A recovery-oriented service system: Setting some system level standards.

Anthony, William A.

doi:10.1037/h0095104

Cited by 290 publications

(255 citation statements)

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“…Recent research challenges this view, and documents that recovery, albeit defined in different ways, is common (1,3–7). These definitions encompass social recovery (economic and residential independence and low social disruption) (7), complete recovery (absence of psychotic symptoms and return to pre-illness functioning) (7), and achieving well-being and a satisfying life (8).…”

mentioning

confidence: 99%

New Endeavors, Risk Taking, and Personal Growth in the Recovery Process: Findings From the STARS Study

Young¹,

Green²,

Estroff³

2008

Psychiatric Services

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Objective To explore consumer perspectives on the role of personal growth-related risk-taking in the recovery process, to examine consumer perspectives on clinicians’ roles in their decisions to take on new activities and opportunities, and to explore clinical approaches that patients identify as most helpful in making significant changes. Methods 177 health plan members (93 women, 85 men), ranging in age from 16 to 84 years, participated in a mixed-methods exploratory study of recovery among individuals with serious mental illness (schizophrenia, schizoaffective disorder, bipolar disorder, affective psychosis). Participants completed four in-depth semi-structured interviews over 24 months; interviews were transcribed verbatim and coded for content by study staff. Data were analyzed using a modified grounded theory approach. Results The most helpful discussions about new endeavors occurred in the context of healthy, collaborative, mutually trusting clinician-patient relationships. Advice was accepted when clinicians listened well, knew patients’ capabilities and interests, and pushed gently at a pace that was comfortable for patients. Knowledge gained by clinicians in the context of good relationships with patients provided a firm grounding for approaching the delicate balance of providing helpful levels of support and encouragement without pushing consumers so hard that it caused difficulties. Conclusions Enduring, strong, collaborative relationships provide a healthy framework for discussions between patients and clinicians about taking on new activities, roles or responsibilities, and increase the likelihood that new activities and opportunities will be planned and carried out in ways that promote, rather than endanger, recovery.

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confidence: 99%

New Endeavors, Risk Taking, and Personal Growth in the Recovery Process: Findings From the STARS Study

Young¹,

Green²,

Estroff³

2008

Psychiatric Services

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“…However definitions of recovery have remained diverse (Anthony 2000, Kristiansen 2003, Onken et al 2007); The implications for practice as well as professional understanding are therefore still unclear. For example, recovery research conducted by the WHO (International Pilot Study of Schizophrenia, launched in 1966, reported in Hopper et al 2007) has mainly focused on the amelioration of symptoms, while the perspective held by mental health users" movements has been far broader.…”

Section: Introductionmentioning

confidence: 99%

In defence of a humanistic approach to mental health care: recovery processes investigated with the help of clients' narratives on turning points and processes of gradual change

Kogstad¹,

Ekeland

Hummelvoll³

2011

Journal of Psychiatric and Mental Health Nursing

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Several studies in recent years have shown that recovery factors as experienced by clients are not always compatible with professional approaches. For example, clients often emphasise the importance of relationships and the satisfaction of universal human needs. The aim of the study has been to explore clients" descriptions of beneficial factors and to discuss the implications of those factors for the delivery of mental health services. Method has been qualitative content analysis of 347 user narratives. The study confirms findings in earlier recovery studies, but also demonstrates that the investigation of clients" stories leads to a range of existential dilemmas. Fundamental beliefs about what constitutes effective and necessary treatment are challenged. Recovery is a fundamentally personal process that involves finding a new sense of self and feeling of hope. Furthermore it is not only an internal process; it also requires external conditions that facilitate a positive culture of healing.

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“…It is during institutional care that recovery-related concepts, such as hopefulness, may be critical. Unfortunately, as the recovery movement was mostly borne out of an era that began to shun state hospitals, efforts to transform systems of care to be more recovery-oriented have focused on community mental health providers (2). However, public psychiatric hospitals are still in every state serving over 150,000 people with mental illness annually (3).…”

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confidence: 99%