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Recovery‐oriented practice has become the dominant paradigm of practice in mental health services internationally. The exception is hospital‐based mental health services where the biomedical model continues to prevail, in this context defined by high acuity and safety concerns. This review aims to identify the approaches to, and feasibility of, implementing recovery‐oriented practice in hospital‐based mental health services. A systematic review of the literature (2010–2019) identified seventeen studies of recovery‐oriented practice implementation in hospital‐based mental health services. One study was excluded based on quality assessment. Of the remaining studies, seven reported on staff training initiatives, four reported service user programmes facilitated by staff, and five were implementations of models of care. The findings indicate that it is feasible, albeit challenging, to implement recovery‐oriented practice in hospital‐based mental health services. More successful approaches are multimodal, applied over several years and have organizational support. The main barriers to implementation include resistance to change from the embedded, biomedical model, staff attitudes towards recovery, and an absence of consumer involvement in the implementation of recovery‐oriented practice.

Individual resilience is a well‐established concept within the field of psychology. However, community resilience is an emerging field of study particularly within the context of natural disasters and other adversities. This article reports a qualitative study related to community resilience in a rural Australian town. This particular community was affected by a series of flood events in 2010/2011, one of which necessitated the total evacuation of the entire town. The results from the study highlighted concepts associated with community resilience including: social connectedness, optimistic acceptance, learning tolerance and patience, and learning from the past for the future. We conclude that social capital forms a vital part of community resilience, and although resilience is tested only during times of adversity, social capital needs to be developed well prior to the anticipation of natural disasters.

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