Reconnecting with life: a grounded theory study of mental health recovery in Ireland

Kartalova-O’Doherty, Yulia; Stevenson, Chris; Higgins, Agnès

doi:10.3109/09638237.2011.621467

Cited by 16 publications

(16 citation statements)

References 10 publications

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“…The categorization of the elements of RIM conducted in this study is consistent with various classifications presented in previous recovery research [ 13 , 14 , 15 ]. RIM is challenging for both the clients and the floating support professionals because it requires transformation in both: when conducting the clients’ everyday routines at home and in the way the clients see themselves as members of the community.…”

Section: Discussionsupporting

confidence: 86%

“…This critical, cultural aspect of the analysis adds to the previous research of the elements of recovery (e.g., [ 3 , 9 , 12 , 13 , 14 , 15 , 16 ]) as it reveals the interpretative essence of RIM. It raises critical questions.…”

Section: Discussionmentioning

confidence: 98%

“…The research literature provides various classifications of the elements of recovery based on focus groups, first person accounts, and literature reviews (e.g., [ 13 , 14 ]). Recovery has been divided into the following elements: reconnecting with oneself, others, and time [ 15 ]. It has been related to the reawakening of hope, acceptance, active participation, and coping as well as to reclaiming a positive sense of self and meaningfulness in life.…”

Section: Introductionmentioning

confidence: 99%

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Constructing the Elements of the “Recovery in” Model through Positive Assessments during Mental Health Home Visits

Raitakari

Holmberg

Juhila

et al. 2018

IJERPH

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The study provides a categorization of the different elements of the “recovery in” model (RIM). The objective is to analyze elements of RIM in positive assessments during home visit interactions. RIM approaches mental illness as a long-term condition that people live with in their daily lives in their communities. The model emphasizes the rights of all citizens to be full members of their communities regardless of their mental health problems or other difficulties. Positive assessments are professionals’ encouraging evaluations of the activities, situations, or inner conditions expressed by the clients. They are essential in creating supportive professional-client communication. The data analyzed in this study consists of 17 audio-recorded home visits of 10 different clients. Home visits were provided by a mental health floating support service in 2012. The data was analyzed using coding and ethnomethodological interaction research (EIR). As a result RIM is divided into two upper-categories: “Encouraging Doing the Right Thing” and “Encouraging the Right Kind of Personal Growth”. These categories include a wide spectrum of elements that are relevant for the client’s agency in the community. The elements embed the client’s performance in everyday routines and the client’s progress in becoming a skillful, knowledgeable, and involved agent in the community. The categorization of the elements of RIM could be used in educating practitioners to identify and operationalize RIM in mental health home visits.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

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Constructing the Elements of the “Recovery in” Model through Positive Assessments during Mental Health Home Visits

Raitakari

Holmberg

Juhila

et al. 2018

IJERPH

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“…Nurses in this study described positive effects of collaborative care, which enhances community care after discharge from inpatient units . Because it has been suggested that self‐management improves community participation and citizenship of older adults with mental illness and cognitive deterioration, the pragmatic processes to support and strengthen autonomy and self‐determination, described by nurses in this study, may enhance recovery after discharge.…”

Section: Discussionmentioning

confidence: 81%

Recovery‐Oriented Care in Older‐Adult Acute Inpatient Mental Health Settings in Australia: An Exploratory Study

McKenna

Furness

Dhital

et al. 2014

J American Geriatrics Society

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Recovery-oriented care acknowledges the unique journey that consumers lead with the aim of regaining control of their lives in order to live a good life. Recovery has become a dominant policy-directed model of many mental health care organizations, but in older-adult acute mental health inpatient settings, nurses do not have a clear description of how to be recovery-oriented. The aims of this study were to determine the extent to which elements of existing nursing practice resemble the domains of recovery-oriented care and provide a baseline understanding of practice in preparation for transformation to recovery-oriented mental health care provision. An exploratory, qualitative research design was used to meet the research aims. A purposive sample of mental health nurses (N = 12) participated in focus groups in three older-adult inpatient settings in Australia. A general inductive approach was used to analyze the qualitative data. The mental health nurses in this study readily discussed aspects of their current practice within the recovery domains. They described pragmatic ways to promote a culture of hope, collaborative partnerships, meaningful engagement, autonomy and self-determination, and community participation and citizenship. Nurses also discussed challenges and barriers to recovery-oriented care in older-adult acute mental health settings. This study identified a reasonable baseline understanding of practice in preparation for transformation to recovery-oriented older-adult mental healthcare provision. A concerted drive focused on recovery education is required to effectively embed a recovery-orientated paradigm into older-adult mental health settings.

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“…Currently, there is a drive to transform mental health services towards a recovery approach, underpinned by the principles of collaboration, co‐production, and respect for different forms of expertise and knowledge (Higgins & McGowan ; Kartalova‐O'Doherty et al . ). Clarke () suggests that recovery is still a term emerging from the conceptual mist, and as such requires clarity around how it can be defined and operationalized.…”

Section: Discussionmentioning

confidence: 97%

Outcomes of a co‐facilitation skills training programme for mental health service users, family members, and clinicians: the EOLAS project

Higgins

Hevey

Cusack³

et al. 2017

Int J Mental Health Nurs

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Health policy is increasingly advocating for involvement of service users and family members in service development. In the present study, we evaluated the impact of a 4-day education programme in co-facilitation skills on clinician and peer (service users and family members) knowledge, confidence, and subsequent experience as co-facilitators. The programme was designed to train peers and clinicians as co-facilitators on a clinician and peer-led information programme for people experiencing mental health problems. The study employed a mixed-methods design involving a pre-post survey with 128 participants, and follow-up qualitative interviews with a sample of 17 participants. To examine changes in levels of knowledge and confidence in facilitating from time 1 (T1) to time 2 (T2), paired sample t-tests were conducted, and thematic analysis was conducted on the interviews. The programme had a statistically-significant positive impact on participants' knowledge, confidence, and skills, with no significant difference between the facilitator groups (i.e. service user, family member, and clinician) in terms of their improvement at the end of the training, indicating that all groups benefited equally from the training. A majority of participants reported a high level of preparedness as co-facilitators and an open and respectful approach towards each other's expertise, and many continued to gain skills and develop their confidence as they co-facilitated the 8-week EOLAS programme ('eolas' is the Irish word for knowledge). The findings also provide evidence of the acceptability and feasibility of the programme, and appears to be the first detailed study reported on a programme of this nature.

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Reconnecting with life: a grounded theory study of mental health recovery in Ireland

Abstract: The study shows that accepting, validating and the hope-instilling interaction can facilitate the process of reconnecting with life and is, therefore, crucial for recovery-oriented care.

Cited by 16 publications

References 10 publications

Constructing the Elements of the “Recovery in” Model through Positive Assessments during Mental Health Home Visits

Constructing the Elements of the “Recovery in” Model through Positive Assessments during Mental Health Home Visits

Recovery‐Oriented Care in Older‐Adult Acute Inpatient Mental Health Settings in Australia: An Exploratory Study

Outcomes of a co‐facilitation skills training programme for mental health service users, family members, and clinicians: the EOLAS project

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