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Cited by 108Mental Health and Patient InvolvementPsychiatric care and mental health servicesHealth Policy Implementation Science

The DOI matches its Crossref record; 21 of the 22 references it cites were found in a registry or an index.

Promoting recovery-oriented practice in mental health services: a quasi-experimental mixed-methods study

Open access
Gilburt, Helen, Slade, Mike, Bird, Victoria, Oduola, Sheri, Craig, Tom KJ·2013·BMC Psychiatry
DOI 10.1186/1471-244x-13-167PMC PMC3683325
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Abstract

BACKGROUND: Recovery has become an increasingly prominent concept in mental health policy internationally. However, there is a lack of guidance regarding organisational transformation towards a recovery orientation. This study evaluated the implementation of recovery-orientated practice through training across a system of mental health services. METHODS: The intervention comprised four full-day workshops and an in-team half-day session on supporting recovery. It was offered to 383 staff in 22 multidisciplinary community and rehabilitation teams providing mental health services across two contiguous regions. A quasi-experimental design was used for evaluation, comparing behavioural intent with staff from a third contiguous region. Behavioural intent was rated by coding points of action on the care plans of a random sample of 700 patients (400 intervention, 300 control), before and three months after the intervention. Action points were coded for (a) focus of action, using predetermined categories of care; and (b) responsibility for action. Qualitative inquiry was used to explore staff understanding of recovery, implementation in services and the wider system, and the perceived impact of the intervention. Semi-structured interviews were conducted with 16 intervention group team leaders post-training and an inductive thematic analysis undertaken. RESULTS: A total of 342 (89%) staff received the intervention. Care plans of patients in the intervention group had significantly more changes with evidence of change in the content of patient's care plans (OR 10.94. 95% CI 7.01-17.07) and the attributed responsibility for the actions detailed (OR 2.95, 95% CI 1.68-5.18). Nine themes emerged from the qualitative analysis split into two superordinate categories. 'Recovery, individual and practice', describes the perception and provision of recovery orientated care by individuals and at a team level. It includes themes on care provision, the role of hope, language of recovery, ownership and multidisciplinarity. 'Systemic implementation', describes organizational implementation and includes themes on hierarchy and role definition, training approaches, measures of recovery and resources. CONCLUSIONS: Training can provide an important mechanism for instigating change in promoting recovery-orientated practice. However, the challenge of systemically implementing recovery approaches requires further consideration of the conceptual elements of recovery, its measurement, and maximising and demonstrating organizational commitment.

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  1. Shepherd G, Boardman J, Slade M: Making recovery a reality. 2008, London: Sainsbury Centre for Mental Health
  2. President's New Freedom Commission on Mental Health: Achieving the promise: transforming mental health care in America, final report. 2003, Rockville, Md: DHHS
  3. Mental Health Commission of Canada: Changing directions, changing lives. 2012, Calgary: The mental health strategy for Canada
  4. Mental Health Commission: Blueprint I: Improving health and wellbeing for all New Zealanders – How things need to be. 2012, New Zealand:
  5. Department of Health: No health without mental health: a cross government mental health outcomes strategy for people of all ages. 2011, London:
  6. Office for National Statistics: 2011 Census – population and household estimates for England and Wales, march 2011. 2012, London:

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Metadata

Authors
Gilburt, H., Slade, M., Bird, V., Oduola, S., & Craig, T. K.
Affiliations
King's College London (GB)
Corresponding author
Gilburt, Helen
ORCID
Venue
BMC Psychiatry
Publisher
Springer Science and Business Media LLC
Published
2013-06-13
Volume
13
Issue
1
Pages
167-167
ISSN
1471-244X (ISSN-L)
DOI
10.1186/1471-244x-13-167
PMC
PMC3683325
OpenAlex
W2062382422
Cited by
107
References
22
Citations by year
2026: 4 · 2025: 3 · 2024: 4 · 2023: 8 · 2022: 3 · 2021: 17 · 2020: 11 · 2019: 12 · 2018: 6 · 2017: 8 · 2016: 10 · 2015: 13 · 2014: 7
FWCI
18.11
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Psychiatry (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Research Portal (King's College London) (submittedVersion)
  • Queen Mary Research Online (Queen Mary University of London) (submittedVersion, cc-by)
  • UEA Digital Repository (University of East Anglia) (submittedVersion)
Funders
Guy's and St Thomas' Charity
Topics
  • Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Keywords
recovery-oriented care, recovery, mental health services, employee training, organizational change, care planning, multidisciplinary team, implementation, employee perceptions, hope, organizational commitment
MeSH terms
Mental Disorders, Health Personnel, Humans, Mental Health Services, Organizational Innovation, Primary Health Care, Program Evaluation, Qualitative Research

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