Protocol for a mixed studies systematic review on the implementation of the recovery approach in adult mental health services

Piat, Myra; Sofouli, Eleni; Sabetti, Judith; Lambrou, Angella; Chodos, Howard; Briand, Catherine; Vachon, Brigitte; Curran, Janet

doi:10.1136/bmjopen-2017-017080

Cited by 13 publications

(16 citation statements)

References 74 publications

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“…However, should our search yield insufficient quantitative studies to synthesise narratively, we will adopt the process of transforming quantitative into qualitative findings described by Piat et al . 51 This transformation involves analysing the quantitative literature using the qualitative analysis described above.…”

Section: Methodsmentioning

confidence: 99%

Protocol for the systematic review of research on professional learning to promote implementation of a multitiered system of support in education

et al. 2018

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IntroductionA multitiered system of supports (MTSS) represents a widely adopted public health approach to education in the USA. Researchers agree professional learning is critical for educators to implement the critical components of MTSS; however, professional learning approaches vary in their designs and targeted outcomes. While researchers increasingly focus their inquiries on professional learning for MTSS, no systematic research review exists.ObjectivesThe primary objectives for this mixed-methods review are to (1) understand how professional learning focused on MTSS has been operationalised (2) determine the impact of professional learning on educator (eg, knowledge) and implementation (eg, data-based decision-making processes) outcomes and (3) understand the contextual variables that influence professional learning in the USA. We aim to determine which elements of professional learning improve educators’ capacity to implement MTSS.Methods and analysisWe will include studies that use quantitative and qualitative methods. PsycInfo, PubMed, CIHAHL and ERIC will be the primary research databases used to search for studies published from January 1997 to May 2018. We also will search the US Institute for Educational Sciences and Office of Special Education Programs websites, ProQuest, Google Scholar, Science Watch and MSN. Finally, we will search the proceedings of relevant conferences, examine the reference lists of studies that pass full screening and contact authors for additional work. Data extraction will include participant demographics, intervention details, study design, outcomes, analyses and key findings. We will conduct a quality assessment and analyse the data using effect size and thematic analyses.Ethics and disseminationInstitutional review board or ethics approval is not needed for this review of already published works. We will disseminate the findings through presentations at state, national and international conferences; presentations to stakeholders and agencies; publication in peer-reviewed journals; and posts to organisational and agency websites.

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Section: Methodsmentioning

confidence: 99%

Protocol for the systematic review of research on professional learning to promote implementation of a multitiered system of support in education

et al. 2018

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“…CHIME was applicable in both groups, but there were cultural differences in the ways that participants in each group perceive some of the key notions of the model. Piat et al (30) used observation and interviews in an effort to outline the way that CHIME (14) is reflected on everyday life and to highlight the contribution of the model's key notions to the recovery of individuals with mental health challenges. Their findings suggest that the CHIME model (14) can better inform our understanding of the recovery process.…”

Section: Introductionmentioning

confidence: 99%

Experiences of Recovery in EPAPSY’s Community Residential Facilities and the Five CHIME Concepts: A Qualitative Inquiry

et al. 2020

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In the context of the reform of psychiatric services in Greece, the debate about the concept of recovery is still growing. Recovery is defined as a path through which individuals facing mental health challenges are enabled to regain and further develop significant relationships with family, friends, the community, and themselves and at the same time to cope with the detrimental effects of stigma through empowerment. The present qualitative study aims to explore the experiences of people living in EPAPSY's (Association for Regional Development and Mental Health) community residential facilities focusing mainly upon the key concepts of the CHIME (connectivity, hope, identity, meaning, and empowerment) conceptual framework of recovery. To this end, semistructured interviews were conducted with seven participants living and receiving mental health care in a residential facility of EPAPSY. The participants' accounts were analyzed using thematic analysis in a deductive and inductive manner. The research findings highlighted, among others, the challenges the participants faced during their early years in family and school, the experience of the revolving door effect, and the perceived turn their life took when they were transferred to a community residential facility, thus opening a new chapter in their lives. Of the five CHIME concepts, all are present in the participants' accounts, with emphasis given to a meaningful present, a need to feel "normal" again, and a positive outlook for the future, both for themselves and their relationships, despite the persistence of certain difficulties.

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“…What has emerged is a wealth of valuable knowledge and guidance for what mental health systems and services can do to enhance recovery and wellbeing outcomes for people seeking support [ 5 – 10 ]. However, there is limited research evidence demonstrating that this substantial body of work has, and can be, translated successfully into mental health service practice [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…Despite extensive attention to identifying the key elements for practice and the development of models, frameworks and guidelines aimed at improving mental health service practice, there is as yet limited literature demonstrating that services and practitioner staff are enacting these in everyday practice [ 11 , 26 , 31 ]. If mental health services are to give primacy to improving wellbeing outcomes for the people they provide support to, then new understandings of what supports people to move from illness to health requires evidence for their translatability to real world service settings and value to the people who use such services [ 14 , 17 , 51 – 53 ].…”

Section: Introductionmentioning

confidence: 99%

Consumer and staff perspectives of the implementation frequency and value of recovery and wellbeing oriented practices

Wolstencroft

Deane

Jones

et al. 2018

Int J Ment Health Syst

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BackgroundDespite advances in our understanding of what mental health systems and services can do to enhance recovery and wellbeing outcomes for people seeking support, there is limited evidence demonstrating that this body of work has translated successfully into mental health service practice. The Collaborative Recovery Model (CRM) is a practice framework that has been designed to support application of recovery and wellbeing oriented principles and practices within mental health service delivery. The aims of this study were to assess consumer and staff perceptions of implementation frequency during service engagement and the value of this approach for assisting recovery within a setting where the CRM approach had been adopted.MethodsThe setting was a large Australian community managed mental health organisation. The study involved a cross-sectional analysis of consumer (n = 116) and staff practitioner (n = 62) perspectives. A series of paired sample t-tests assessed for differences between consumer and staff perceptions of the: (i) importance of key practice elements for assisting recovery, and the (ii) frequency that key practice elements are utilised during engagement sessions. Spearman’s r correlational analysis explored associations between importance, frequency and helpfulness of sessions.ResultsKey practice elements of the model were applied during service interactions at a high level and perceived by the majority of consumers and staff participants as being important or very important for assisting recovery. Significant moderate correlations were found between the extent that practice elements were valued and the level at which they were applied. Higher levels of implementation of CRM practices were associated with higher ratings of perceived session helpfulness. The strongest association was between ‘encouragement to set tasks to complete between support visits’ and perceived helpfulness.ConclusionsConsumer and staff responses revealed that the key practice elements of the CRM were frequently implemented during service engagement interactions and were seen as valuable for assisting recovery. The level of agreement between raters suggests firstly, that the key practice elements were apparent and able to be rated as occurring, and secondly that the CRM approach is seen as responsive to consumer needs. The results have implications for translating recovery and wellbeing oriented knowledge into mental health service practice.Electronic supplementary materialThe online version of this article (10.1186/s13033-018-0244-9) contains supplementary material, which is available to authorized users.

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Protocol for a mixed studies systematic review on the implementation of the recovery approach in adult mental health services

Cited by 13 publications

References 74 publications

Protocol for the systematic review of research on professional learning to promote implementation of a multitiered system of support in education

Protocol for the systematic review of research on professional learning to promote implementation of a multitiered system of support in education

Experiences of Recovery in EPAPSY’s Community Residential Facilities and the Five CHIME Concepts: A Qualitative Inquiry

Consumer and staff perspectives of the implementation frequency and value of recovery and wellbeing oriented practices

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