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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

Authors

MIKE SLADE M.SLADE@NOTTINGHAM.AC.UK
Professor in Mental Health Recovery and Social Inclusion

Victoria Bird

Clair Le Boutillier

Barbara Grey

John Larsen

Mary Leamy

Lindsay Oades

Julie Williams



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).

Journal Article Type Article
Publication Date Dec 1, 2015
Journal British Journal of Psychiatry
Print ISSN 0007-1250
Electronic ISSN 1472-1465
Publisher Cambridge University Press (CUP)
Peer Reviewed Peer Reviewed
Volume 207
Issue 6
APA6 Citation Slade, M., Bird, V., Le Boutillier, C., Grey, B., Larsen, J., Leamy, M., …Williams, J. (2015). Development of the REFOCUS intervention to increase mental health team support for personal recovery. British Journal of Psychiatry, 207(6), doi:10.1192/bjp.bp.114.155978
DOI https://doi.org/10.1192/bjp.bp.114.155978
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
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingh.../end_user_agreement.pdf
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.o...4125358638E4AFED7F52C1D

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf





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