Development of the REFOCUS intervention to increase mental health team support for personal recovery
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 int...
| Main Authors: | , , , , , , , |
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| Format: | Article |
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Royal College of Psychiatrists
2015
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| Online Access: | https://eprints.nottingham.ac.uk/31029/ |
| _version_ | 1848794112486014976 |
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| author | Slade, Mike Bird, Victoria Le Boutillier, Clair Grey, Barbara Larsen, John Leamy, Mary Oades, Lindsay Williams, Julie |
| author_facet | Slade, Mike Bird, Victoria Le Boutillier, Clair Grey, Barbara Larsen, John Leamy, Mary Oades, Lindsay Williams, Julie |
| author_sort | Slade, Mike |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | 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). |
| first_indexed | 2025-11-14T19:11:01Z |
| format | Article |
| id | nottingham-31029 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:11:01Z |
| publishDate | 2015 |
| publisher | Royal College of Psychiatrists |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-310292020-05-04T17:21:02Z https://eprints.nottingham.ac.uk/31029/ 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 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). Royal College of Psychiatrists 2015-12-01 Article PeerReviewed Slade, Mike, Bird, Victoria, Le Boutillier, Clair, Grey, Barbara, Larsen, John, Leamy, Mary, Oades, Lindsay and Williams, Julie (2015) Development of the REFOCUS intervention to increase mental health team support for personal recovery. British Journal of Psychiatry, 207 (6). pp. 544-550. ISSN 1472-1465 http://bjp.rcpsych.org/content/207/6/551 doi:10.1192/bjp.bp.114.161695 doi:10.1192/bjp.bp.114.161695 |
| spellingShingle | Slade, Mike Bird, Victoria Le Boutillier, Clair Grey, Barbara Larsen, John Leamy, Mary Oades, Lindsay Williams, Julie Development of the REFOCUS intervention to increase mental health team support for personal recovery |
| title | Development of the REFOCUS intervention to increase mental health team support for personal recovery |
| title_full | Development of the REFOCUS intervention to increase mental health team support for personal recovery |
| title_fullStr | Development of the REFOCUS intervention to increase mental health team support for personal recovery |
| title_full_unstemmed | Development of the REFOCUS intervention to increase mental health team support for personal recovery |
| title_short | Development of the REFOCUS intervention to increase mental health team support for personal recovery |
| title_sort | development of the refocus intervention to increase mental health team support for personal recovery |
| url | https://eprints.nottingham.ac.uk/31029/ https://eprints.nottingham.ac.uk/31029/ https://eprints.nottingham.ac.uk/31029/ |