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Facilitators of recovery for step-up and step-down clients of a sub-acute residential mental health service
- Authors:
- THOMAS Kerry A., RICKWOOD Debra J.
- Journal article citation:
- Journal of Mental Health, 25(4), 2016, pp.343-349.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Sub-acute residential mental health services provide care for people who are not acutely unwell but require more support than generally available when living in the community. Little is known about how these services facilitate recovery and whether these facilitators differ for clients entering from the community (step-up) or from inpatient settings (step-down). Aim: To identify features of a sub-acute residential service that have assisted step-up and step-down clients in their recovery. Method: Semi-structured interviews were conducted with 16 step-up and 21 step-down clients. Interview transcripts were examined using an inductive, semantic content analysis approach. Results: Themes identified included the community context, personal support, the formal program offered and assistance in personal recovery processes, with the level of support for these themes differing for step-up and step-down clients. Conclusions: Step-up and step-down clients have differing needs to be addressed in a sub-acute service. These services can better meet the needs of clients if they are aware of the setting the client has come from and tailor their services accordingly. Step-up clients prefer support in developing social skills and illness management techniques; step-down clients prefer a less structured environment with assistance in living skills and personal processes of recovery. (Edited publisher abstract)
One woman’s journey of recovery from mental illness - hopes, back-up plans, rebuilding self and service support
- Authors:
- THOMAS Kerry A., RICKWOOD Debra J.
- Journal article citation:
- Qualitative Social Work, 15(4), 2016, pp.501-517.
- Publisher:
- Sage
Recovery from mental illness is a personal experience, unique to each individual. The purpose of this study was to explore the changing focus of one woman’s continuing recovery from mental illness, exploring the domains of hope, self-identity, a meaningful life, and responsibility. A case study was conducted using semi-structured interviews with a woman during three separate admissions to a residential mental health unit, and analysed using a theory-driven approach. Aspects of the service that were instrumental in the woman’s recovery journey were analysed, using a content analysis of the transcripts. The analysis demonstrated changes over time in the hopes the woman expressed; redefining self-identity was an ongoing objective; seeking a meaningful life involved overcoming addictions as a priority over pursuing hobbies and work; and there were indications she was taking more responsibility for her own recovery. Features of the residential service that were instrumental in her recovery progress were the therapeutic groups, tailored clinical support, support towards self-management, instrumental support, and social interaction. Repeat admissions to the residential unit assisted this woman to progress in her recovery. Her story demonstrates how personal responsibility can be increasingly achieved with the support of a recovery-oriented service. (Publisher abstract)