Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Psychiatry
Published in: BMC Psychiatry 1/2016

Open Access 01-12-2016 | Research article

Recovery-based staff training intervention within mental health rehabilitation units: a two-stage analysis using realistic evaluation principles and framework approach

Authors: Sadiq Bhanbhro, Melanie Gee, Sarah Cook, Louise Marston, Melanie Lean, Helen Killaspy

Published in: BMC Psychiatry | Issue 1/2016

Login to get access

Abstract

Background

Long-term change in recovery-based practice in mental health rehabilitation is a research priority.

Methods

We used a qualitative case study analysis using a blend of traditional ‘framework’ analysis and ‘realist’ approaches to carry out an evaluation of a recovery-focused staff training intervention within three purposively selected mental health rehabilitation units. We maximised the validity of the data by triangulating multiple data sources.

Results

We found that organisational culture and embedding of a change management programme in routine practice were reported as key influences in sustaining change in practice. The qualitative study generated 10 recommendations on how to achieve long-term change in practice including addressing pre-existing organisational issues and synergising concurrent change programmes.

Conclusions

We propose that a recovery-focused staff training intervention requires clear leadership and integration with any existing change management programmes to facilitate sustained improvements in routine practice.
Literature
1.
Joint Commissioning Panel for Mental Health. Guidance for commissioners of rehabilitation services for people with complex mental health needs. London: JCP-MH; 2012.
2.
Wolfson P, Holloway F, Killaspy H. Enabling recovery for people with complex mental health needs: a template for rehabilitation services in England. London: Royal College of Psychiatrists; 2009.
3.
Cook S, Mundy T, Killaspy K, et al. Development of a staff training intervention for inpatient mental health rehabilitation units to increase service users’ engagement in activities. Br J Occup Ther. 2015;79(3):1–9.
4.
Killaspy H, Marston L, Green N, et al. Clinical effectiveness of a staff training intervention in mental health inpatient rehabilitation units designed to increase patients’ engagement in activities (the Rehabilitation Effectiveness for Activities for Life [REAL] study): single-blind, cluster-randomised controlled trial. Lancet Psychiatry. 2015;2:38–48.CrossRefPubMed
5.
Lean M, Leavey G, Killaspy H, et al. Barriers to the sustainability of an intervention designed to improve patient engagement within NHS mental health rehabilitation units: a qualitative study nested within a randomised controlled trial. BMC Psychiatry. 2015;15:209.CrossRefPubMedPubMedCentral
6.
Killaspy H, Marston L, Green N, et al. Clinical outcomes and costs for people with complex psychosis; a naturalistic prospective cohort study of mental health rehabilitation service users in England. BMC Psych. 2016;16:95. doi:10.​1186/​s12888-016-0797-6.CrossRef
7.
8.
Pawson R, Tilley N. Realistic Evaluation. London: Sage; 1997.
9.
Chen H, Rossi P. Evaluating with sense: the theory-driven approach. Evaluation Rev. 1983;7:283–302.CrossRef
10.
11.
Pawson R, Tilley N. Realist Evaluation. London: British Cabinet Office; 2004.
12.
Jolley S, Garety PA, Ellett L, et al. A validation of a new measure of activity in psychosis. Schizophr Res. 2006;85:288–95.CrossRefPubMed
13.
Ritchie J, Lewis J. Qualitative research practice: a guide for social science students and researchers. London: Sage; 2003.
14.
Sobh R, Perry C. Research design and data analysis in realism research. Eur J Marketing. 2006;40:1194–209.CrossRef
15.
Yin RK. Case Study Research - Design and Methods. 2nd ed. Thousand Oaks: Sage; 1994.
16.
QSR International Pty Ltd. NVivo qualitative analysis software. 2012;10.
17.
Robson C. Real World Research. Oxford: Blackwell; 2002.
18.
Leamy M, Bird V, Boutillier CL, Williams J, Slade M. Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis. Br J Psychiatry. 2012;199:445–52.CrossRef
19.
Whitley R, Drake RE. Recovery: A dimensional approach. Psychiatric Servicers. 2010;61(12):1248–50.CrossRef
20.
Gilburt H, Slade M, Bird V, Oduola S, Craig TKJ. Promoting recovery-oriented practice in mental health services: a quasi-experimental mixed-methods study. BMC Psychiatry. 2013;13:167.CrossRefPubMedPubMedCentral
21.
Oades L, Deane F, Crowe T, Lambert GW, Kavanagh D, Lloyd C. Collaborative recovery: an integrative model for working with individuals who experience chronic and recurring mental illness. Australas Psychiatry. 2005;13(3):279–84.PubMed
22.
Brian H, Cook S, Taylor D, Freeman L, Mundy T, Killaspy H. Occupational therapists as change agents in multidisciplinary teams. Br J Occup Ther. 2015:1–9. doi:10.​1177/​0308022615586785​.
23.
Hawkins A. The case for experimental design in realist evaluation. Learning Communities. Int J Learning in Soc Contexts. 2014;4(Special Issue: Evaluation):46–59.CrossRef
24.
Manzano A. The craft of interviewing in realist evaluation. Evaluation. 2016;5:1356389016638615.
Metadata
Title
Recovery-based staff training intervention within mental health rehabilitation units: a two-stage analysis using realistic evaluation principles and framework approach
Authors
Sadiq Bhanbhro
Melanie Gee
Sarah Cook
Louise Marston
Melanie Lean
Helen Killaspy
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2016
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-016-0999-y

Other articles of this Issue 1/2016

BMC Psychiatry 1/2016 Go to the issue

Research article

Prevalence rates of borderline personality disorder symptoms: a study based on the Netherlands Mental Health Survey and Incidence Study-2

Research article

Quality of life of caregivers of patients diagnosed with severe mental illness at the national referral hospitals in Uganda

Research article

The German version of the Perceived Stress Scale – psychometric characteristics in a representative German community sample

Research article

Prevalence of PTSD and other mental disorders in UK service personnel by time since end of deployment: a meta-analysis

Research article

Illness Management & Recovery (IMR) in the Netherlands; a naturalistic pilot study to explore the feasibility of a randomized controlled trial

Research article

Development and validation of clinical profiles of patients hospitalized due to behavioral and psychological symptoms of dementia