“The Re‐covery Model” – An integrative developmental stress–vulnerability–strengths approach to mental health

Randal, Patte; Stewart, Malcolm W.; Proverbs, Deborah; Lampshire, Debra; Symes, Janette; Hamer, Helen P.

doi:10.1080/17522430902948167

Cited by 20 publications

(10 citation statements)

References 13 publications

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“…The Participants were first cleared by their psychiatrist and internist. Thoto introduce yoga not simply as a physical exercise, but embedded in the philosophy of "re-covery" (Randal et al, 2009). Programmes are open to all residents.…”

Section: Clinic Environmentmentioning

confidence: 99%

Journey back into body and soul – An exploration of mindful yoga with psychosis

Sistig

Lambrecht²,

Friedman

2014

Psychosis

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Yoga is regarded in the West mainly as a physical activity. However, increasing evidence supports yoga's efficacy as an adjunct treatment for complex mental health issues. This study explored the suitability of an integrated mindful yoga programme in a mental health rehabilitation centre. Ten psychiatric inpatients participated in twice-weekly 30 minute sessions over seven weeks. Semi-structured interviews and weekly journal entries were utilized to explore reasons for attending the yoga, challenges, barriers, and the programme's impact on achieving personal objectives. Themes included increased relaxation, reduced stress, improved energy, greater ability to focus, and further motivation to engage in life. These findings support the potential benefits of yoga programmes for people experiencing psychosis.

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Section: Clinic Environmentmentioning

confidence: 99%

Journey back into body and soul – An exploration of mindful yoga with psychosis

Sistig

Lambrecht²,

Friedman

2014

Psychosis

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“…Such approaches include scripting of clinical interactions and designing physical spaces, 31 the Good Lives Model, 32 which is a strengths-based approach, grounded in personal goals and an emphasis on community integration, and papers generally recommending recovery-oriented programming and the means to hold clinicians accountable for such practices. 16,22,[33][34][35][36][37] While not suggesting that they are outside the bounds of scientific inquiry, these latter approaches were not examined with respect to impact other than in some instances examining the level of knowledge uptake in trainings.…”

Section: How Can Psychiatric Inpatient Wards Be Improved?mentioning

confidence: 99%

Mental Health Reform at a Systems Level: Widening the Lens on Recovery-Oriented Care

2014

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This paper is an initial attempt to collate the literature on psychiatric inpatient recoverybased care and, more broadly, to situate the inpatient care sector within a mental health reform dialogue that, to date, has focused almost exclusively on outpatient and community practices. We make the argument that until an evidence base is developed for recoveryoriented practices on hospital wards, the effort to advance recovery-oriented systems will stagnate. Our scoping review was conducted in line with the 2009 Preferred Reporting Items for Systematic Reviews and Meta-Analyses (commonly referred to as PRISMA) guidelines. Among the 27 papers selected for review, most were descriptive or uncontrolled outcome studies. Studies addressing strategies for improving care quality provide some modest evidence for reflective dialogue with former inpatient clients, role play and mentorship, and pairing general training in recovery oriented care with training in specific interventions, such as Illness Management and Recovery. Relative to some other fields of medicine, evidence surrounding the question of recovery-oriented care on psychiatric wards and how it may be implemented is underdeveloped. Attention to mental health reform in hospitals is critical to the emergence of recovery-oriented systems of care and the realization of the mandate set forward in the Mental Health Strategy for Canada. W W W Réforme de la santé mentale au niveau des systèmes : élargir nos vues sur les soins orientés vers le rétablissementCet article est une première tentative de colliger la littérature sur les soins axés sur le rétablissement de patients psychiatriques hospitalisés et, plus généralement, de situer le secteur des soins des patients hospitalisés dans le dialogue sur la réforme de la santé mentale qui, jusqu'ici, a porté presque exclusivement sur les pratiques ambulatoires et communautaires. Nous alléguons que jusqu'à ce qu'une base de données probantes soit établie pour les pratiques axées sur le rétablissement dans les services d'hospitalisation, les efforts en vue d'améliorer les systèmes axés sur le rétablissement stagneront. Notre étude de portée a été menée conformément aux lignes directrices des éléments de rapport préférentiels pour les revues systématiques et les méta-analyses de 2009 (PRISMA). Sur les 27 articles sélectionnés pour la revue, la plupart étaient des études descriptives ou de résultats non contrôlés. Les études abordant les stratégies d'amélioration de la qualité des soins offrent une évidence modeste pour le dialogue réflectif avec d'anciens patients hospitalisés, le jeu de rôle et le mentorat, et le jumelage de la formation générale en soins axés sur le rétablissement avec la formation en interventions spécifiques, comme le programme de prise en charge de la maladie et de rétablissement. En ce qui concerne d'autres domaines de la médecine, l'évidence à la question des soins axés sur le rétablissement dans les services d'hospitalisation et à la manière de les mettre en oeuvre est sous-développée. L'attention portée à...

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“…The other researcher is working psychologically with people with severe and chronic psychiatric disorder (PR). Both are committed to working creatively and reflectively, developing strategies for empowering and enabling people who are using mental-health services 19 ( http://www.collaborativepsychiatry.com ).…”

Section: Introductionmentioning

confidence: 99%

Doctors accessing mental-health services: an exploratory study

Stanton

Randal

2011

BMJ Open

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ObjectiveTo develop a more in-depth understanding of how doctors do and do not access mental healthcare from the perspectives of doctors themselves and people they have contact with through the process.DesignQualitative methodology was used with semistructured interviews transcribed and analysed using Grounded Theory. Participants were 11 doctors with experience as patients of psychiatrists, four doctor and four non-doctor personal contacts (friends, family and colleagues) and eight treating psychiatrists.ResultsParticipants described experiencing unrealistic expectations and a harsh work environment with poor self care and denial and minimisation of signs of mental health difficulties. Doctor contacts described particular difficulty in responding effectively to doctor friends, family and colleagues in need of mental healthcare. In contrast, non-doctor personal contacts were more able to identify and speak about concerns but not necessarily to enable accessing adequate mental-health services.ConclusionsThree areas with potential to address in supporting doctors' accessing of appropriate healthcare have been identified: (1) processes to enable doctors to maintain high standards of functioning with less use of minimisation and denial; (2) improving the quality and effectiveness of informal doctor-to-doctor conversations about mental-health issues among themselves; (3) role of non-doctor support people in identifying doctors' mental-health needs and enabling their access to mental healthcare. Further research in all these areas has the potential to contribute to improving doctors' access to appropriate mental healthcare and may be of value for the general population.

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“The Re‐covery Model” – An integrative developmental stress–vulnerability–strengths approach to mental health

Cited by 20 publications

References 13 publications

Journey back into body and soul – An exploration of mindful yoga with psychosis

Journey back into body and soul – An exploration of mindful yoga with psychosis

Mental Health Reform at a Systems Level: Widening the Lens on Recovery-Oriented Care

Doctors accessing mental-health services: an exploratory study

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