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
Full text not available from this repository.
Abstract
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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