Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis.
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TLDR
In this article, the authors synthesize published descriptions and models of personal recovery into an empirically based conceptual framework, which consists of: (a) 13 characteristics of the recovery journey; (b) five recovery processes comprising: connectedness; hope and optimism about the future; identity; meaning in life; and empowerment.Abstract:
Background
No systematic review and narrative synthesis on personal recovery in mental illness has been undertaken.
Aims
To synthesise published descriptions and models of personal recovery into an empirically based conceptual framework.
Method
Systematic review and modified narrative synthesis.
Results
Out of 5208 papers that were identified and 366 that were reviewed, a total of 97 papers were included in this review. The emergent conceptual framework consists of: (a) 13 characteristics of the recovery journey; (b) five recovery processes comprising: connectedness; hope and optimism about the future; identity; meaning in life; and empowerment (giving the acronym CHIME); and (c) recovery stage descriptions which mapped onto the transtheoretical model of change. Studies that focused on recovery for individuals of Black and minority ethnic (BME) origin showed a greater emphasis on spirituality and stigma and also identified two additional themes: culturally specific facilitating factors and collectivist notions of recovery.
Conclusions
The conceptual framework is a theoretically defensible and robust synthesis of people’s experiences of recovery in mental illness. This provides an empirical basis for future recovery-oriented research and practice.read more
Citations
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Journal ArticleDOI
The Lancet Commission on global mental health and sustainable development.
Vikram Patel,Shekhar Saxena,Crick Lund,Crick Lund,Graham Thornicroft,Florence Baingana,Paul Bolton,Dan Chisholm,Pamela Y. Collins,Janice Cooper,Janice Cooper,Julian Eaton,Helen Herrman,Helen Herrman,Mohammad M. Herzallah,Mohammad M. Herzallah,Yueqin Huang,Mark J. D. Jordans,Mark J. D. Jordans,Arthur Kleinman,María Elena Medina-Mora,Ellen Morgan,Unaiza Niaz,Unaiza Niaz,Olayinka Omigbodun,Martin Prince,Atif Rahman,Benedetto Saraceno,Bidyut K. Sarkar,Mary De Silva,Ilina Singh,Dan J. Stein,Dan J. Stein,Dan J. Stein,Charlene Sunkel,Jürgen Unützer +35 more
Journal ArticleDOI
Uses and abuses of recovery: implementing recovery‐oriented practices in mental health systems
Mike Slade,Michaela Amering,Marianne Farkas,Bridget Hamilton,Mary O'Hagan,Graham Panther,Rachel Perkins,Geoff Shepherd,Samson Tse,Rob Whitley +9 more
TL;DR: This paper identifies seven mis‐uses (“abuses”) of the concept of recovery and identifies ten empirically‐validated interventions which support recovery, by targeting key recovery processes of connectedness, hope, identity, meaning and empowerment (the CHIME framework).
Journal ArticleDOI
Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the management of schizophrenia and related disorders
Cherrie Galletly,David J. Castle,Frances Dark,Verity Humberstone,Assen Jablensky,Eoin Killackey,Jayashri Kulkarni,Patrick D. McGorry,Olav Nielssen,Nga Tran +9 more
TL;DR: This guideline takes a holistic approach, addressing all aspects of the care of people with schizophrenia and related disorders, not only correct diagnosis and symptom relief but also optimal recovery of social function, and uses a clinical staging model as a framework for recommendations regarding assessment, treatment and ongoing care.
Journal ArticleDOI
Social Factors and Recovery from Mental Health Difficulties: A Review of the Evidence
Jerry Tew,Schula Ramon,Schula Ramon,Mike Slade,Victoria Bird,Jane Melton,Clair Le Boutillier +6 more
TL;DR: A review of the emerging international literature in this area, and linked to a wider conceptual review undertaken as part of a major project researching recovery practice in the UK, can be found in this paper.
Journal ArticleDOI
A systematic review and meta-analysis of randomised controlled trials of peer support for people with severe mental illness
Brynmor Lloyd-Evans,Evan Mayo-Wilson,Bronwyn Harrison,Hannah Istead,Ellie Brown,Stephen Pilling,Sonia Johnson,Tim Kendall +7 more
TL;DR: There was little or no evidence that peer support was associated with positive effects on hospitalisation, overall symptoms or satisfaction with services, and current evidence does not support recommendations or mandatory requirements from policy makers for mental health services to provide peer support programmes.
References
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Journal ArticleDOI
Transtheoretical therapy: Toward a more integrative model of change.
TL;DR: Prochaska et al. as mentioned in this paper studied how individuals change on their own compared with change in formalized treatments, and identified five basic processes of change, which can be applied at either the level of the individual's experience or environment.
Journal ArticleDOI
Recovery from mental illness: The guiding vision of the mental health service system in the 1990s.
TL;DR: The fundamental services and assumptions of a recovery-oriented mental health system are outlined, which could have major implications for how future mental health systems are designed.
Guidance on the conduct of narrative synthesis in sytematic reviews
Jennie Popay,Helen Roberts,Amanda Sowden,Mark Petticrew,Lisa Arai,Mark Rodgers,Nicky Britten +6 more
TL;DR: Titles & abstracts as discussed by the authors include N=54, N=121, N = 89 Exclude N = 0 Exclude n = 1,024, and exclude N = 21.
Journal ArticleDOI
Building a Conceptual Framework: Philosophy, Definitions, and Procedure:
TL;DR: A new qualitative method for building conceptual frameworks for phenomena that are linked to multidisciplinary bodies of knowledge based on grounded theory method and redefines the key terms of concept, conceptual framework, and conceptual framework analysis.
MonographDOI
Personal Recovery and Mental Illness A Guide for Mental Health Professionals
TL;DR: A new conceptual basis for mental health services is described - the Personal Recovery Framework - which gives primacy to the person over the illness, and identifies the contribution of personal and social identity to recovery.