Supporting Recovery by Improving Patient Engagement in a Forensic Mental Health Hospital: Results From a Demonstration Project
Abstract
BACKGROUND: Mental health services are shifting toward approaches that promote patients’ choices and acknowledge the value of their lived experiences. OBJECTIVE: To support patients’ recovery and improve their experiences of care in a Canadian forensic mental health hospital, an intervention was launched to increase patient engagement by establishing a peer support program, strengthening a patient advisory committee, and creating a patient-led research team. DESIGN: The effect of the intervention on patient- and system-level outcomes was studied using a naturalistic, prospective, longitudinal approach. Quantitative and qualitative data were gathered from inpatients and service providers twice during the 19-month intervention. RESULTS: Despite succeeding in supporting patients’ participation, the intervention had minimal impacts on internalized stigma, personal recovery, personal empowerment, service engagement, therapeutic milieu, and the recovery orientation of services. Peer support demonstrated positive effects on internalized stigma and personal recovery. CONCLUSIONS: Strengthening patient engagement contributes toward improving experiences of care in a forensic hospital, but it may have limited effects on outcomes.
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The views and values of patients and families are often overlooked in service planning, leading to programs and services that do not address their needs and preferences.
“The views and values of patients and families are often overlooked in service planning, leading to programs and services that do not address their needs and preferences [39, 40].”
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- Authors
- Livingston, J. D., Nijdam-Jones, A., Lapsley, S., Calderwood, C., & Brink, J.
- Affiliations
- University of British Columbia (CA)
- Alicia Nijdam-Jones, MA, BC Mental Health & Addiction Services, Port Coquitlam, British Columbia, Canada
- BC Mental Health & Substance Use Services (CA)
- Venue
- Journal of the American Psychiatric Nurses Association
- Publisher
- SAGE Publications
- Published
- 2013-05
- Volume
- 19
- Issue
- 3
- Pages
- 132-145
- ISSN
- 1078-3903 (ISSN-L)
- 1532-5725
- OpenAlex
- W2124130689
- Cited by
- 68
- References
- 47
- Citations by year
- 2026: 7 · 2025: 4 · 2024: 9 · 2023: 7 · 2022: 6 · 2021: 6 · 2020: 4 · 2019: 6 · 2018: 5 · 2017: 3 · 2016: 5 · 2015: 3 · 2014: 3
- FWCI
- 6.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Psychiatric Nurses Association (publishedVersion)
- PubMed (publishedVersion)
- 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 › Clinical Psychology › Healthcare Decision-Making and Restraints
- Keywords
- patient engagement, forensic mental health, peer support, patient-led research, recovery-oriented services, self-stigma, personal recovery, empowerment, therapeutic environment, patient participation, lived experience
- MeSH terms
- Adult, Mental Disorders, Canada, Commitment of Persons with Psychiatric Disorders, Cooperative Behavior, Female, Hospitals, Psychiatric, Humans, Insanity Defense, Longitudinal Studies, Male, Middle Aged, Outcome and Process Assessment, Health Care, Patient Care Team, Patient Compliance, Patient Participation, Peer Group, Power, Psychological, Prospective Studies, Psychotic Disorders, Research, Schizophrenia, Social Support, Patient Satisfaction, Substance-Related Disorders, Advisory Committees, Interdisciplinary Communication
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