Implementing Program-Wide Awareness about Recovery in a Large Mental Health and Addictions Program.

McVanel‐Viney, Sarah; Younger, Jodi; Doyle, Winnie; Kirkpatrick, Helen

doi:10.2975/30.2006.141.144

Cited by 6 publications

(3 citation statements)

References 11 publications

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“…Related literature suggests that many mental health providers still hold negative views about the potential for people with SMI to move beyond the limits of mental illness (Chinman, Klood, O'Connel, & Davidson, 2002;. McVanel, Younger, Doyle, and Kirkpatrick (2006) indicated that a significant barrier to recovery was providers" resistance to change and negative attitudes towards recovery. With the recognition that service providers may not have attitudes, knowledge or skills, attention has been focused on identifying the provider competencies required for effectively delivering recovery-oriented services.…”

Section: General Introductionmentioning

confidence: 99%

The Development of Recovery Competencies for In-patient Mental Health Providers Working with People with Serious Mental Illness

Chen

Krupa

Lysaght

et al. 2011

Adm Policy Ment Health

150

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Delivering recovery-oriented services is particularly challenging in in-patient settings. The purpose of this study was to identify the most salient recovery competencies required of in-patient providers. Established methods for the development of competencies were used. Data collection included interviews with multiple stakeholders and a literature review. Data analysis focused on understanding how characteristics of the in-patient context influence recovery-enabling service delivery and the competencies associated with addressing these issues. Eight core competencies with four to ten sub-competencies were identified based on a tension-practice-consequence model. The competency framework can serve as a tool for tailoring workforce education.

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Section: General Introductionmentioning

confidence: 99%

The Development of Recovery Competencies for In-patient Mental Health Providers Working with People with Serious Mental Illness

Chen

Krupa

Lysaght

et al. 2011

Adm Policy Ment Health

150

View full text Add to dashboard Cite

show abstract

“…While the idea of moving towards recovery-oriented reform is generally accepted by system planners and administrators, the actual implementation of recovery principles into organizational structures and practices continues to be of concern (McVanel-Viney, Younger, Doyle, & Kirkpatrick, 2006). Implementation obstacles encompass conceptual, philosophical, attitudinal, and practical matters.…”

Section: Challenges Of Implementing Recovery-oriented Carementioning

confidence: 99%

Service providers' experiences and perspectives on recovery-oriented mental health system reform.

Piat

Lal²

2012

Psychiatric Rehabilitation Journal

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Objective-With the use of a qualitative approach, this study focuses on service providers' experiences and perspectives on recovery-oriented reform.Methods-Nine focus groups were conducted with a sample of 68 service providers recruited from three Canadian sites.Results-Three major themes were identified: 1) positive attitudes towards recovery-oriented reform; 2) skepticism towards recovery-oriented reform; and 3) challenges associated with implementing recovery-oriented practice. These challenges pertained to conceptual uncertainty and consistency around the meanings of recovery; application of recovery-oriented practice with certain populations and in certain contexts; bureaucratization of recovery-oriented tools; limited leadership support; and, societal stigma and social exclusion of persons with mental illnesses.Conclusions and Implications for Practice-The findings point towards challenges that might arise as system planners move ahead in their efforts toward implementing recovery within the mental health system. In this regard, we offer several recommendations for the planning of organizational and educational practices that support the implementation of recovery-oriented practice.

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“…Moreover, 90% of Japanese psychiatric hospitals are private, and hospitals with many long‐term inpatients have low medical fees from the national government and are often financially constrained (MoHLW, 2022). One approach to supporting practice change has been through training (Gilburt et al., 2013; McKenna, Furness, Dhital, Park, & Connally, 2014), but managers have identified a lack of training and financial resources for recovery as barriers (McVanel‐Viney et al., 2006). Further, because of a lack of funds, no time has been spent to support new interventions such as recovery, which is reflected in healthcare workers' lack of enthusiasm (Whitley et al., 2009).…”

Section: Discussionmentioning

confidence: 99%

Factors influencing the recovery‐oriented attitudes of nursing directors in psychiatric hospitals: A cross‐sectional study in Japan

Matsui,

Kataoka,

Tanimura

2023

Psychiatric Ment Health Nurs

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Accessible SummaryWhat is known on the subject? Recovery‐oriented services have been shown to promote recovery in people with mental illness; their implementation is important for current psychiatric practice and is being considered by many professional institutions. The Japanese government released the policy ‘A Vision for Reform of Mental Health and Medical Welfare’ (Ministry of Health, Labour and Welfare, 2004; https://www.mhlw.go.jp/topics/2004/09/dl/tp0902‐1a.pdf), aiming to update public consciousness, reorganize the mental healthcare welfare system and strengthen the foundation of mental healthcare to promote a basic policy focusing on the transition ‘from hospital to community life’. What the paper adds to existing knowledge? This is the first study to clarify recovery‐oriented attitudes among psychiatric nursing directors and related factors in Japan. It shows an association between recovery‐oriented attitudes and hospital size. What are the implications for practice? A relationship exists between the recovery knowledge and recovery‐oriented attitudes of psychiatric nursing directors. It may thus be valuable for directors to see and hear about the experiences of patients living in the community during their recovery process. As hospital size and organizational climate may hinder the successful implementation of recovery‐oriented practices, these factors must be considered when introducing such practices. Further research is needed on the relationship between psychiatric nursing directors' recovery‐oriented attitudes and practices. Moreover, to develop intervention studies that uncover success factors for enhancing recovery‐oriented attitudes, organizational factors that enable recovery‐oriented practices must be further investigated. AbstractIntroductionRecovery‐oriented practices in mental health services have become a global priority. Despite their proven effectiveness, Japanese hospitals have not widely implemented such practices.AimThis study clarified psychiatric nursing directors' recovery‐oriented attitudes and factors regarding promoting recovery‐oriented practices to identify methods for developing these practices in Japan.MethodThis cross‐sectional study used a questionnaire survey with 250 nursing directors from 1287 Japanese psychiatric hospitals. Multivariable regression analysis assessed how socio‐demographic variables and Recovery Knowledge Inventory (RKI) scores affected Recovery Attitudes Questionnaire (RAQ‐7) scores.ResultsThe analysis revealed that more clinical and managerial experience was associated with more negative recovery‐oriented attitudes. High RKI scores, knowledge of strength, hospital size and outpatient work experience were associated with more positive recovery‐oriented attitudes.DiscussionImplementing recovery practices requires consideration of knowledge and experience in recovery and hospital size alongside recovery training based on a hospital's organizational structure. Although the low response rate could influence the study's generalisability, it could also indicate low interest in recovery‐oriented practices among professionals.Implications for PracticeAcquiring more knowledge and experience regarding recovery promotes recovery‐oriented attitudes among nursing directors. An appropriate organizational culture and consideration of hospital size are required when introducing such recovery practices.

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Implementing Program-Wide Awareness about Recovery in a Large Mental Health and Addictions Program.

Cited by 6 publications

References 11 publications

The Development of Recovery Competencies for In-patient Mental Health Providers Working with People with Serious Mental Illness

The Development of Recovery Competencies for In-patient Mental Health Providers Working with People with Serious Mental Illness

Service providers' experiences and perspectives on recovery-oriented mental health system reform.

Factors influencing the recovery‐oriented attitudes of nursing directors in psychiatric hospitals: A cross‐sectional study in Japan

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