Personal Recovery in Serious Mental Illness: Making Sense of the Concept

Lim, Madeline; Remington, Gary; Lee, Jimmy

doi:10.47102/annals-acadmedsg.v46n1p29

Cited by 19 publications

(9 citation statements)

References 11 publications

(12 reference statements)

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“…The empowerment is focused on positive attributes and strength (Bejerholm & Roe, 2018). The combination of these recovery approaches to mental health highlights the responsibility and autonomy of people living with psychosis in defining and guiding their own recovery journey without dismissing the importance of managing the symptoms (Davidson, 2016; Jacob et al, 2017; Lim et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Mental health recovery for people with schizophrenia in Southeast Asia: A systematic review

Murwasuminar

Munro

Récoché

2023

Psychiatric Ment Health Nurs

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Accessible Summary What is Known on the Subject? Mental health recovery has become a more prevalent approach to empowering people with schizophrenia (PWS), especially in western countries. However, despite the benefits, there is a lack of evidence regarding its practice in developing countries such as Southeast Asian Countries. The optimal treatment for PWS has not yet been identified, since most mental health care is provided in hospital‐based settings in Southeast Asia. Mental health treatment in Southeast Asia is highly influenced by cultural norms, values, and practices. What the Paper Adds to Existing Knowledge? The findings highlight the importance of integrating cultural aspects into the treatment of people with schizophrenia. The sample of unique elements in Southeast Asian mental health recovery include using a close neighbour/cadre as social support and using religious activity to increase hope. Lack of government support, high level of employment, and stigma are the biggest barriers in the PWS recovery process. What is the Implication for Practice? There is a research gap regarding the awareness and implementation of mental health recovery in psychiatric programs across the Southeast Asian region which likely impacts the effectiveness of the treatment. The review shows that little research has explored the concept of personal recovery in Southeast Asian Countries. Abstract Introduction Recovery has become an important approach used by mental health services around the world. Many mental health systems have taken steps to move towards more recovery‐oriented practices and service delivery. Therefore, establishing recovery‐oriented services in developing countries like those in the Southeast Asian region requires a detailed understanding of the cultural norms, values, and current mental health practices. Aims To investigate the mental health practices that promote recovery, its barrier in Southeast Asia, and to determine if they align with the CHIME recovery model. Method Electronic databases MEDLINE, EMBASE, CINAHL, PsycINFO and SCOPUS, were searched [PROSPERO] (CRD42021227962). Peer‐reviewed English language articles from 2004 to January 2021 were included. Methodological quality was assessed using the CASP checklist, and thematic synthesis of included studies was conducted. Results Thirty‐one studies met inclusion criteria. Several themes illustrated mental health recovery services and the current obstacles identified in South‐east Asian studies. Connection includes peer support and support groups, relationship status, and limited opportunities to become involved in the community. Hope is found in cultural concepts of hope, stimulating recovery through mental health programs, whilst lack of knowledge and education are the main barriers. Ethnicity is linked to a high level of stigma, but ethnicity also builds identity. Meaning and spirituality manifest in religious activities as the catalyst for recovery. Finally, the opposite of Empowerment is seen in the tendency of people with schizophren...

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Section: Introductionmentioning

confidence: 99%

Mental health recovery for people with schizophrenia in Southeast Asia: A systematic review

Murwasuminar

Munro

Récoché

2023

Psychiatric Ment Health Nurs

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“…According to Slade et al [ 4 ], it is important to investigate factors that enable or hinder recovery within a non-Western cultural context to develop more culturally relevant recovery concepts that can better address the needs of service users. To our knowledge, there are limited publications in the literature about the topic of recovery in Singapore [ 33 , 34 ], a country in Southeast Asia where the lifetime prevalence of mental illness is reported to be approximately 13.9% [ 35 ]. Mental health services in Singapore are delivered both in hospitals and at the community level.…”

Section: Introductionmentioning

confidence: 99%

The perspectives of healthcare professionals in mental health settings on stigma and recovery - A qualitative inquiry

Gunasekaran

Tan

Shahwan

et al. 2022

BMC Health Serv Res

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Background Mental health stigma is one of the most prominent barriers to recovery, and it is widely known that stigma may manifest differentially in different cultures. Healthcare professionals working closely with persons with mental illnesses (PMI) may provide important insights towards stigma that are otherwise unattainable from caregivers and consumers. However, there is a dearth of literature on healthcare professionals’ perspectives on this topic. Thus, this study uses a multilevel approach to explore how stigma affects recovery from the perspectives of healthcare professionals that work closely with PMI in Singapore. Methods Semi-structured interviews were conducted with a total of 17 healthcare professionals who were working in mental health settings in Singapore. Participants were recruited via direct email invitation or through snowball sampling. Data collected was analysed with the inductive thematic analysis method. All coding and inter-rater analyses were performed with NVivo. Results The current study themes identified stigma-related factors that influence PMI’s recovery from the perspectives of healthcare professionals working closely with PMI. These factors were organised into three overarching themes in a multilevel structure. The three themes were classified as Micro Factors (e.g., internalised stigma), Meso Factors (e.g., discrimination of people associated with the stigmatised group), and Macro Factors (e.g., structural stigma and stigma within healthcare settings). Conclusions The findings of this study gave us a greater understanding of how stigma influences recovery in Singapore, which could be used to guide the development and implementation of future policies and strategies to promote recovery. Importantly, our results suggest that improving mental health literacy, addressing cultural misgivings towards mental illness, implementing recovery-oriented practices, and making insurance more accessible for PMI could mitigate the deleterious impact that stigma has on recovery.

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“…4 A reason for the growth of peer support in healthcare services is embedded in the definition of peer support-it enhances existing services by encouraging peers to share their knowledge and experiences with other healthcare staff and providers. Recovery from mental illness is a complex process 5,6 that often includes wellness in physical and mental health, social functioning and personal identity. 7 Even as mental health professionals attend to the health and functioning of their patients, they could use more support in terms of rebuilding their patients' personal identities in the aftermath of a mental illness.…”

Section: Peer Support In Healthcare Servicesmentioning

confidence: 99%