlike their younger peers, older people did not aspire to a new and revised sense of identity, nor did they seek peer support from others with lived experience of mental illness. Three components of recovery were identified as being distinct to older people: the significance of an established and enduring sense of identity; coping strategies, which provide continuity and reinforce identity; and the associated impact of physical illness. Finally, two additional components of recovery were identified for people with dementia: (i) the changing experience over time and (ii) support from others. Mental health policy is increasingly framed in terms of ‘recovery’. This paper provides empirical evidence of how it applies to users of older people's mental health services. Practice implications include the need to focus on the maintenance of identity, and embed the values of empowerment, agency and self-management within service delivery. (Edited publisher abstract)
Meanings of recovery from the perspective of people with dual diagnosis
- Authors:
- HIPOLITO Maria Mananita S., CARPENTER-SONG Elizabeth, WHITLEY Rob
- Journal article citation:
- Journal of Dual Diagnosis, 7(3), July 2011, pp.141-149.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article examines the notion of recovery, based on the perspectives of people with dual diagnosis living in recovery communities. Recovery communities seek to create intentional, safe, relationship-centred communities for people living with co-occurring mental illness and substance use disorders in shared or congregate housing sites. The findings reported in this paper were obtained as part of an ongoing ‘Creating Communities’ research project that aims to examine the impact of the communities on processes of recovery. As part of this study, focus groups have been conducted with residents at 4-month intervals. This analysis draws on data collected in 2009 and 2010 into meanings of recovery. The findings reveal that recovery is a multifaceted concept for individuals living with co-occurring disorders. The analysis yielded 3 dimensions of the meaning of recovery: acknowledgment; present orientation; and transformation and growth.
Recovery-oriented support work: the perspective of people with lived experience
- Authors:
- NARUSSON Dagmar, WILKEN Jean Pierre
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 14(6), 2019, pp.457-468.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to focus on individuals who experience mental health difficulties with the services they receive from “support workers” as part of a personal recovery model, this study will obtain individuals reflections, experiences and opinions on how support helps them stay well and facilitates their personal recovery process. Recovery is seen through the lens of the CHIME framework (Connectedness–Hope–Identity–Meaning–Empowerment). Design/methodology/approach: The sample size included 13 people who experience mental health difficulties and are receiving support from mental health care services. The structured interview was designed based on the INSPIRE measurement and the CHIME framework structure. The qualitative content analyses, discursive framing approach and CHIME as a framework made it possible to examine the key activities of recovery-oriented support work revealed in the data. Findings: Participants valued the enhancement of hope provided by support workers and also expressed it was important as they were non-judgemental. Identity and meaning in recovery could be enhanced by sharing powerful stories about the individuals’ own life and health experiences, and those of support workers or others. Inclusive behaviour in public spaces and trying out new interest-based activities together were considered as empowering. Originality/value: This research helps to understand the value of personal recovery support activities given the societal changes (tension between survival vs self-expression values) and highlights the need for value-based recovery-oriented education and practice. (Publisher abstract)