MIKE SLADE M.SLADE@NOTTINGHAM.AC.UK
Professor of Mental Health Recovery and Social Inclusion
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
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).
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), 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 |
Files
BJP REFOCUS Intervention (#27).pdf
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