No hope without compassion: the importance of compassion in recovery-focused mental health services
Abstract
BACKGROUND: Whilst current policy is replete with recovery language and references to the need for services to create a sense of hope and optimism, there is less understanding about how such hope may be engendered within services. We propose that an understanding of compassion is necessary to appreciate what actually stimulates hope-inspiring practices. AIMS: An examination of the continuing relevance of compassion to mental health care and an exploration of its place within modern mental health policy and practice. METHODS: A review of the compassion deficit in mental health care and a critical examination of whether the direction of current mental health policy in the UK is likely to facilitate compassionate care. RESULTS: Compassion needs to be viewed not merely as an individual expression or property but something which must be nurtured in context, through relationships, cultures and healing environments. However, current mental health policy and practice does not appear to prioritise the development of such contexts. CONCLUSION: Attention to fostering compassion would help to shift the language of "recovery" (or "well-being") beyond the twin dangers of rhetoric and/or imposing preconceived definitions, models or expectations of what recovery "should" be. Therefore, the development of compassionate contexts should have a stronger place in modern mental health practice and policy.
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People accessing mental health services have better outcomes if they experience compassionate and empathic relationships with staff caring for them.
“People accessing mental health services have been found to have better outcomes if they experience compassionate [1] and empathic [2] relationships with staff caring for them.”
From Interventions to address empathy-based stress in mental health workers: A scoping review and research agenda (2024) · cites this paper as [1]
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Dignity-Conserving Care in Medicine
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Compassion in mental health: a literature review
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Psychiatric Mental Health Leadership at the Tipping Point
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Going deeper into compassion through Schwartz’s value theory
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- Authors
- Spandler, H., & Stickley, T.
- Affiliations
- University of Lancashire (GB)
- Corresponding author
- Spandler, Helen
- ORCID
- Spandler, Helen
- Venue
- Journal of Mental Health
- Publisher
- Informa UK Limited
- Published
- 2011-11-29
- Volume
- 20
- Issue
- 6
- Pages
- 555-566
- ISSN
- 0963-8237 (ISSN-L)
- 1360-0567
- OpenAlex
- W2082732280
- Cited by
- 136
- References
- 68
- Citations by year
- 2026: 8 · 2025: 9 · 2024: 18 · 2023: 10 · 2022: 11 · 2021: 5 · 2020: 10 · 2019: 10 · 2018: 3 · 2017: 15 · 2016: 5 · 2015: 15 · 2014: 4 · 2013: 8 · 2012: 5
- FWCI
- 10.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Mental Health (publishedVersion)
- PubMed (publishedVersion)
- CLOK (University of Central Lancashire) (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 › Applied Psychology › Optimism, Hope, and Well-being
- Keywords
- compassion, hope, mental health policy, compassionate care, healing environment, therapeutic relationship
- MeSH terms
- Mental Disorders, Empathy, United Kingdom, Health Policy, Humans, Mental Health Services, Patient Satisfaction
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