Promoting recovery: service user and staff perceptions of resilience provided by a new Early Intervention in Psychosis service

Morton, Adrian; Fairhurst, Alicia; Ryan, Rebecca

doi:10.1111/j.1751-7893.2009.00151.x

Cited by 4 publications

(6 citation statements)

References 6 publications

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“…Morton et al . () used questionnaires to investigate staff ( N = 7) and patient ( N = 28) views about an early intervention service for psychosis. Overall, staff and patients strongly agreed that the service promoted resilience and recovery ( r = .83, n = 12, p ≤ .01) on items such as satisfaction, promoting change, providing choice and opportunities, and promoting feelings of value and respect.…”

Section: Resultsmentioning

confidence: 99%

“…Another study reported recruiting staff from an early intervention service. However, the authors did not report which professional disciplines were included in their sample (Morton, Fairhurst, & Ryan, 2010).…”

Section: Resultsmentioning

confidence: 99%

“…The authors suggested that negative attitudes towards patients' potential for psychosocial recovery, in addition to preferences among staff for biomedical approaches, were barriers to collaborative relationships between staff and patients and prevented referral to psychological intervention. Morton et al (2010) used questionnaires to investigate staff (N = 7) and patient (N = 28) views about an early intervention service for psychosis. Overall, staff and patients strongly agreed that the service promoted resilience and recovery (r = .83, n = 12, p ≤ .01) on items such as satisfaction, promoting change, providing choice and opportunities, and promoting feelings of value and respect.…”

Section: Summary Of Studies General Views and Attitudes About Recovermentioning

confidence: 99%

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Staff views about psychosocial aspects of recovery in psychosis: A systematic review

2016

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The psychosocial model of recovery has become widely accepted and now underpins most international recovery policies. Despite a dearth in research, existing studies indicate that mental health staff subscribe to biomedical models of recovery in psychosis, with more emphasis on pharmacological, over psychosocial, and interventions. Robust research targeting staff views about recovery in psychosis is needed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Summary Of Studies General Views and Attitudes About Recovermentioning

confidence: 99%

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Staff views about psychosocial aspects of recovery in psychosis: A systematic review

2016

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“…The caring nature of staff was a factor rated highly by all three groups. Having staff who are caring and compassionate is a feature of recovery-based services that is highly valued in non-residential (Morton et al, 2010) and residential services (Bass et al, 2014, Lee et al, 2014. The emphasis of staff personally supporting clients as they work towards their recovery goals is in contrast to many people's experience of their relationship with staff in an inpatient unit (Gilburt et al, 2010).…”

Section: Neutralmentioning

confidence: 99%

Recovery environment of a sub-acute mental health service

Thomas

Rickwood

2016

Mental Health Review Journal

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Purpose – The purpose of this paper is to examine the recovery environment of a sub-acute residential mental health service. Such services are increasingly filling a gap in the continuum of care for people with recurrent mental illness and have a major role supporting the processes of recovery. Design/methodology/approach – A cross-sectional design was used with clients and staff completing the recovery enhancing environment measure. Nine clients who had entered the service from the community (step-up), 18 who had transferred from an inpatient unit (step-down) and ten staff completed the measure. Findings – Clients and staff rated the organisational climate of the service positively, with the role of caring staff being identified as particularly valuable. Clients and staff had similar positive views on the importance of recovery-based elements and rated the service as performing well in these areas. Step-up clients identified performance gaps in the areas of self-management, general health, personal strengths, and personal relationships. Step-down clients identified a range of gaps, including meeting basic needs, empowerment, and fundamental recovery processes. Practical implications – An assessment of the perceptions of clients and staff can allow services to identify differences in the attitudes of each group and ascertain areas in which the service can be improved to better meet the needs of individual clients. This may include being responsive to the setting from which clients have entered the service. Originality/value – This is the first study that has examined the recovery environment of a residential mental health service and how it meets the recovery needs of both step-up and step-down admissions.

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“…Moreover, learning about clinicians' perspectives is important for determining clinician needs for further training and support in this area, and to understand current identity-related intervention practices. Indeed, clinicians have provided useful perspectives on a range of early psychosis issues, including medication (Heres et al, 2011;Thompson, Singh, & Birchwood, 2016), early intervention psychosis services (Morton, Fairhurst, & Ryan, 2010), at-risk mental state (Welsh, Mediavilla, & Tiffin, 2011;Welsh & Tiffin, 2012) and clinician treatment barriers (Gairns, Alvarez-Jimenez, Hulbert, McGorry, & Bendall, 2015;Welsh & Tiffin, 2012). Given the value of learning from clinicians about the relationship between identity and early psychosis in their clients' lives-and in the treatment and recovery process-the present study was developed as a preliminary and exploratory effort to shed light on Canadian clinicians' perspectives on this issue.…”

Section: Introductionmentioning

confidence: 99%

Perspectives on personal identity in the early stages of psychosis: A survey of Canadian clinicians

Ben‐David

Kealy

Hanson

et al. 2020

Early Intervention Psych

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Aim: Identity-related concerns represent an important aspect of young people's experience in early psychosis. Knowledge regarding clinicians' perspectives on this issue, however, is limited. Thus, the present study was developed to understand Canadian clinicians' perspectives on personal identity-related concerns in early psychosis.Methods: An online survey was distributed to 331 multiprofessional clinicians working in early psychosis intervention programs in a Canadian province. Clinicians were asked about their opinions regarding the salience of identity in early psychosis using Likert-rated items and open response questions.Results: Nearly all of the clinicians agreed that identity is an important issue for clinical attention, yet only half of the clinicians endorsed a high level of confidence in their ability to address issues related to identity in treatment. Although several clinical strategies were identified, specific evidence-based approaches for strengthening identity in early psychosis remain lacking.Conclusions: Findings indicate a need for early psychosis programs to invest in identity-related training for clinicians.

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Promoting recovery: service user and staff perceptions of resilience provided by a new Early Intervention in Psychosis service

Abstract: The positive rating of resilience indicated that the service is working in a manner consistent with a recovery orientation. The results will act as a benchmark to compare with both other EIP services and future performance.

Cited by 4 publications

References 6 publications

Staff views about psychosocial aspects of recovery in psychosis: A systematic review

Staff views about psychosocial aspects of recovery in psychosis: A systematic review

Recovery environment of a sub-acute mental health service

Perspectives on personal identity in the early stages of psychosis: A survey of Canadian clinicians

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