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

Young, Andrew T.; Green, Carla A.; Estroff, Sue E.

doi:10.1176/ps.2008.59.12.1430

Cited by 27 publications

(14 citation statements)

References 32 publications

(11 reference statements)

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“…Direct involvement of people in their own risk assessments may lead to more well-informed assessments and open up the possibility of focusing on micro-level relationships (individuals, family, household, community) that enable people to benefit from supports that in themselves can successfully manage or reduce risk behaviours and aid recovery. 64,65 Care coordinators could engage in conversations about risk with people they work with allowing service user and professional accounts to stand side by side as credible versions of the day-to-day realities of living with mental distress. This will not only allow service users to benefit from the expert opinion of care coordinators, but help workers to see the broader range of risk concerns that people encounter in their everyday lives.…”

Section: Ordinary Risks and Accepted Fictionsmentioning

confidence: 99%

Ordinary risks and accepted fictions: how contrasting and competing priorities work in risk assessment and mental health care planning

Coffey

Cohen

Faulkner³

et al. 2016

Health Expectations

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BackgroundCommunication and information sharing are considered crucial to recovery‐focused mental health services. Effective mental health care planning and coordination includes assessment and management of risk and safety.ObjectiveUsing data from our cross‐national mixed‐method study of care planning and coordination, we examined what patients, family members and workers say about risk assessment and management and explored the contents of care plans.DesignThematic analysis of qualitative research interviews (n = 117) with patients, family members and workers, across four English and two Welsh National Health Service sites. Care plans were reviewed (n = 33) using a structured template.FindingsParticipants have contrasting priorities in relation to risk. Patients see benefit in discussions about risk, but cast the process as a worker priority that may lead to loss of liberty. Relationships with workers are key to family members and patients; however, worker claims of involving people in the care planning process do not extend to risk assessment and management procedures for fear of causing upset. Workers locate risk as coming from the person rather than social or environmental factors, are risk averse and appear to prioritize the procedural aspects of assessment.ConclusionsDespite limitations, risk assessment is treated as legitimate work by professionals. Risk assessment practice operates as a type of fiction in which poor predictive ability and fear of consequences are accepted in the interests of normative certainty by all parties. As a consequence, risk adverse options are encouraged by workers and patients steered away from opportunities for ordinary risks thereby hindering the mobilization of their strengths and abilities.

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Section: Ordinary Risks and Accepted Fictionsmentioning

confidence: 99%

Ordinary risks and accepted fictions: how contrasting and competing priorities work in risk assessment and mental health care planning

Coffey

Cohen

Faulkner³

et al. 2016

Health Expectations

View full text Add to dashboard Cite

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“…Prior qualitative studies suggested that clients with serious mental illness are more likely to be in recovery when they develop consistent relationships with treatment providers who support a Bnormal^rather than Bmentally ill^identity. 21 Collaborative relationships between clients and treatment providers include a balance of support and encouragement without excessive pressure placed on clients to meet treatment provider expectations, 22,23 and treatment providers with successful outcomes place a strong emphasis on a partnership-oriented relationship between treatment provider and client. 24 Clients with serious mental illness identify the following priorities for effective therapeutic relationships: sharing common ground, feeling known, the importance of talk, practitioner availability and flexibility, and opportunities for input into treatment planning and choices regarding treatment modalities.…”

Section: Introductionmentioning

confidence: 99%

Perspectives of Treatment Providers and Clients with Serious Mental Illness Regarding Effective Therapeutic Relationships

Easter

Pollock

Pope

et al. 2015

J Behav Health Serv Res

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This study explores the nature of clinical therapeutic relationships between mental health treatment providers and high-need clients with serious mental illness who had recently discontinued treatment. Semi-structured qualitative interviews of 56 clients with serious mental illness who had recently discontinued care and 25 mental health treatment providers were completed. Both clients with serious mental illness and treatment providers emphasized the importance of client-focused goal setting, time and availability of treatment providers, a caring approach, and trust and honesty in the relationship. However, clients with serious mental illness placed greater emphasis on goals involving tangible services, a notable area of discord between the two groups. Individuals with serious mental illness and treatment providers agreed regarding several key elements to a positive clinical relationship. Further attention to client goals related to tangible services may serve to improve relationships between treatment providers and high-need clients with serious mental illness.

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“…Receiving the instructors trust can be interpreted as a way of supporting vulnerable citizens to take on new roles and responsibility (Davidson & Chan, 2014; Deegan, 1996; Young, Green, & Estroff, 2008) and the feeling of mutual trust may also be interpreted as an explanation for why the participants appreciated the instructors’ ability to personally challenge them during their participation in the intervention.…”

Section: Discussionmentioning

confidence: 99%

“What an eye-opener” – a qualitative study of vulnerable citizens participating in a municipality-based intervention

Ilvig

Kjær

Jones

et al. 2018

International Journal of Qualitative Studies on Health and Well

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Purpose: To explore how psychologically vulnerable citizens experienced performing their everyday-life activities, identify activities experienced as particularly challenging and evaluate the significance of the Acceptance and Commitment Theory-based (ACT)-based program, Well-being in Daily Life, had on the participants everyday-life activities. Methods: Semi-structured interviews were conducted with eight participants from the Well-being in Daily Life program. Data were analysed using Systematic Text Condensation. Results and Conclusion: The participants experienced anxiety, fatigue, lack of structure, and chaos when performing their everyday-life activities; in addition to being uncertain about the limitations of their own resources. Furthermore, balancing between demands and resources was challenging, also leading to uncertainty and identity conflicts that contributed to the participants’ concerns about re-entering the workforce. The program enabled the participants to develop social skills and trust which contributed to providing the participants with confidence, individually-tailored-possibilities for developing new competencies and courage; thus, facilitating their recovery process.

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

Cited by 27 publications

References 32 publications

Ordinary risks and accepted fictions: how contrasting and competing priorities work in risk assessment and mental health care planning

Ordinary risks and accepted fictions: how contrasting and competing priorities work in risk assessment and mental health care planning

Perspectives of Treatment Providers and Clients with Serious Mental Illness Regarding Effective Therapeutic Relationships

“What an eye-opener” – a qualitative study of vulnerable citizens participating in a municipality-based intervention

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