Service providers' experiences and perspectives on recovery-oriented mental health system reform
Open accessAbstract
OBJECTIVE: With the use of a qualitative approach, this study focuses on service providers' experiences and perspectives on recovery-oriented reform. METHODS: Nine focus groups were conducted with a sample of 68 service providers recruited from three Canadian sites. RESULTS: Three major themes were identified: 1) positive attitudes towards recovery-oriented reform; 2) skepticism towards recovery-oriented reform; and 3) challenges associated with implementing recovery-oriented practice. These challenges pertained to conceptual uncertainty and consistency around the meanings of recovery; application of recovery-oriented practice with certain populations and in certain contexts; bureaucratization of recovery-oriented tools; limited leadership support; and, societal stigma and social exclusion of persons with mental illnesses. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: The findings point towards challenges that might arise as system planners move ahead in their efforts toward implementing recovery within the mental health system. In this regard, we offer several recommendations for the planning of organizational and educational practices that support the implementation of recovery-oriented practice.
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The concept of clinical recovery derives from research led by mental health professionals and involves diagnosis and measures of symptoms and psychosocial functioning designed and rated by professionals.
“The concept of clinical recovery derives from research led by mental health professionals: it involves diagnosis, and measures of symptoms and psychosocial functioning designed and rated by professionals (5, 6).”
From Recovery from Severe Mental Health Problems: A Systematic Review of Service User and Informal Caregiver Perspectives (2021) · cites this paper as [6]
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Sjöberg, A., Sundberg, L. R., & Lindström, M. (2026) · Frontiers in Health Services · doi:10.3389/frhs.2026.1771613
- Authors
- Piat, M., & Lal, S.
- Affiliations
- Douglas Mental Health University Institute (CA)
- Venue
- Psychiatric Rehabilitation Journal
- Published
- 2012
- Volume
- 35
- Issue
- 4
- Pages
- 289-296
- ISSN
- 1095-158X (ISSN-L)
- 1559-3126
- PMC
- PMC4829387
- OpenAlex
- W2325129100
- Cited by
- 69
- References
- 37
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 4 · 2023: 4 · 2022: 3 · 2021: 16 · 2020: 4 · 2019: 5 · 2018: 3 · 2017: 4 · 2016: 3 · 2015: 5 · 2014: 10 · 2013: 3
- FWCI
- 10.22
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychiatric Rehabilitation Journal (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Canadian Institutes of Health Research (7451)
- 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 › Historical Psychiatry and Medical Practices
- Keywords
- recovery-oriented care, mental health reform, service provider perspectives, implementation barriers, bureaucratization, leadership support, mental illness, organizational change
- MeSH terms
- Adult, Attitude of Health Personnel, Mental Disorders, Canada, Female, Humans, Male, Mental Health Services, Middle Aged, Focus Groups, Health Care Reform, Qualitative Research
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