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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 9/2016

01-09-2016 | Original Paper

Service user experiences of REFOCUS: a process evaluation of a pro-recovery complex intervention

Authors: Genevieve Wallace, Victoria Bird, Mary Leamy, Faye Bacon, Clair Le Boutillier, Monika Janosik, Rob MacPherson, Julie Williams, Mike Slade

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 9/2016

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Abstract

Purpose

Policy is increasingly focused on implementing a recovery-orientation within mental health services, yet the subjective experience of individuals receiving a pro-recovery intervention is under-studied. The aim of this study was to explore the service user experience of receiving a complex, pro-recovery intervention (REFOCUS), which aimed to encourage the use of recovery-supporting tools and support recovery-promoting relationships.

Methods

Interviews (n = 24) and two focus groups (n = 13) were conducted as part of a process evaluation and included a purposive sample of service users who received the complex, pro-recovery intervention within the REFOCUS randomised controlled trial (ISRCTN02507940). Thematic analysis was used to analyse the data.

Results

Participants reported that the intervention supported the development of an open and collaborative relationship with staff, with new conversations around values, strengths and goals. This was experienced as hope-inspiring and empowering. However, others described how the recovery tools were used without context, meaning participants were unclear of their purpose and did not see their benefit. During the interviews, some individuals struggled to report any new tasks or conversations occurring during the intervention.

Conclusion

Recovery-supporting tools can support the development of a recovery-promoting relationship, which can contribute to positive outcomes for individuals. The tools should be used in a collaborative and flexible manner. Information exchanged around values, strengths and goals should be used in care-planning. As some service users struggled to report their experience of the intervention, alternative evaluation approaches need to be considered if the service user experience is to be fully captured.
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Metadata
Title
Service user experiences of REFOCUS: a process evaluation of a pro-recovery complex intervention
Authors
Genevieve Wallace
Victoria Bird
Mary Leamy
Faye Bacon
Clair Le Boutillier
Monika Janosik
Rob MacPherson
Julie Williams
Mike Slade
Publication date
01-09-2016
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 9/2016
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-016-1257-9

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