Clair Le Boutillier
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
MIKE SLADE M.SLADE@NOTTINGHAM.AC.UK
Professor in Mental Health Recovery and Social Inclusion
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).
|Journal Article Type||Article|
|Peer Reviewed||Peer Reviewed|
|APA6 Citation||Le Boutillier, C., Chevalier, A., Lawrence, V., Leamy, M., Bird, V., Macpherson, R., …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|
|Keywords||Recovery-orientated practice, Staff perspective, System transformation|
|Copyright Statement||Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0|
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0
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