Recovery-oriented services in an inpatient setting: The role of consumers’ views of therapeutic alliance and practitioner directiveness on recovery and well-being.

Osborn, Lawrence A.; Stein, Catherine H.

doi:10.1037/ort0000355

Cited by 6 publications

(4 citation statements)

References 42 publications

(65 reference statements)

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“…Rather, when recovery is regarded as a process as in recovery-oriented practice, the aim would be to support PMI in a way to inspire hope and see beyond the illness, as well as giving more agency to the PMI in their recovery goals setting [ 4 , 55 ]. Moreover, some studies have shown that recovery-oriented practice is associated with better therapeutic alliance [ 85 , 86 ], and research has indeed evinced that better therapeutic alliance is linked to positive outcomes such as reduction of psychiatric symptoms and improvement in quality of life [ 87 ], further substantiating the advantage of implementing recovery-oriented practice.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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“…2017, 2020). Consumers have reported stronger therapeutic alliance with mental health professionals when they perceive they are experiencing recovery‐oriented services, with this also translating into higher levels of individual well‐being (Osborn & Stein 2019). Certainly, the empowering nature of recovery, which underpinned all training in the selected studies, is in contrast to the biomedical model of health where consumers are viewed as passive in treatment decisions.…”

Section: Discussionmentioning

confidence: 99%

Effect of recovery‐based interventions on recovery knowledge and attitudes of mental health professionals, regarding recovery‐oriented practice: A quantitative narrative review

Sreeram

Cross

Townsin

2021

Int J Mental Health Nurs

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Mental health recovery is an enabling process encouraging consumers to live a productive life, notwithstanding the presence of debilitating symptoms of illness. The recovery model has been integrated into all areas of mental health. However, literature shows that mental health professionals are not equipped to provide recovery‐oriented care to consumers. Researchers have recommended recovery‐based interventions to develop knowledge, attitudes, and skills to promote recovery‐oriented practice in mental health, yet there is a paucity of research regarding the effect of recovery‐oriented interventions on the knowledge and attitudes of mental health professionals to improve recovery‐oriented practice. Therefore, the purpose of the current review is to understand the effectiveness of interventions on recovery knowledge and attitudes of mental health professionals regarding recovery‐oriented practice. The papers were identified through the Population Intervention Comparison and Outcome strategy. The heterogeneity of the selected papers led to a narrative review instead of a systematic review with meta‐analysis. The analysis suggested that recovery‐based interventions are effective in enhancing the recovery knowledge and attitudes of mental health professionals. Recovery‐based interventions have the potential to reduce the use of physical restraints and improve work satisfaction among mental health professionals. The limitations of the studies were the heterogeneity of the selected populations and the absence of strong methodologies to assess the effect of the interventions. Therefore, future investigations should be focused on the effect of interventions on a homogeneous group using randomized controlled trials.

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“…Applying, or even considering conservatorship, could be detrimental to the doctor-patient relationship. Researchers have shown definitively that the therapeutic working alliance between patient and practitioner as the single most crucial factor in the treatment of mental health [14]. However, weighing risks and benefits must always direct care to the best outcome ina patient's health.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2019

CSMC

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Highlights• About 75% of all psychiatric illnesses occur by age 24; early intervention in TAY (16-25 years old) is critical in this vulnerable population• Physicians play a significant role in assessing capacity, providing advice, guidance and support to the surrogate, conservator or judicial authorities• Autonomy and capacity are complex topics in general and applying them to TAY carries multifaceted challenges that will be encountered mainly during involuntary admissions, decompensation due to medication non-adherence and refusal to accept treatments

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Recovery-oriented services in an inpatient setting: The role of consumers’ views of therapeutic alliance and practitioner directiveness on recovery and well-being.

Cited by 6 publications

References 42 publications

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

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

Effect of recovery‐based interventions on recovery knowledge and attitudes of mental health professionals, regarding recovery‐oriented practice: A quantitative narrative review

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