Staff understanding of recovery-orientated mental health practice: a systematic review and narrative synthesis

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 empirica...

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Main Authors: Le Boutillier, Clair, Chevalier, Agnes, Lawrence, Vanessa, Leamy, Mary, Bird, Victoria, Macpherson, Rob, Williams, Julie, Slade, Mike
Format: Article
Published: BioMed Central 2015
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Online Access:https://eprints.nottingham.ac.uk/34252/
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author Le Boutillier, Clair
Chevalier, Agnes
Lawrence, Vanessa
Leamy, Mary
Bird, Victoria
Macpherson, Rob
Williams, Julie
Slade, Mike
author_facet Le Boutillier, Clair
Chevalier, Agnes
Lawrence, Vanessa
Leamy, Mary
Bird, Victoria
Macpherson, Rob
Williams, Julie
Slade, Mike
author_sort Le Boutillier, Clair
building Nottingham Research Data Repository
collection Online Access
description 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).
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spelling nottingham-342522020-05-04T17:11:05Z https://eprints.nottingham.ac.uk/34252/ 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 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). BioMed Central 2015-06-10 Article PeerReviewed Le Boutillier, Clair, Chevalier, Agnes, Lawrence, Vanessa, Leamy, Mary, Bird, Victoria, Macpherson, Rob, Williams, Julie and Slade, Mike (2015) Staff understanding of recovery-orientated mental health practice: a systematic review and narrative synthesis. Implementation Science, 10 (87). ISSN 1748-5908 Recovery-orientated practice Staff perspective System transformation http://implementationscience.biomedcentral.com/articles/10.1186/s13012-015-0275-4 doi:10.1186/s13012-015-0275-4 doi:10.1186/s13012-015-0275-4
spellingShingle Recovery-orientated practice
Staff perspective
System transformation
Le Boutillier, Clair
Chevalier, Agnes
Lawrence, Vanessa
Leamy, Mary
Bird, Victoria
Macpherson, Rob
Williams, Julie
Slade, Mike
Staff understanding of recovery-orientated mental health practice: a systematic review and narrative synthesis
title Staff understanding of recovery-orientated mental health practice: a systematic review and narrative synthesis
title_full Staff understanding of recovery-orientated mental health practice: a systematic review and narrative synthesis
title_fullStr Staff understanding of recovery-orientated mental health practice: a systematic review and narrative synthesis
title_full_unstemmed Staff understanding of recovery-orientated mental health practice: a systematic review and narrative synthesis
title_short Staff understanding of recovery-orientated mental health practice: a systematic review and narrative synthesis
title_sort staff understanding of recovery-orientated mental health practice: a systematic review and narrative synthesis
topic Recovery-orientated practice
Staff perspective
System transformation
url https://eprints.nottingham.ac.uk/34252/
https://eprints.nottingham.ac.uk/34252/
https://eprints.nottingham.ac.uk/34252/