A review of mental health recovery programs in selected industrialized countries

Pincus, Harold Alan; Spaeth-Rublee, Brigitta; Sara, Grant; Goldner, Elliot M.; Prince, Pamela N.; Ramanuj, Parashar Pravin; Gäebel, Wolfgang; Zielasek, Jürgen; Großimlinghaus, I.; Wrigley, Margo; Weeghel, Jaap van; Smith, Mark D.; Ruud, Torleif; Mitchell, John R.; Patton, Lisa

doi:10.1186/s13033-016-0104-4

Cited by 67 publications

(53 citation statements)

References 14 publications

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“…; Gwinner & Ward ; Pincus et al . ). Some have argued that the mental health services’ adoption of personal recovery has merely formed a hybrid model of the concept that continues to favour more traditional notions of mental health treatment as focused primarily on medical symptom relief (Oute et al .…”

Section: Discussionmentioning

confidence: 97%

Recovery orientation in mental health inpatient settings: Inpatient experiences?

Waldemar¹,

Esbensen

Korsbek³

et al. 2018

Int J Mental Health Nurs

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Offering mental health treatment in line with a recovery-oriented practice has become an objective in the mental health services in many countries. However, applying recovery-oriented practice in inpatient settings seems challenged by unclear and diverging definitions of the concept in and the organization of these settings. In Denmark, educational and organizational efforts have been made to organize inpatient services with a recovery-oriented approach. Hence, we aimed to explore whether and how these efforts are reflected in the inpatients' experiences of their care and treatment. Semi-structured interviews were conducted with 14 inpatients from two mental health inpatient wards using an interview guide based on factors from the Recovery Self-Assessment. Qualitative content analysis was applied in the analysis. Six themes covering the participants' experiences were identified. The participants felt accepted and protected in the ward and found comfort in being around other people but missed talking and engaging with health professionals. They described limited choice and influence on the course of their treatment, and low information levels regarding their treatment, which they considered to consist predominantly of medication. Furthermore, they described feeling continuously observed and assessed from a distance by health professionals. Like the sparse previous research among inpatients, the results highlight ambivalent experiences of health professionals' support and ward structure as well as the medical treatment hegemony. As such, the educational and organizational efforts of introducing recovery-oriented practices in the wards seemed not very well reflected in the participants' experiences of their stay.

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Section: Discussionmentioning

confidence: 97%

Recovery orientation in mental health inpatient settings: Inpatient experiences?

Waldemar¹,

Esbensen

Korsbek³

et al. 2018

Int J Mental Health Nurs

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“…). I.ROC was named in the Scottish Mental Health Strategy 2017–2027 as a tool to facilitate a ‘recovery‐oriented and rights‐based approach’ (Scottish Government, , p. 35), and is used in a growing number of practice settings across health and social care services in the UK and internationally (Pincus et al, ), including trauma services in Scotland. Initial psychometric testing of the measure within samples of adults accessing community mental health services in Scotland support the reliability and validity of the measure (Dickens et al, ; Monger et al, ); however, the psychometric properties of I.ROC have yet to be assessed within other populations, including the trauma population to which it has been applied in practice.…”

Section: Introductionmentioning

confidence: 99%

Personally meaningful recovery in people with psychological trauma: Initial validity and reliability of the Individual Recovery Outcomes Counter (I.ROC)

Rudd

Karatzias

Bradley

et al. 2019

Int J Mental Health Nurs

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Individual Recovery Outcomes Counter (I.ROC) is a brief tool measuring personal recovery designed for collaborative use within support. This study aimed to investigate the psychometric properties of a self-report version of the I.ROC within a trauma population. A total of 107 adults attending trauma interventions in an NHS service in Scotland completed I.ROC alongside measures of self-esteem, mental illness symptoms, and functional impairment. Scores on each measure were compared to evaluate the convergent validity of I.ROC. Internal consistency and factor analytical techniques were also used to assess the structural validity and reliability of the measure. Results of internal consistency, convergent validity, and factor analysis provide preliminary support for I.ROC's validity within a trauma population. Previously proposed models were a poor fit for the current sample; principal components analysis suggested a three-factor structure with acceptable internal consistency, comprising ten of the original twelve items (I. . Correlations with all measures reached significance for the original and modified I.ROC and its subscales. I.ROC appears to be a valid and reliable tool for use in measuring recovery within a trauma population, but further research is needed to examine the structural validity of I.ROC.

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“…These initiatives reward providers for outcomes improvement and are also increasingly becoming used in mental health care 90,91 . Other innovations involve care beyond the clinic walls, including the measurement of recovery-oriented services 92 and incorporation of mobile health to capture outcome data 65,93 . The US Centers for Medicare & Medicaid Services is also deploying initiatives that seek to improve provider use/engagement in evidencebased practices as well as delivery system changes to sustain them.…”

Section: Innovations In Mental Health Care Quality Measurement and Immentioning

confidence: 99%

Measuring and improving the quality of mental health care: a global perspective

et al. 2018

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Mental disorders are common worldwide, yet the quality of care for these disorders has not increased to the same extent as that for physical conditions. In this paper, we present a framework for promoting quality measurement as a tool for improving quality of mental health care. We identify key barriers to this effort, including lack of standardized information technology-based data sources, limited scientific evidence for mental health quality measures, lack of provider training and support, and cultural barriers to integrating mental health care within general health environments. We describe several innovations that are underway worldwide which can mitigate these barriers. Based on these experiences, we offer several recommendations for improving quality of mental health care. Health care payers and providers will need a portfolio of validated measures of patient-centered outcomes across a spectrum of conditions. Common data elements will have to be developed and embedded within existing electronic health records and other information technology tools. Mental health outcomes will need to be assessed more routinely, and measurement-based care should become part of the overall culture of the mental health care system. Health care systems will need a valid way to stratify quality measures, in order to address potential gaps among subpopulations and identify groups in most need of quality improvement. Much more attention should be devoted to workforce training in and capacity for quality improvement. The field of mental health quality improvement is a team sport, requiring coordination across different providers, involvement of consumer advocates, and leveraging of resources and incentives from health care payers and systems.

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A review of mental health recovery programs in selected industrialized countries

Cited by 67 publications

References 14 publications

Recovery orientation in mental health inpatient settings: Inpatient experiences?

Recovery orientation in mental health inpatient settings: Inpatient experiences?

Personally meaningful recovery in people with psychological trauma: Initial validity and reliability of the Individual Recovery Outcomes Counter (I.ROC)

Measuring and improving the quality of mental health care: a global perspective

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