Translating mental health recovery guidelines into recovery-oriented innovations: A strategy combining implementation teams and a facilitated planning process

Piat, Myra; Sofouli, Eleni; Wainwright, Megan; Albert, Hélène; Rivest, Marie-Pier; Casey, Regina; LeBlanc, Sébastien; Labonté, Lise; O’Rourke, Joseph J.; Kasdorf, Sarah

doi:10.1016/j.evalprogplan.2022.102054

Cited by 7 publications

(11 citation statements)

References 71 publications

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“…There is growing international interest in the recovery-oriented approach to mental health, which is based on person-centered care that perceives people with MHCs holistically and encourages community integration as a means to improve quality of life, restore a sense of control, independence, and meaning, and foster responsibility and hope (Piat et al, 2022; Slade et al, 2012). Within this context, personal recovery refers to an individual process that can primarily be assessed subjectively by the individual and is not necessarily related to clinical recovery in terms of symptom reduction (Slade, 2010).…”

Section: Public Stigma Self-stigma and Personal Recoverymentioning

confidence: 99%

The contribution of integrated arts-based groups to people with mental health conditions and community members: Processes and outcomes.

Nitzan¹,

Orkibi²

2024

Psychology of Aesthetics, Creativity, and the Arts

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The two major challenges facing people with mental health conditions (MHCs) are stigma and discrimination. This study focused on the Amitim program’s nationwide integrated arts-based groups that not only aim to impart knowledge and skills in the arts (e.g., theater, writing, music, poetry, visual art, etc.) but also reduce public and self-stigma, and promote personal recovery. This study, composed of a sample of 642 Israeli adults, examined whether people with MHCs and nonclinical community members who attended the integrated groups would report greater adaptive changes in outcomes than those who did not participate, the association of change process factors and in-group factors with these outcomes, and candidate mediators in the association between participation in the groups and the outcomes. The findings showed that change in creative self-efficacy (CSE) significantly predicted adaptive change in outcomes in people with MHCs who participated in these integrated arts-based groups. Participants with MHCs in groups facilitated by arts therapists reported significantly more positive outcomes than participants in groups with facilitators from other professional human services. Nonclinical community members in the integrated groups reported higher postprogram CSE and less desire for social distance from people with MHCs compared with the control group. Finally, change in the desire for social distance significantly mediated the relationship between group participation and change in public stigma. Overall, direct intergroup contact while engaging in arts-based activities appears to be a promising way to promote positive changes in people with MHCs and nonclinical community members. The implications and future directions are discussed.

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Section: Public Stigma Self-stigma and Personal Recoverymentioning

confidence: 99%

The contribution of integrated arts-based groups to people with mental health conditions and community members: Processes and outcomes.

Nitzan¹,

Orkibi²

2024

Psychology of Aesthetics, Creativity, and the Arts

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“…This study builds on from a pan-Canadian project that was conducted between 2017-2021 (Piat et al, 2022 ) aimed at facilitating and evaluating the implementation of recovery-oriented guidelines developed by the Mental Health Commission of Canada (Mental Health Commission of Canada, 2015 ). This blueprint for change identifies six dimensions of recovery-oriented practice: (1) Creating a culture and language of hope; (2) Understanding that recovery is personal; (3) Understanding that recovery occurs in the context of one’s life; (4) Responding to the diverse needs of everyone living in Canada; (5) Working with First Nations, Inuit and Métis; and 6) Transforming services and systems to a recovery-oriented approach (Mental Health Commission of Canada, 2015 ).…”

Section: Research Setting and Sitesmentioning

confidence: 99%

“…The initial pan-Canadian project focused on system transformation and the sixth dimension (Piat et al, 2022 ). The research team recruited seven organizations that provide services to adults with mental health challenges across five Canadian provinces using a rigorous process to ensure cultural, linguistic, and geographic diversity, along with organizational readiness (motivation and capacity) for implementation (Scaccia et al, 2015 ).…”

Section: Research Setting and Sitesmentioning

confidence: 99%

“…The goal for each implementation team was to select a recovery-oriented intervention based on their local context and needs, and complete an Action Plan that was meant to be an implementation road map for each implementation team (Piat et al, 2022 ). Each implementation team described in the Action Plan the recovery-oriented intervention to be implemented, specifics (e.g., resources), timelines, deliverables, and implementation strategies to overcome barriers (Piat et al, 2022 ). The research team continued to support the implementation teams for another 12 months to operationalize their Action Plans and implement their recovery-oriented interventions.…”

Section: Research Setting and Sitesmentioning

confidence: 99%

“…Each of the seven organizations selected a service/program where the implementation of the recovery guidelines would take place and formed a multi-stakeholder implementation team (Albers et al, 2020) that went through the same planning process facilitated by the research team. The goal for each implementation team was to select a recovery-oriented intervention based on their local context and needs, and complete an Action Plan that was meant to be an implementation road map for each implementation team (Piat et al, 2022). Each implementation team described in the Action Plan the recovery-oriented intervention to be implemented, specifics (e.g., resources), timelines, deliverables, and implementation strategies to overcome barriers (Piat et al, 2022).…”

Section: Research Setting and Sitesmentioning

confidence: 99%

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Identifying and Exploring Sustainability Determinants of Mental Health Recovery-Oriented Interventions: A Mixed Methods Study Protocol

Sofouli

Stirman

Groleau

et al. 2022

Glob Implement Res Appl

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Mental health recovery is the new paradigm in the mental health service delivery system worldwide. Recovery-oriented services go beyond traditional clinical care that is centered on symptom remission, aiming to help people: restore social connections with other individuals and the community; develop hope and optimism for the future; reconstruct an identity beyond that of a “mental patient”; discover meaning in life; and feel empowered to gain control over treatment (CHIME framework). Over the last ten years, several efforts at implementation of recovery-oriented interventions have been documented in the scientific literature. However, little attention has been given to their sustainability, even though it is reported that not all health interventions can fully sustain their activities beyond the initial implementation phase. The aim of this mixed methods case study is to better understand the factors that determine the sustainability of two recovery-oriented interventions (peer support and recovery training) after their roll-out in four organizations in Canada that provide community housing for adults with mental health challenges. Qualitative and quantitative data will be collected from managers, service providers, and implementation team members that oversaw the implementation process along with organizational documents. Data collection and analysis will be guided by the Consolidated Framework for Sustainability Constructs in Healthcare, the Framework for Reporting Adaptations and Modifications, and the Program Sustainability Assessment Tool. Findings will expand our current evidence base on the intersection of sustainability and mental health recovery interventions that remains under-explored.

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Implementing a perioperative medicine for older people undergoing surgery (POPS) service: A guide for clinical leaders

Lodge,

Dhesi,

Andrew

et al. 2024

Australas J Ageing

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ObjectiveThis study aimed to translate previous implementation science research describing the implementation of perioperative medicine for older people undergoing surgery (POPS) services into a format that is comprehensible and relevant to clinical leaders contemplating implementing a POPS service.MethodsWe conducted a multistage expert end‐user review process to design a POPS implementation guide. Our expert research team created a draft POPS service implementation guide using previous implementation science research that described the core elements and implementation of a POPS service. Next, we invited multidisciplinary (allied health, anaesthetics, geriatric medicine, nursing and surgery) clinical leaders in perioperative medicine (n = 12) from five contextually different health services to review the guide. These clinical leaders then participated in two rounds of review and refinement of the implementation guide.ResultsThe first draft of the POPS service implementation guide was reviewed by clinical leaders (n = 4) with participants querying implementation science‐based language and concepts, the format of the guide and its practical use. We revised the guide accordingly, and the next draft was reviewed by the second group of clinical leaders (n = 8). Feedback from the second group review was supportive of the guide's comprehensibility and relevance, and only minor changes were made to the final version of the POPS service implementation guide.ConclusionsWe used an implementation science‐based approach to create a POPS service implementation guide that is comprehensible and relevant to clinical leaders in perioperative care. The next steps are to use the guide and assess its utility to support implementation of a POPS service.

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Translating mental health recovery guidelines into recovery-oriented innovations: A strategy combining implementation teams and a facilitated planning process

Cited by 7 publications

References 71 publications

The contribution of integrated arts-based groups to people with mental health conditions and community members: Processes and outcomes.

The contribution of integrated arts-based groups to people with mental health conditions and community members: Processes and outcomes.

Identifying and Exploring Sustainability Determinants of Mental Health Recovery-Oriented Interventions: A Mixed Methods Study Protocol

Implementing a perioperative medicine for older people undergoing surgery (POPS) service: A guide for clinical leaders

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