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Administration and Policy in Mental Health and Mental Health Services Research
Published 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

Authors: 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

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 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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Literature
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
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.
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
Blumer, H. (1969). Symbolic interactionism. Englewood Cliffs, NJ: Prentice Hall.
Braslow, J. (2013). The manufacture of Recovery. The Annual Review of Clinical Psychology, 9, 781–809.CrossRef
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
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
Craig, P., Dieppe, P., Macintyre, S., Michie, S., Nazareth, I., Petticrew, M. (2008). Developing and evaluating complex interventions: New guidance: Medical Research Council.
Cresswell, J. W. (1998). Qualitative inquiry and research design: Choosing among five traditions. Thousand Oaks, CA: Sage.
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. (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. (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. (2012b). The NHS Outcomes Framework 2013/14. London: Department of Health.
Department of health human services. (2003). Achieving the promise: Transforming mental health care in America. Rockville, MD: Substance Abuse and Mental Health Services Administration.
Farkas, M. (2007). The vision of recovery today: What it is and what it means for services. World Psychiatry, 6(2), 68–74.PubMedCentralPubMed
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
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
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.
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
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
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.
Morgan, D. L. (1997). Focus groups as qualitative research. Thousand Oaks, CA: Sage.
Repper, J., & Perkins, R. (2013). The team recovery implementation plan: A framework for creating recovery-focused services. London: Mental Health Network NHS Confederation.
Roberts, G., & Boardman, J. (2014). Becoming a recovery-oriented practitioner. Advances in Psychiatric Treatment, 20, 37–47.CrossRef
Roberts, G., & Hollins, S. (2007). Recovery: Our common purpose? Advances in Psychiatric Treatment, 13, 397–399.CrossRef
Rogers, E. M. (2003). Diffusion of innovations (5th ed.). New York: Free.
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
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
Strauss, A., & Corbin, J. (1990). Basics of qualitative research. Thousand Oaks, CA: Sage Publications.
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
Metadata
Title
Competing Priorities: Staff Perspectives on Supporting Recovery
Authors
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
Publication date
01-07-2015
Publisher
Springer US
Published in
Administration and Policy in Mental Health and Mental Health Services Research / Issue 4/2015
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-014-0585-x

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