Asian perspectives on personal recovery in mental health: a scoping review

Kuek, Jonathan Han Loong; Raeburn, Toby; Wand, Timothy

doi:10.1080/09638237.2020.1818709

Cited by 28 publications

(28 citation statements)

References 64 publications

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“…At times, our participants even felt that healthcare professionals rejected the notion that someone with a mental health condition should provide services to others, echoing social and cultural opinions of people with mental illness held by service providers in Singapore 29 and in Asia in general. 23 Hence, these beliefs lead to wideranging disagreements on various aspects such as how the role should evolve, concerns raised by other mental healthcare professionals on the inclusion of PSSs within the system and how effective PSSs are as formal care professionals. 8 Such debates will continue to hinder the progress towards removing some of the barriers that exist.…”

Section: Main Findingsmentioning

confidence: 99%

“…Furthermore, a scoping review on personal recovery experiences in Asia highlighted the lack of recovery-oriented literature in the Asian context and the need for more culturally grounded lenses to be applied when examining the concept of personal recovery in such a diverse region. 23 Hence, this study's goal was to identify barriers and facilitators to a peer support role in Singapore's only tertiary psychiatric hospital, thereby filling a gap in the literature relating to peer support work in Singapore and South East Asia.…”

Section: Introductionmentioning

confidence: 99%

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Barriers and facilitators of peer support work in a large psychiatric hospital: a thematic analysis

2021

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BackgroundPeer support workers are an important addition to the mental healthcare profession. However, much of the literature and knowledge of the peer support role is derived from western countries. This concept is relatively new in Asian countries.AimsThe study sought to improve the understanding of the barriers and facilitators of peer support work in a large psychiatric hospital in Singapore.MethodsThis study used qualitative data from a larger mixed-methods study. Thematic analysis was conducted based on the five steps recommended by Braun and Clarke (2006): (1) familiarisation of data whereby transcripts were read and reread, (2) generating initial codes, (3) searching for themes by gathering relevant codes, (4) reviewing themes and (5) defining and naming themes.ResultsFour subthemes under the broader notion of facilitators (supportive figures, defined role, opportunities for personal growth and identifying personalised coping strategies) and three subthemes under the concept of barriers (unclear role, hostility from non-peer-support-specialist staff and unsupportive working environments) were identified.ConclusionOur findings echoed those of previous studies conducted in western countries providing some evidences for the cross-cultural nature of these barriers and facilitators. However, the way their impact can be mitigated or enhanced is likely to be different owing to cultural barriers, such as the general consensus and acceptance of larger personal recovery ideologies. Further research is required in community settings to better understand the boundaries and limitations of our findings. This information will allow us to continue improving peer support worker integration in diverse mental healthcare settings.

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Section: Main Findingsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Barriers and facilitators of peer support work in a large psychiatric hospital: a thematic analysis

2021

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“…While authors note the potential benefits of peer support ideologies, they also note the cultural barriers and accompanying lack of investment. A recent scoping review identified that people in Asia tended to have a very medicalized view of mental health conditions (Kuek et al, 2020 ). Correspondingly, people hold pragmatic opinions of recovery, preferring a more functional medical approach to those described in personal recovery models (Kuek et al, 2020 ), such as those on which peer support ideologies depend.…”

Section: Introductionmentioning

confidence: 99%

A Longitudinal Qualitative Analysis of the Way Peer Support Specialist Roles Change Over Time in a Psychiatric Hospital Setting in Asia

Poremski

Kuek

Yuan

et al. 2021

Adm Policy Ment Health

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The current study seeks to determine how peer support roles change as peer support specialists’ positions within organizations and departments mature. We followed ten peer support specialists over the course of a year, interviewing them at three points, starting approximately three months after they began working as peer support specialists. We used an inductive process to analyze our data and followed guidelines on the structuring of longitudinal qualitative trajectories to divide the data into watershed moments. Our participants worked in a variety of departments in the hospital, and their service use experiences generally echo those of their service users. Participants appear to pass through four phases over the course of their employment as peers: early beginnings, establishing the role, role narrowing, and role sustainability. Services wishing to integrate new peers must be aware of the time required for integration. Having general job descriptions limited to specifying that peers are expected to use their lived experience to support current service users may lead to uncertainty amongst new and existing staff. Without role clarity, peers may struggle to find their place. Pairing new staff with mentors may limit this burden. As roles consolidate, boundaries may emerge. If these boundaries narrow the role of the PSS, they may no longer find the role appealing. They may then choose other caregiver roles with wider or different spheres of influence. Organizations may benefit by clearly indicating if they expect peer support positions to be static or transitionary.

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“…The available literature is limited on the conceptualization of personal recovery and the factors that promote it in Asian countries, including Japan. A review of Asian perspectives on personal recovery in mental health showed that support from family, friends, and social connections was the most salient recovery-promoting factor, while religious stigma, discrimination, gendered norms, and negative societal perceptions of mental illness hindered recovery [15].…”

Section: Introductionmentioning

confidence: 99%

Culture-dependent and Universal Constructs and Promoting Factors for the Process of Personal Recovery in users of Mental Health Services: Qualitative Findings from Japan

Kanehara¹,

Koike²,

Fujieda³

et al. 2021

Preprint

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Background: The conceptualization of personal recovery began in Europe and North America and has spread worldwide. The concept of personal recovery and recovery-promoting factors may be influenced by culture. We explored how users of mental health services in Japan perceive their own personal recovery and the factors that promote it.Methods: We conducted semi-structured interviews and focus group interviews with individuals using mental health services. The interview data underwent thematic analysis, and we adopted a grouped framework analysis approach. We used a coding framework based on the existing CHIME framework (connectedness, hope and optimism about the future, identity, meaning in life, and empowerment). We counted the number of narratives for each element of the framework.Results: Data were obtained from 30 users of mental health services (mean age: 40.4 years; 46.7% women; 50.0% with schizophrenia). “Compassion for others” was newly extracted in “Connectedness”, and “Rebuilding/redefining identity not being as shaped by social norms” was newly extracted in “Identity” as personal recovery. “Positive experiences in childhood” (including positive parenting support from neighbours) was newly extracted as a recovery-promoting factor. Connectedness was most frequently coded in our study.Conclusions: Our unique findings of the rebuilding/defining identity free from conformity to social norms through communications with relatively familiar people including peers may be culture dependent. This study raises overarching questions regarding how socio-cultural values influence the development of identity and personal values and how they are in turn reflected in personal recovery.

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Asian perspectives on personal recovery in mental health: a scoping review

Cited by 28 publications

References 64 publications

Barriers and facilitators of peer support work in a large psychiatric hospital: a thematic analysis

Barriers and facilitators of peer support work in a large psychiatric hospital: a thematic analysis

A Longitudinal Qualitative Analysis of the Way Peer Support Specialist Roles Change Over Time in a Psychiatric Hospital Setting in Asia

Culture-dependent and Universal Constructs and Promoting Factors for the Process of Personal Recovery in users of Mental Health Services: Qualitative Findings from Japan

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