Challenges of recovery-oriented practice in inpatient mental health settings – the potential for social work leadership

Hyde, Bronwyn; Bowles, Wendy; Pawar, Manohar

doi:10.1080/02185385.2014.885205

Cited by 30 publications

(23 citation statements)

References 23 publications

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“…Self-determination, empowerment, collaboration, strengths focus, hope-giving and human rights are as much embedded in social work codes of ethics as they are present in discussions of recovery-oriented practice. This alignment has been noted elsewhere (Hyde et al, 2014;Loumpa, 2012) and is clearly seen when the language of recovery and the language of social work values and principles are placed side by side. This comparison is reproduced here in Table 1 (Hyde et al, 2014).…”

Section: Social Work Contributions To the Recovery Discussionmentioning

confidence: 52%

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‘We're Still in There’—Consumer Voices on Mental Health Inpatient Care: Social Work Research Highlighting Lessons for Recovery Practice: Table 1

2015

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This paper reports on research undertaken in an acute inpatient mental health facility in rural Australia to explore the lived experience of inpatient care. Conceptualised within a recovery framework that emphasises the biopsychosocial approach acknowledging consumers' lived experiences alongside clinical perspectives, this study contributes to addressing a gap in the literature about what consumers experience as being most important to their recovery during an episode of inpatient care. Traditionally, mental health service delivery has been weighted towards clinical recovery with a biomedical approach dominating. This is especially so in an inpatient setting. In this qualitative study, the personal and social components of recovery emerge as critical factors for consumers even in an acute phase of care indicating a need to redress the imbalance. Eight in-depth semi-structured interviews were conducted with consumers during their stay in the inpatient facility. Drawing on a hermeneutic phenomenological analysis and the use of NVivo, three themes emerged: the importance of listening, facilitating peer support and the inclusion of families. All three themes resonate with core social work practice suggesting social workers have a critical role to play in the transformation of mental health services to reflect the recovery paradigm.

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Section: Social Work Contributions To the Recovery Discussionmentioning

confidence: 52%

“…This alignment has been noted elsewhere (Hyde et al, 2014;Loumpa, 2012) and is clearly seen when the language of recovery and the language of social work values and principles are placed side by side. This comparison is reproduced here in Table 1 (Hyde et al, 2014).…”

Section: Social Work Contributions To the Recovery Discussionmentioning

confidence: 52%

‘We're Still in There’—Consumer Voices on Mental Health Inpatient Care: Social Work Research Highlighting Lessons for Recovery Practice: Table 1

2015

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“…The adherence to the biomedical model in inpatient settings, can impact negatively on the flourishing of recovery‐orientated practices (Hyde et al . ).…”

Section: Discussionmentioning

confidence: 97%

“…The literature also notes that in such environments the perceived role of mental health nurses as protectors often comes into tension with their responsibility to promote autonomy and an individual's right to freedom (Raven & Rix 1999, Stickley & Felton 2006. The adherence to the biomedical model in inpatient settings, can impact negatively on the flourishing of recovery-orientated practices (Hyde et al 2014).…”

Section: Discussionmentioning

confidence: 99%

Survey of mental health nurses' attitudes towards risk assessment, risk assessment tools and positive risk

Downes

Gill

Doyle

et al. 2016

Psychiatric Ment Health Nurs

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Introduction Risk assessment and safety planning are considered core components of the role of the mental health nurse; however, little is known about nurses' attitudes towards risk assessment, use of tools to assess risk or therapeutic risk taking. Aim This study aimed to explore mental health nurses' attitudes towards completing risk assessments, use of tools as an aid, and therapeutic or positive risk. Method An anonymous survey which included 13 attitudinal statements, rated on a five-point Likert scale, was completed by 381 mental health nurses working in adult services in Ireland. Findings Findings indicate strong support for the practice of risk assessment in mental health practice. The vast majority of nurses believe that risk assessment tools facilitate professional decision making; however, there is concern that the use of these tools may negatively impact upon therapeutic engagement with service users. The majority of participants have positive attitudes towards therapeutic risk, believing that service users have the right to take informed risks in the context of recovery-orientated care. Discussion The provision of education on the use of risk assessment tools within the context of engagement may help minimize views that the use of assessment tools are incompatible with therapeutic engagement.

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“…McLean () theorizes that recovery‐oriented leadership moves beyond traditional approaches to leadership, focussing on dynamic relationships established through a flexible and iterative approach. This approach to leadership is guided by an ideology that is participatory and person centred (Hyde et al ., ).…”

mentioning

confidence: 97%

Leadership and mental health recovery: Rhetoric or reality

Cleary

Lees

Escott

et al. 2016

Int J Mental Health Nurs

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Challenges of recovery-oriented practice in inpatient mental health settings – the potential for social work leadership

Cited by 30 publications

References 23 publications

‘We're Still in There’—Consumer Voices on Mental Health Inpatient Care: Social Work Research Highlighting Lessons for Recovery Practice: Table 1

‘We're Still in There’—Consumer Voices on Mental Health Inpatient Care: Social Work Research Highlighting Lessons for Recovery Practice: Table 1

Survey of mental health nurses' attitudes towards risk assessment, risk assessment tools and positive risk

Leadership and mental health recovery: Rhetoric or reality

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