Staff views about psychosocial aspects of recovery in psychosis: A systematic review

Morera, Tirma; Pratt, Daniel; Bucci, Sandra

doi:10.1111/papt.12092

Cited by 14 publications

(21 citation statements)

References 59 publications

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“…People with lived experience of psychosis may experience high levels of shame and direct stigma towards themselves (Keen, George, Scragg, & Peters, ) and can experience stigma from clinical staff, especially when they are acutely unwell (Rao et al, ). A review of staff attitudes to psychosis observed that staff predominantly adopted a biomedical model rather than a psychosocial recovery model (Morera, Pratt, & Bucci, ), suggesting less of a person‐centred approach to the individual experiencing psychosis than services would otherwise intend to provide.…”

Section: Introductionmentioning

confidence: 99%

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Impact of an auditory hallucinations simulation on trainee and newly qualified clinical psychologists: A mixed‐methods cross‐sectional study

Riches

Khan

Kwieder

et al. 2019

Clin Psychology and Psychoth

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Simulation training is an effective teaching tool enabling learners to gain a subjective understanding of a range of skills. Our aim in this study was to pilot and evaluate a newly designed simulation of auditory hallucinations as a future training tool for clinicians. This was a mixed‐methods study in two parts. In Phase 1, trainee and qualified clinical psychologists (N = 25) attended the London‐based immersive art exhibition, Altered States of Consciousness, which included an auditory hallucinations simulation. The exhibition aimed to improve understanding of what it feels like to hear voices by providing members of the public with an individualized simulation of auditory hallucinations. Participants completed pre/post‐exhibition measures of their mood and attitudes towards auditory hallucinations and other unusual sensory experiences. In Phase 2, a subgroup of Phase 1 participants (N = 15) took part in a semi‐structured interview and completed the post‐exhibition questions again approximately 6 months later. Post‐exhibition, there were significant increases in understanding what it feels like to hear voices (large effect), compassion towards people who hear voices (large effect), and comfort talking to people who hear voices (medium effect). Scores were partially maintained at follow‐up. Participants reported that the simulation provided numerous benefits to their training and clinical practice, including increases in subjective understanding, compassion, and confidence, and suggested several future training applications for the simulation, including with a range of health care professionals. Therefore, we conclude that this simulation has potential for training clinical psychologists and other health care professionals who work with people who experience auditory hallucinations.

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Section: Introductionmentioning

confidence: 99%

“…A review of staff attitudes to psychosis observed that staff predominantly adopted a biomedical model rather than a psychosocial recovery model (Morera, Pratt, & Bucci, 2017), suggesting less of a personcentred approach to the individual experiencing psychosis than services would otherwise intend to provide.…”

Section: Introductionmentioning

confidence: 99%

Impact of an auditory hallucinations simulation on trainee and newly qualified clinical psychologists: A mixed‐methods cross‐sectional study

Riches

Khan

Kwieder

et al. 2019

Clin Psychology and Psychoth

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“…Firstly, there is persuasive evidence and argument for a shift in attention. That is, mental health services need to broaden their scope of attention beyond illness and symptom alleviation, towards that of enhancing health and wellbeing [ 3 , 12 – 17 ]. This requires engagement with complexity over reductionism [ 18 ], and deliberate attention to what might be possible for a person seeking support in terms of all that pertains to living well [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

“…Whilst some of the challenges may be typical to implementing evidence based practice in human services in general [ 32 ], others are directly related to the nature of the shifts required by recovery and wellbeing oriented approaches [ 23 ]. For example, despite extensive efforts to define and translate a broader understanding of recovery into practice, it remains conceptually obscured and operationally entangled within the biomedical paradigm [ 12 , 19 , 33 – 37 ]. Leaders in the field point out that the shifts that are fundamental to recovery and wellbeing approaches require a ‘whole of service’ and systems orientation [ 8 , 10 , 38 ].…”

Section: Introductionmentioning

confidence: 99%

Consumer and staff perspectives of the implementation frequency and value of recovery and wellbeing oriented practices

Wolstencroft

Deane

Jones

et al. 2018

Int J Ment Health Syst

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BackgroundDespite advances in our understanding of what mental health systems and services can do to enhance recovery and wellbeing outcomes for people seeking support, there is limited evidence demonstrating that this body of work has translated successfully into mental health service practice. The Collaborative Recovery Model (CRM) is a practice framework that has been designed to support application of recovery and wellbeing oriented principles and practices within mental health service delivery. The aims of this study were to assess consumer and staff perceptions of implementation frequency during service engagement and the value of this approach for assisting recovery within a setting where the CRM approach had been adopted.MethodsThe setting was a large Australian community managed mental health organisation. The study involved a cross-sectional analysis of consumer (n = 116) and staff practitioner (n = 62) perspectives. A series of paired sample t-tests assessed for differences between consumer and staff perceptions of the: (i) importance of key practice elements for assisting recovery, and the (ii) frequency that key practice elements are utilised during engagement sessions. Spearman’s r correlational analysis explored associations between importance, frequency and helpfulness of sessions.ResultsKey practice elements of the model were applied during service interactions at a high level and perceived by the majority of consumers and staff participants as being important or very important for assisting recovery. Significant moderate correlations were found between the extent that practice elements were valued and the level at which they were applied. Higher levels of implementation of CRM practices were associated with higher ratings of perceived session helpfulness. The strongest association was between ‘encouragement to set tasks to complete between support visits’ and perceived helpfulness.ConclusionsConsumer and staff responses revealed that the key practice elements of the CRM were frequently implemented during service engagement interactions and were seen as valuable for assisting recovery. The level of agreement between raters suggests firstly, that the key practice elements were apparent and able to be rated as occurring, and secondly that the CRM approach is seen as responsive to consumer needs. The results have implications for translating recovery and wellbeing oriented knowledge into mental health service practice.Electronic supplementary materialThe online version of this article (10.1186/s13033-018-0244-9) contains supplementary material, which is available to authorized users.

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“…However, approaches to recovery continue to have a biomedical focus, with pessimistic views on recovery more common (Morera, Pratt, D & Bucci, 2017).…”

Section: Introductionmentioning

confidence: 99%

Recovery-based Training in Mental Health: Effects on Staff Knowledge and Attitudes to Recovery

Walsh

Meskell

Burke

et al. 2017

Issues in Mental Health Nursing

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This longitudinal study describes the effects of recovery-based training on staff knowledge and attitudes to recovery. Mental health staff (n = 101) completed the study questionnaire (the Recovery Knowledge Inventory (RKI-20) and Recovery Attitudes' Questionnaire (RAQ-16)) before training and after six months. On the RKI, significant changes between pre- and post-training scores (p < 0.01) were found. On the RAQ, the scores showed significant changes in Factors 1 (p < 0.001) and 2 (p < 0.009). The results indicate a significant difference in confidence using a recovery model of care following training suggesting that recovery-based training positively affects staff knowledge and attitudes to recovery overall.

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Staff views about psychosocial aspects of recovery in psychosis: A systematic review

Cited by 14 publications

References 59 publications

Impact of an auditory hallucinations simulation on trainee and newly qualified clinical psychologists: A mixed‐methods cross‐sectional study

Impact of an auditory hallucinations simulation on trainee and newly qualified clinical psychologists: A mixed‐methods cross‐sectional study

Consumer and staff perspectives of the implementation frequency and value of recovery and wellbeing oriented practices

Recovery-based Training in Mental Health: Effects on Staff Knowledge and Attitudes to Recovery

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