Public Psychiatrists' Reports of Their Own Recovery-Oriented Practices

Ranz, Jules M.; Mancini, Anthony D.

doi:10.1176/ps.2008.59.1.100

Cited by 8 publications

(4 citation statements)

References 10 publications

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“…Therefore, an alternate approach is advocacy, seeking to create awareness of recovery-oriented practices and to promote dialogue about how to implement them. This approach is supported by a recent study I conducted with a colleague in which we found that psychiatrists with more awareness of recovery concepts were more likely to employ recovery-oriented practices (Ranz & Mancini, 2008).…”

Section: Role In Policy-makingsupporting

confidence: 60%

Self-determination theory: a framework for the recovery paradigm

Mancini¹

2008

Adv. psychiatr. treat

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Recovery is an increasingly important concept in mental health services research and policy-making.However, despite burgeoning interest in the concept, no overarching theoretical or empirical framework has been offered to support its key ideas. Further, it is often unclear how recovery ideas translate into routine practices of mental health programmes and practitioners. In this article, a theoretical framework for recovery ideas is derived from self-determination theory, a widely researched and empirically validated theory of human need fulfilment. I discuss the conceptual overlap of self-determination theory and recovery ideas, and, using key motivational concepts, develop a typology of recovery-oriented practices for three hypothetical programme types (controlling, traditional/paternalistic and recovery oriented). I describe existing measures of recovery-oriented practice and consider the implications of self-determination theory for measurement of and research on recovery-oriented practice.Anthony Mancini is currently Project Director for a

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Section: Role In Policy-makingsupporting

confidence: 60%

Self-determination theory: a framework for the recovery paradigm

Mancini¹

2008

Adv. psychiatr. treat

Self Cite

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“…There is evidence that is it effective (Marshall 2011) and that it supports recovery values (Deegan 2006). However, the accounts of people using mental health services, along with observations and surveys of psychiatric practice, all suggest that it is not fully implemented, with psychiatrists often using persuasion to improve adherence (Seale 2006(Seale , 2007Ranz 2008;Baker 2011). This has also led to a tendency for mental health workers to withhold information about possible adverse effects of medication (Pollock 2004;Chaplin 2007, this journal).…”

Section: Making Shared Decision-making a Realitymentioning

confidence: 99%

“…There is now substantial evidence for the benefits of supporting people in selfmanagement across the whole of medicine, although clinicians may need help to develop the relevant attitudes and skills (Health Foundation 2011). This may be an area where psychiatrists currently feel less confident and less equipped (Ranz 2008). The College's competencybased curriculum for psychiatric training (Royal College of Psychiatrists 2010) explicitly requires trainees to be 'aware of strategies to enhance patient understanding and potential selfmanagement' (p. 57), indicating that this is supported as a future direction for the profession.…”

Section: Alternative Strategiesmentioning

confidence: 99%

From taking to using medication: recovery-focused prescribing and medicines management

Baker¹,

Fee²,

Bovingdon³

et al. 2013

Adv. psychiatr. treat

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SummaryMental health services are increasingly supporting recovery-oriented practice as a basis for service delivery. There is considerable overlap between the values and approaches associated with recovery-based practice and those already endorsed as good psychiatric practice. However, these agreed principles may not be consistently applied and further steps may be needed if the reorientation of the relationship between psychiatrists and people using psychiatric services is to fully reflect recovery principles. This article describes ways in which psychiatric practice could develop, including conceptualising medication as one of many possible recovery tools that a person can actively use to support their well-being, and a range of practices available to professionals to support people in taking up an active stance in relation to medication. It also identifies recovery-supportive practices for when someone is unable to fully participate in decision-making, owing to crisis, loss of capacity or concerns about safety.

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“…Focusing on patients’ quality of life and recovery are the real goals. 4 What is astonishing is the paucity of research as to how psychiatry got into this mess in the first place. Perhaps the consultant psychiatrist is perceived as an expensive dinosaur – after all, with the advent of nurse prescribers, is there anything left we can do that cannot be done by someone else?…”

Section: The Need For Actionmentioning

confidence: 99%