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Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research 4/2015

01.07.2015 | Original Article

Competing Priorities: Staff Perspectives on Supporting Recovery

verfasst von: Clair Le Boutillier, Mike Slade, Vanessa Lawrence, Victoria J. Bird, Ruth Chandler, Marianne Farkas, Courtenay Harding, John Larsen, Lindsay G. Oades, Glenn Roberts, Geoff Shepherd, Graham Thornicroft, Julie Williams, Mary Leamy

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 4/2015

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Abstract

Recovery has come to mean living a life beyond mental illness, and recovery orientation is policy in many countries. The aims of this study were to investigate what staff say they do to support recovery and to identify what they perceive as barriers and facilitators associated with providing recovery-oriented support. Data collection included ten focus groups with multidisciplinary clinicians (n = 34) and team leaders (n = 31), and individual interviews with clinicians (n = 18), team leaders (n = 6) and senior managers (n = 8). The identified core category was Competing Priorities, with staff identifying conflicting system priorities that influence how recovery-oriented practice is implemented. Three sub-categories were: Health Process Priorities, Business Priorities, and Staff Role Perception. Efforts to transform services towards a recovery orientation require a whole-systems approach.
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Literatur
Zurück zum Zitat Anthony, W. A. (1993). Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial rehabilitation journal, 16(4), 11–23.CrossRef Anthony, W. A. (1993). Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial rehabilitation journal, 16(4), 11–23.CrossRef
Zurück zum Zitat Australian Government Department of Health and Ageing. (2012). Partners In Recovery: Coordinated support and flexible funding for people with severe, persistent mental illness and complex needs initiative. Australia: Australian Government, Department of Health and Ageing. Australian Government Department of Health and Ageing. (2012). Partners In Recovery: Coordinated support and flexible funding for people with severe, persistent mental illness and complex needs initiative. Australia: Australian Government, Department of Health and Ageing.
Zurück zum Zitat Bird, V. J., Le Boutillier, C., Leamy, M., Williams, J., Bradstreet, S., & Slade, M. (2014). Evaluating the feasibility of complex interventions in mental health services: Standardised measure and reporting guidelines. British Journal of Psychiatry, 204, 316–321.PubMedCrossRef Bird, V. J., Le Boutillier, C., Leamy, M., Williams, J., Bradstreet, S., & Slade, M. (2014). Evaluating the feasibility of complex interventions in mental health services: Standardised measure and reporting guidelines. British Journal of Psychiatry, 204, 316–321.PubMedCrossRef
Zurück zum Zitat Blumer, H. (1969). Symbolic interactionism. Englewood Cliffs, NJ: Prentice Hall. Blumer, H. (1969). Symbolic interactionism. Englewood Cliffs, NJ: Prentice Hall.
Zurück zum Zitat Braslow, J. (2013). The manufacture of Recovery. The Annual Review of Clinical Psychology, 9, 781–809.CrossRef Braslow, J. (2013). The manufacture of Recovery. The Annual Review of Clinical Psychology, 9, 781–809.CrossRef
Zurück zum Zitat Brown, T., Mahoney, C. B., Adams, N., Felton, M., & Pareja, C. (2010). What predicts recovery orientation in county departments of mental health? A pilot study. Administration and Policy in Mental Health and Mental Health Services Research, 37(5), 388–398. doi:10.1007/s10488-009-0253-8.PubMedCentralPubMedCrossRef Brown, T., Mahoney, C. B., Adams, N., Felton, M., & Pareja, C. (2010). What predicts recovery orientation in county departments of mental health? A pilot study. Administration and Policy in Mental Health and Mental Health Services Research, 37(5), 388–398. doi:10.​1007/​s10488-009-0253-8.PubMedCentralPubMedCrossRef
Zurück zum Zitat Chen, S., Krupa, T., Lysaght, R., McCay, E., & Piat, M. (2013). The development of recovery competencies for in-patient mental health providers working with people with serious mental illness. Administration and Policy in Mental Health and Mental Health Services Research, 40(2), 96–116. doi:10.1007/s10488-011-0380-x.PubMedCrossRef Chen, S., Krupa, T., Lysaght, R., McCay, E., & Piat, M. (2013). The development of recovery competencies for in-patient mental health providers working with people with serious mental illness. Administration and Policy in Mental Health and Mental Health Services Research, 40(2), 96–116. doi:10.​1007/​s10488-011-0380-x.PubMedCrossRef
Zurück zum Zitat Craig, P., Dieppe, P., Macintyre, S., Michie, S., Nazareth, I., Petticrew, M. (2008). Developing and evaluating complex interventions: New guidance: Medical Research Council. Craig, P., Dieppe, P., Macintyre, S., Michie, S., Nazareth, I., Petticrew, M. (2008). Developing and evaluating complex interventions: New guidance: Medical Research Council.
Zurück zum Zitat Cresswell, J. W. (1998). Qualitative inquiry and research design: Choosing among five traditions. Thousand Oaks, CA: Sage. Cresswell, J. W. (1998). Qualitative inquiry and research design: Choosing among five traditions. Thousand Oaks, CA: Sage.
Zurück zum Zitat Department of Health. (2011a). No Health Without Mental Health: A Cross-Government Mental Heath Outcomes Strategy for People of All Ages. London: Department of Health. Department of Health. (2011a). No Health Without Mental Health: A Cross-Government Mental Heath Outcomes Strategy for People of All Ages. London: Department of Health.
Zurück zum Zitat Department of Health. (2011b). No health without mental health: A cross-government mental health outcomes strategy for people of all ages. London: Department of Health. Department of Health. (2011b). No health without mental health: A cross-government mental health outcomes strategy for people of all ages. London: Department of Health.
Zurück zum Zitat Department of Health. (2012a). The mandate. A mandate from the government to the NHS commissioning board: April 2013 to March 2015. London: Department of Health. Department of Health. (2012a). The mandate. A mandate from the government to the NHS commissioning board: April 2013 to March 2015. London: Department of Health.
Zurück zum Zitat Department of Health. (2012b). The NHS Outcomes Framework 2013/14. London: Department of Health. Department of Health. (2012b). The NHS Outcomes Framework 2013/14. London: Department of Health.
Zurück zum Zitat Department of health human services. (2003). Achieving the promise: Transforming mental health care in America. Rockville, MD: Substance Abuse and Mental Health Services Administration. Department of health human services. (2003). Achieving the promise: Transforming mental health care in America. Rockville, MD: Substance Abuse and Mental Health Services Administration.
Zurück zum Zitat Farkas, M. (2007). The vision of recovery today: What it is and what it means for services. World Psychiatry, 6(2), 68–74.PubMedCentralPubMed Farkas, M. (2007). The vision of recovery today: What it is and what it means for services. World Psychiatry, 6(2), 68–74.PubMedCentralPubMed
Zurück zum Zitat Gilburt, H., Slade, M., Bird, V., Oduola, S., & Craig, T. (2013). Promoting recovery-oriented practice in mental health services: A quasi-experimental mixed-methods study. BMC Psychiatry, 13(1), 167.PubMedCentralPubMedCrossRef Gilburt, H., Slade, M., Bird, V., Oduola, S., & Craig, T. (2013). Promoting recovery-oriented practice in mental health services: A quasi-experimental mixed-methods study. BMC Psychiatry, 13(1), 167.PubMedCentralPubMedCrossRef
Zurück zum Zitat Hardiman, E. R., & Hodges, J. Q. (2008). Professional differences in attitudes toward and utilization of psychiatric recovery. Families in Society: The Journal of Contemporary Social Services, 89(2), 220–227.CrossRef Hardiman, E. R., & Hodges, J. Q. (2008). Professional differences in attitudes toward and utilization of psychiatric recovery. Families in Society: The Journal of Contemporary Social Services, 89(2), 220–227.CrossRef
Zurück zum Zitat Henwood, B. F., Derejko, K.-S., Couture, J., & Padgett, D. K. (2014). Maslow and mental health recovery: A comparative study of homeless programs for adults with serious mental illness. Administration and Policy in Mental Health and Mental Health Services Research, 1–9. doi:10.1007/s10488-014-0542-8. Henwood, B. F., Derejko, K.-S., Couture, J., & Padgett, D. K. (2014). Maslow and mental health recovery: A comparative study of homeless programs for adults with serious mental illness. Administration and Policy in Mental Health and Mental Health Services Research, 1–9. doi:10.​1007/​s10488-014-0542-8.
Zurück zum Zitat Le Boutillier, C., Leamy, M., Bird, V. J., Davidson, L., Williams, J., & Slade, M. (2011). What does recovery mean in practice? A qualitative analysis of international recovery-oriented practice guidance. Psychiatric Services (Washington, D. C.), 62(12), 1470–1476. doi:10.1176/appi.ps.001312011.CrossRef Le Boutillier, C., Leamy, M., Bird, V. J., Davidson, L., Williams, J., & Slade, M. (2011). What does recovery mean in practice? A qualitative analysis of international recovery-oriented practice guidance. Psychiatric Services (Washington, D. C.), 62(12), 1470–1476. doi:10.​1176/​appi.​ps.​001312011.CrossRef
Zurück zum Zitat Leamy, M., Bird, V., Le Boutillier, C., Williams, J., & Slade, M. (2011). Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis. British Journal of Psychiatry, 199(6), 445–452. doi:10.1192/bjp.bp.110.083733.PubMedCrossRef Leamy, M., Bird, V., Le Boutillier, C., Williams, J., & Slade, M. (2011). Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis. British Journal of Psychiatry, 199(6), 445–452. doi:10.​1192/​bjp.​bp.​110.​083733.PubMedCrossRef
Zurück zum Zitat Mental Health ‘Recovery’ study working group. (2009). Mental health ‘Recovery’: Users and refusers. What do psychiatric survivors in Toronto think about Mental Health ‘Recovery’? Canada: Wellesley Institute. Mental Health ‘Recovery’ study working group. (2009). Mental health ‘Recovery’: Users and refusers. What do psychiatric survivors in Toronto think about Mental Health ‘Recovery’? Canada: Wellesley Institute.
Zurück zum Zitat Morgan, D. L. (1997). Focus groups as qualitative research. Thousand Oaks, CA: Sage. Morgan, D. L. (1997). Focus groups as qualitative research. Thousand Oaks, CA: Sage.
Zurück zum Zitat Repper, J., & Perkins, R. (2013). The team recovery implementation plan: A framework for creating recovery-focused services. London: Mental Health Network NHS Confederation. Repper, J., & Perkins, R. (2013). The team recovery implementation plan: A framework for creating recovery-focused services. London: Mental Health Network NHS Confederation.
Zurück zum Zitat Roberts, G., & Boardman, J. (2014). Becoming a recovery-oriented practitioner. Advances in Psychiatric Treatment, 20, 37–47.CrossRef Roberts, G., & Boardman, J. (2014). Becoming a recovery-oriented practitioner. Advances in Psychiatric Treatment, 20, 37–47.CrossRef
Zurück zum Zitat Roberts, G., & Hollins, S. (2007). Recovery: Our common purpose? Advances in Psychiatric Treatment, 13, 397–399.CrossRef Roberts, G., & Hollins, S. (2007). Recovery: Our common purpose? Advances in Psychiatric Treatment, 13, 397–399.CrossRef
Zurück zum Zitat Rogers, E. M. (2003). Diffusion of innovations (5th ed.). New York: Free. Rogers, E. M. (2003). Diffusion of innovations (5th ed.). New York: Free.
Zurück zum Zitat Salyers, P., Rollins, L., McGuire, B., & Gearhart, T. (2009). Barriers and facilitators in implementing illness management and recovery for consumers with severe mental illness: Trainee Perspectives. Administration and Policy in Mental Health and Mental Health Services Research, 36(2), 102–111. doi:10.1007/s10488-008-0200-0.PubMedCrossRef Salyers, P., Rollins, L., McGuire, B., & Gearhart, T. (2009). Barriers and facilitators in implementing illness management and recovery for consumers with severe mental illness: Trainee Perspectives. Administration and Policy in Mental Health and Mental Health Services Research, 36(2), 102–111. doi:10.​1007/​s10488-008-0200-0.PubMedCrossRef
Zurück zum Zitat Slade, M., Amering, M., Farkas, M., Hamilton, B., O’Hagan, M., Panther, G., et al. (2014). Uses and abuses of recovery: Implementing recovery-oriented practices in mental health systems. World Psychiatry, 13, 12–20.PubMedCentralPubMedCrossRef Slade, M., Amering, M., Farkas, M., Hamilton, B., O’Hagan, M., Panther, G., et al. (2014). Uses and abuses of recovery: Implementing recovery-oriented practices in mental health systems. World Psychiatry, 13, 12–20.PubMedCentralPubMedCrossRef
Zurück zum Zitat Strauss, A., & Corbin, J. (1990). Basics of qualitative research. Thousand Oaks, CA: Sage Publications. Strauss, A., & Corbin, J. (1990). Basics of qualitative research. Thousand Oaks, CA: Sage Publications.
Zurück zum Zitat Whitley, R., Gingerich, S., Lutz, W. J., & Mueser, K. T. (2009). Implementing the illness management and recovery program in community mental health settings: Facilitators and barriers. Psychiatric Services, 60(2), 202–209.PubMedCrossRef Whitley, R., Gingerich, S., Lutz, W. J., & Mueser, K. T. (2009). Implementing the illness management and recovery program in community mental health settings: Facilitators and barriers. Psychiatric Services, 60(2), 202–209.PubMedCrossRef
Metadaten
Titel
Competing Priorities: Staff Perspectives on Supporting Recovery
verfasst von
Clair Le Boutillier
Mike Slade
Vanessa Lawrence
Victoria J. Bird
Ruth Chandler
Marianne Farkas
Courtenay Harding
John Larsen
Lindsay G. Oades
Glenn Roberts
Geoff Shepherd
Graham Thornicroft
Julie Williams
Mary Leamy
Publikationsdatum
01.07.2015
Verlag
Springer US
Erschienen in
Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 4/2015
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-014-0585-x

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