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Recovery in mental health: Multiple perspectives

Jackson-Blott, Kim 2018. Recovery in mental health: Multiple perspectives. ClinPsy Thesis, Cardiff University.
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Abstract

Recovery has become a guiding principle for mental health service delivery. This thesis aimed to address gaps in the recovery literature and is presented as three papers: (1) a systematic literature review, (2) an empirical study and (3) a critical reflection. The systematic literature review used narrative synthesis methodology to explore and consolidate the quantitative literature regarding recovery-oriented training programmes for mental health professionals. Sixteen studies of variable methodological quality were included. The heterogeneity among study designs and training programmes limited the conclusions that could be drawn. Recovery training appeared somewhat effective in improving recovery-oriented outcomes for mental health professionals, however the evidence regarding service-user and service-level outcomes was inconclusive. The review concludes that staff recovery training may have limited capacity to influence clinical practice if implemented in isolation. Key implications for clinical practice and future research are identified. The empirical study used Q methodology to explore staff and service-users’ views on factors deemed important to recovery from psychosis in a forensic setting. Four distinct perspectives were identified: (1) Personal growth and psychosocial aspects of recovery, (2) Gaining insight and reducing recidivism, (3) Self-focused aspects of recovery, and (4) Making amends and service engagement. The heterogeneity of recovery beliefs indicated that multiple dimensions of recovery are important within clinical practice, however the bio-medical model of care appeared most prominent. Notions of ‘personal recovery’ (aligning with the recovery movement) were most strongly expressed in factor 1, which was not endorsed by psychiatrists or service-user participants. The findings highlight important considerations for clinical practice and future research. The final paper includes a critical reflection on the research process. This entails an appraisal of the decision-making processes and of the research conducted. Consideration is also given to the thesis as a whole with reference to its strengths, limitations and implications.

Item Type: Thesis (DClinPsy)
Date Type: Completion
Status: Unpublished
Schools: Psychology
Uncontrolled Keywords: recovery, training programme, staff education, review, forensic, psychosis, Q methodology
Date of First Compliant Deposit: 28 August 2018
Last Modified: 08 Oct 2019 02:27
URI: http://orca-mwe.cf.ac.uk/id/eprint/114445

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