A New Paradigm of Youth Recovery: Implications for Youth Mental Health Service Provision
Open accessAbstract
The recovery model and practice orientation is promoted as a central feature of mental health service provision across the English speaking world. Yet the model relies on adult frameworks and its applicability to the youth recovery experience has not been established. The current qualitative study explored the common themes in the recovery experiences of 15 young people aged 18–23-years with severe mental health conditions from the Eastern Metropolitan Region of Melbourne, Australia. The aim of the study was to develop a thematic model of youth recovery utilising the experiences of young people with severe mental illness. These findings are then discussed in relation to common themes found in adult recovery research and in regard to the current understanding of young people and recovery. Qualitative data was inductively coded into a thematic model of youth recovery forming two overarching themes. The first was defined as ecological systems (ES) including three subthemes (personal, systemic, and macro). The second was defined as youth recovery processes drawing narratives from across the ES to form five subthemes (self‐belief and resilience; responsibility and personal agency; identity, awareness and acceptance; connection; and hope and positive expectations). The resulting themes revealed the critical importance of the ecological context in the personal recovery experiences of young people. It is contended that recovery in this stage of the lifespan is best conceptualised within this ecological framework. Implications for youth recovery conceptualisation and mental health service delivery are discussed.
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There has been less evaluative research on the impact of the help-seeking process itself, specifically how young people make meaning of these experiences and how this meaning-making affects their mental health and future help-seeking decisions.
“In addition, while much of the literature has focused on help-seeking barriers and facilitators, there has been less evaluative research on the impact of the help-seeking process itself-specifically how young people make meaning of these experiences, and how this meaning-making affects both their mental health and future help-seeking decisions (Law et al. 2020; Rayner et al. 2018).”
From "You Have the Choice of Whether You're Going to Get Help or Attempt Suicide": Exploring the Process and Impact of Mental Health Help-Seeking with Young People (16–25 Years) (2025) · cites this paper as Rayner et al. 2018
The “Recovery and young people” section says research on young people’s recovery experiences is scarce, and “Bottom-up exploration of young people’s recovery experiences” discusses a study of early mental-health-service use. But the paper does not establish the claimed comparison with research on help-seeking barriers and facilitators, or address how meaning-making about help-seeking affects mental health and future help-seeking decisions. Page numbers were not available in our copy. (LLM, conf=0.77)
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“…there has been less evaluative research on the impact of the help-seeking process itself—specifically how young people make meaning of these experiences, and how this meaning-making affects both their mental health and future help-seeking decisions (Law et al. 2020; Rayner et al. 2018).”
- Authors
- Rayner, S., Thielking, M., & Lough, R.
- Affiliations
- Youth and Family Services, Each Social and Community Health, Melbourne, Australia,
- Swinburne University of Technology (AU)
- Corresponding author
- Rayner, Sean
- ORCID
- Thielking, Monica
- Venue
- Australian Journal of Psychology
- Publisher
- Informa UK Limited
- Published
- 2018-12-01
- Volume
- 70
- Issue
- 4
- Pages
- 330-340
- ISSN
- 0004-9530 (ISSN-L)
- 1742-9536
- OpenAlex
- W2804844092
- Cited by
- 39
- References
- 37
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 7 · 2023: 5 · 2022: 6 · 2021: 4 · 2020: 4
- FWCI
- 3.07
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Australian Journal of Psychology (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Developmental and Educational Psychology › Identity, Memory, and Therapy
- Keywords
- recovery model, severe mental illness, youth, ecosystems, personal recovery, resilience, individual agency, hope, identity, social connectedness, mental health service delivery, recovery-oriented care
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