Do the everyday experiences of people with severe mental illness who are “hard to engage” reflect a journey of personal recovery?
Abstract
BACKGROUND: Recovery experiences should bring hope, identity, meaning and personal responsibility to the lives of people experiencing severe mental illness (SMI). AIMS: To describe the recovery experiences of individuals experiencing SMI who are labelled "hard to engage" and who receive mental health assertive community treatment (ACT). METHODS: A qualitative approach was used to gather descriptive data from 11 adults diagnosed with SMI who live in the community. Data were gathered over 12 months through one-to-one meetings using field notes and audio recordings. RESULTS: Longitudinal findings provided insight into the everyday experiences and include the themes of: personal understandings of recovery, potential for agency and everyday routine. CONCLUSIONS: Opportunities for recovery experiences that hold purpose and meaning are limited for individuals receiving ACT and do not reflect definitions of personal recovery within contemporary literature. Further debate is required to address the gap between theory and the reality of recovery experiences.
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Milbourn et al. noted that in order to appreciate participants' understandings of recovery, the list of everyday routines needs to be broadened to include personally meaningful activities which may be considered negative by others, such as "recreational drugs and paying for sex."
“Milbourn et al. (46) noted that in order to appreciate participants' understandings of recovery, the list of everyday routines needs to be broadened to include personally meaningful activities which may be considered negative by others, such as “recreational drugs and paying for sex.””
From Recovery from Severe Mental Health Problems: A Systematic Review of Service User and Informal Caregiver Perspectives (2021) · cites this paper as [46]
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References 27 · Cited by 17
- Authors
- Milbourn, B. T., McNamara, B. A., & Buchanan, A. J.
- Affiliations
- Curtin University (AU)
- Corresponding author
- Milbourn, Benjamin T.
- Venue
- Journal of Mental Health
- Publisher
- Informa UK Limited
- Published
- 2014-09-15
- Volume
- 23
- Issue
- 5
- Pages
- 241-245
- ISSN
- 0963-8237 (ISSN-L)
- 1360-0567
- OpenAlex
- W2079178389
- Cited by
- 17
- References
- 27
- Citations by year
- 2024: 1 · 2021: 5 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 2 · 2016: 3 · 2015: 2
- FWCI
- 4.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Mental Health (publishedVersion)
- PubMed (publishedVersion)
- eSpace (Curtin University) (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
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- personal recovery, severe mental illness, assertive community treatment, everyday experience, agency, meaning-making, community mental health services, recovery experiences
- MeSH terms
- Activities of Daily Living, Adult, Mental Disorders, Community Mental Health Services, Female, Humans, Male, Middle Aged, Treatment Outcome
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