I have my own lease—So why the service plan again? Perspectives on service planning in supportive housing.

Person-centered care has been gaining prominence in behavioral health care, and service planning has shifted towards "person-centered care planning" (PCCP), where individuals, in partnership with providers, identify life goals and interventions. A strong therapeutic alliance has been identified as key to a person-centered approach, but little is known about how the therapeutic relationship influences person-centered processes and outcomes. Using an explanatory sequential mixed methods design, this study investigated: (1) the association between the therapeutic alliance and PCCP, and (2) how the therapeutic relationship influences the process and outcomes of PCCP. Quantitative analyses found that a strong working alliance predicted greater personcenteredness. Qualitative analyses revealed two central themes: (1) the importance of connection, continuity, and calibration of the relationship to set the right conditions for PCCP, and (2) PCCP as a vehicle for engagement. Findings demonstrated that the therapeutic alliance is inextricably linked to the PCCP process, each influencing the other.

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Person-Centered Care and the Therapeutic Alliance

Hamovitch

Choy-Brown

Stanhope

2018

Community Ment Health J

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Factors influencing the implementation of mental health recovery into services: a systematic mixed studies review

et al. 2021

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Background Countries around the world have committed in policy to transforming their mental health services towards a recovery orientation. How has mental health recovery been implemented into services for adults, and what factors influence the implementation of recovery-oriented services? Methods This systematic mixed studies review followed a convergent qualitative synthesis design and used the best-fit framework synthesis method. Librarians ran searches in Ovid- MEDLINE, Ovid-EMBASE, Ovid-PsycInfo, EBSCO-CINAHL Plus with Full Text, ProQuest Dissertations and Theses, Cochrane Library, and Scopus. Two reviewers independently screened studies for inclusion or exclusion using DistillerSR. Qualitative, quantitative, and mixed methods peer-reviewed studies published since 1998 were included if they reported a new effort to transform adult mental health services towards a recovery orientation, and reported findings related to implementation experience, process, or factors. Data was extracted in NVivo12 to the 38 constructs of the Consolidated Framework for Implementation Research (CFIR). The synthesis included a within-case and a cross-case thematic analysis of data coded to each CFIR construct. Cases were types of recovery-oriented innovations. Results Seventy studies met our inclusion criteria. These were grouped into seven types of recovery-oriented innovations (cases) for within-case and cross-case synthesis. Themes illustrating common implementation factors across innovations are presented by CFIR domain: Intervention Characteristics (flexibility, relationship building, lived experience); Inner Setting (traditional biomedical vs. recovery-oriented approach, the importance of organizational and policy commitment to recovery-transformation, staff turnover, lack of resources to support personal recovery goals, information gaps about new roles and procedures, interpersonal relationships), Characteristics of Individuals (variability in knowledge about recovery, characteristics of recovery-oriented service providers); Process (the importance of planning, early and continuous engagement with stakeholders). Very little data from included studies was extracted to the outer setting domain, and therefore, we present only some initial observations and note that further research on outer setting implementation factors is needed. Conclusion The CFIR required some adaptation for use as an implementation framework in this review. The common implementation factors presented are an important starting point for stakeholders to consider when implementing recovery-oriented services.

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Recovery-oriented Programmes to Support the Recovery Approach to Mental Health in Africa: Findings of PhD: A Scoping Review

Mongie¹,

Eva²,

Salaminah³

2023

TONURSJ

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Background: Researchers in the field of mental health and people living with a diagnosis of mental illness advocate recovery-oriented mental healthcare approach. Most developed countries have adopted the recovery-oriented approach in mental health facilities to care for people diagnosed with mental illness. However, Africa is left behind in implementing and adopting such a model of care. Objective: The objective of the review was to explore the global literature on recovery-oriented mental healthcare programmes, where they originate, are implemented, as well as identify gaps in the literature for further research. Methods: The scoping review utilised a refined framework of Arskey and O'Mally (2005) by Levac et al. (Levac, Colquhoun, & O'Brien, 2010). Different databases were systematically searched, and The PRISMA Flow Chart was used to select the articles included in the review. Results: From the initial 560 identified papers, 31 met the review’s inclusion criteria. The results indicated that most recovery-oriented programmes were developed in well-developed Western countries. It was evident from the included studies that the recovery-oriented mental healthcare programmes were effective for and appreciated by people diagnosed with mental illness. None of the identified and included studies discussed any developed recovery-oriented mental healthcare programme in Africa. Implications for Nursing: Nurses need to understand and implement the latest treatment modalities in mental health practice, and recovery-oriented care is one such practice. Conclusion: The review established that most recovery mental healthcare programmes are from Western high-resourced countries and have proven to be effective and appreciated by people diagnosed with mental illness. At the time of the review, no study indicated that a recovery-oriented mental healthcare programme was developed in the Sub-Saharan African context. Therefore, this calls for Africa to develop and implement a recovery-oriented programme to meet the mental health needs of people diagnosed with mental illness.

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I have my own lease—So why the service plan again? Perspectives on service planning in supportive housing.

Cited by 3 publications

References 27 publications

Person-Centered Care and the Therapeutic Alliance

Person-Centered Care and the Therapeutic Alliance

Factors influencing the implementation of mental health recovery into services: a systematic mixed studies review

Recovery-oriented Programmes to Support the Recovery Approach to Mental Health in Africa: Findings of PhD: A Scoping Review

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