Development of the REFOCUS intervention to increase mental health team support for personal recovery

Slade, Mike; Bird, Victoria; Le Boutillier, Clair; Grey, Barbara; Larsen, John; Leamy, Mary; Oades, Lindsay; Williams, Julie

Abstract

Background: There is an emerging evidence base about best practice in supporting recovery. This is usually framed in relation to general principles, and specific pro-recovery interventions are lacking.
Aims: To develop a theoretically-based and empirically-defensible new pro-recovery manualised intervention – called the REFOCUS intervention.
Method: Seven systematic and two narrative reviews were undertaken. Identified evidence gaps were addressed in three qualitative studies. The findings were synthesised to produce the REFOCUS intervention, manual and model.
Results: The REFOCUS intervention comprises two components: recovery-promoting relationships and working practices. Approaches to supporting relationships comprise coaching skills training for staff, developing a shared team understanding of recovery, exploring staff values, a Partnership Project with people who use the service, and raising service user expectations. Working practices comprise: Understanding values and treatment preferences; Assessing strengths; and Supporting goal-striving. The REFOCUS model describes the causal pathway from the REFOCUS intervention to improved recovery.
Conclusion: The REFOCUS intervention is an empirically-supported pro-recovery intervention for use in mental health services. It will be evaluated in a multisite cluster randomised controlled trial (ISRCTN02507940).

Citation

Slade, M., Bird, V., Le Boutillier, C., Grey, B., Larsen, J., Leamy, M., Oades, L., & Williams, J. (2015). Development of the REFOCUS intervention to increase mental health team support for personal recovery. British Journal of Psychiatry, 207(6), https://doi.org/10.1192/bjp.bp.114.155978

• Journal Article Type: Article
• Publication Date: Dec 1, 2015
• Deposit Date: Dec 10, 2015
• Publicly Available Date: Dec 10, 2015
• Journal: British Journal of Psychiatry
• Print ISSN: 0007-1250
• Electronic ISSN: 1472-1465
• Publisher: Cambridge University Press
• Peer Reviewed: Peer Reviewed
• Volume: 207
• Issue: 6
• DOI: https://doi.org/10.1192/bjp.bp.114.155978
• Public URL: https://nottingham-repository.worktribe.com/output/765069
• Publisher URL: https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/development-of-the-refocus-intervention-to-increase-mental-health-team-support-for-personal-recovery/8B6E69BA94125358638E4AFED7F52C1D
• Additional Information: This is an author-produced electronic version of an article accepted for publication in the British Journal of Psychiatry. The definitive publisher-authenticated version is available online at https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/development-of-the-refocus-intervention-to-increase-mental-health-team-support-for-personal-recovery/8B6E69BA94125358638E4AFED7F52C1D