Knowledge and attitudes of mental health professionals and students regarding recovery: A systematic review

Abstract

This review was conducted to synthesize and critically appraise the literature on knowledge, attitudes, understanding, perceptions, and expectations of mental health professionals (MHPs) and mental health professional (MHP) students' regarding recovery. A systematic search in Scopus, CINAHL, PsycINFO, Web of Science, Medline, and Embase as well as Google scholar and web-based repositories was conducted. The searches were conducted using a combination of key terms: "mental health professionals", "students'', 'knowledge', "understanding", "perception" "attitude", "expectation", "recovery". After screening and quality assessment, the review included 29 studies (18 quantitative, 8 qualitative, and 3 mixed-method studies) published in English, from January 2006 to June 2019, and was analysed systematically using a mixed-method synthesis. The findings revealed that there is increasing evidence (especially among MHPs) of knowledge, attitudes, understanding, perceptions, and expectations regarding recovery. However, there are disparities in how MHPs perceive and understand recovery. While some understood it to mean a personal process, others explained it as a clinical process. In addition, there was limited knowledge among the MHPs and MHP students regarding the nonlinearity nature of the recovery process and expectations regarding recovery. The implications from these findings are the need for more in-service training for MHPs, and examination of the curriculum used to educate MHP students. In particular, they should be sufficiently informed about the nonlinearity nature of the recovery process and how to develop hopeful and realistic expectations for consumers throughout the recovery process. The review was preregistered with PROSPERO (Registration No: CRD42019136543).

A realistic evaluation of evidence-based therapeutic processes in mental health services– Context-Mechanisms-Outcomes

“…The program theory further suggests that these technical competencies could promote quality mental health services, particularly improved knowledge and skills on current treatment methods, ability to provide effective and e cient services as well as enhancing consumers con dence and trust in the care. The nding con rms previous studies, which have recommended that in-service training and professional development plan are signi cant attributes for promoting human resources management (34)(35)(36). Further, we identi ed that MHPs needed several training in speci c skills to improve their technical competency, particularly to provide holistic mental health services to consumers.…”

“…Although MHPs could obtain these skills as part of their training, attaining a refresher training in these areas is important as part of on-going efforts to provide holistic and integrated mental health services. This nding aligns to previous studies that have concluded on the need to develop the skills of MHPs in speci c skills, which promote the recovery journey of consumers (2,16,35,37). For example, Anthony, Ellison (2) recommended that MHPs providing mental health services and rehabilitation counselling are encouraged to gain skills in goal setting as well as various therapies that could promote recovery of consumers.…”

Recovery services and expectation of consumers and mental health professionals in community-based residential facilities of Ghana

“…Globally, mental health practitioners and consumer groups are advocating for governments to support the use of recovery services because these services ensure effective recovery of mental health consumers [1][2][3][4][5]. Recovery services promote effective restoration of functioning, mental well-being, and quality of life of consumers through a holistic approach [6,7].…”

Mediation and moderation effects of health system structure and process on the quality of mental health services in Ghana – structural equation modelling.

“…taxation and financing) against long-run improvement in antisocial behaviour related to aggression, begging and shouting at voices among consumers [2,8]. Mental health professional perspectives of quality tend to focus on perception regarding the strengths and weaknesses of the health system as well as the recovery of consumers [8,9].…”