Staff understanding of recovery-orientated mental health practice: a systematic review and narrative synthesis

Le Boutillier, Clair; Chevalier, Agnes; Lawrence, Vanessa; Leamy, Mary; Bird, Victoria; Macpherson, Rob; Williams, Julie; Slade, Mike

Abstract

Background: Mental health policy is for staff to transform their practice towards a recovery orientation. Staff understanding of recovery-orientated practice will influence the implementation of this policy. The aim of this study was to conduct a systematic review and narrative synthesis of empirical studies identifying clinician and manager conceptualisations of recovery-orientated practice.

Methods: A systematic review of empirical primary research was conducted. Data sources were online databases (n = 8), journal table of contents (n = 5), internet, expert consultation (n = 13), reference lists of included studies and references to included studies. Narrative synthesis was used to integrate the findings.

Results: A total of 10,125 studies were screened, 245 full papers were retrieved, and 22 were included (participants, n = 1163). The following three conceptualisations of recovery-orientated practice were identified: clinical recovery, personal recovery and service-defined recovery. Service-defined recovery is a new conceptualisation which translates recovery into practice according to the goals and financial needs of the organisation.

Conclusions: Organisational priorities influence staff understanding of recovery support. This influence is leading to the emergence of an additional meaning of recovery. The impact of service-led approaches to operationalising recovery-orientated practice has not been evaluated.

Trial Registration: The protocol for the review was pre-registered (PROSPERO 2013: CRD42013005942).

Citation

Le Boutillier, C., Chevalier, A., Lawrence, V., Leamy, M., Bird, V., Macpherson, R., Williams, J., & Slade, M. (in press). Staff understanding of recovery-orientated mental health practice: a systematic review and narrative synthesis. Implementation Science, 10(87), https://doi.org/10.1186/s13012-015-0275-4

• Journal Article Type: Article
• Acceptance Date: Jun 1, 2015
• Online Publication Date: Jun 10, 2015
• Deposit Date: Jun 20, 2016
• Publicly Available Date: Jun 20, 2016
• Journal: Implementation Science
• Electronic ISSN: 1748-5908
• Publisher: Springer Verlag
• Peer Reviewed: Peer Reviewed
• Volume: 10
• Issue: 87
• DOI: https://doi.org/10.1186/s13012-015-0275-4
• Keywords: Recovery-orientated practice, Staff perspective, System transformation
• Public URL: https://nottingham-repository.worktribe.com/output/754809
• Publisher URL: http://implementationscience.biomedcentral.com/articles/10.1186/s13012-015-0275-4
• Contract Date: Jun 20, 2016