What does recovery mean to a forensic mental health patient? A systematic review and narrative synthesis of the qualitative literature

Clarke, Cathriona; Lumbard, D.; Sambrook, Suzanne; Kerr, Kathryn Lawson

doi:10.1080/14789949.2015.1102311

Cited by 72 publications

(101 citation statements)

References 37 publications

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“…These findings underscore the primary importance of effective staff‐patient relationships to the recovery process, consistent with the themes of connectedness and social support networks emerging from the Clarke et al, () and Shepherd et al, () reviews. Attempts to build trusting and “hope‐inspiring” relationships (Perkins, ) from the outset, in addition to having a reasonable degree of consistency in staffing, appears critical, as does having staff adopt a transparent, personalised and strengths‐based approach to care planning and risk assessment.…”

Section: Staff Attitudes Towards Secure Recoverysupporting

confidence: 81%

“…These themes overlap and extend the findings of Shepherd et al (), who synthesised five of the same studies included in the Clarke et al () review. They identified three major themes as supporting the recovery process: hope and social networks, a personal sense of safety and security (provided by the physical environment, relationships with care providers, or both), and identity work (making sense of past experiences, understanding the role of disorder, and constructing a sense of self).…”

Section: Patient Experiences Of Secure Recoverysupporting

confidence: 70%

“…Several studies have now identified key principles of recovery as expressed by forensic mental health service users (e.g., Drennan & Aldred, ; Drennan & Woolridge, ; Livingston, ; Livingston, Nijdam‐Jones, Lapsley, Calderwood, & Brink, ; Nijdam‐Jones, Livingston, Verdun‐Jones, & Brink, ), including two reviews (Clarke, Lumbard, Sambrook, & Kerr, ; Shepherd, Doyle, Sanders, & Shaw, ). Clarke et al () conducted a systematic review and narrative synthesis of the 11 qualitative studies on offender‐patient perceptions of personal recovery, identifying six super‐ordinate themes: connectedness, sense of self, coming to terms with the past, freedom, hope, health, and intervention. The themes of connectedness and sense of self were noted to be especially salient, highlighting the importance of positive relationships with family and staff as facilitators of recovery.…”

Section: Patient Experiences Of Secure Recoverymentioning

confidence: 99%

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Recovery and forensic care: Recent advances and future directions

Simpson

Penney

2018

Criminal Behav Ment Health

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Section: Staff Attitudes Towards Secure Recoverysupporting

confidence: 81%

Section: Patient Experiences Of Secure Recoverysupporting

confidence: 70%

Section: Patient Experiences Of Secure Recoverymentioning

confidence: 99%

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Recovery and forensic care: Recent advances and future directions

Simpson

Penney

2018

Criminal Behav Ment Health

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“…For instance, one can think of multiple stigmas offenders with mental illness are confronted with and the lack of social networks or even the very restrictive (forensic mental health service and legal) conditions they face (Clarke, Lumbard, Sambrook & Kerr, 2016;Göbbels, Thakker & Ward, 2016;Arrigo, 2015).…”

Section: Criminology: Desistancementioning

confidence: 99%

Dilemmas in applying strengths-based approaches in working with offenders with mental illness: A critical multidisciplinary review

Vandevelde

Laenen

Damme

et al. 2017

Aggression and Violent Behavior

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The recent focus on extending risk assessment and treatment in forensic mental health with protective factors relates to the increasing interest in strengths-based approaches in various professional disciplines: law (e.g. human rights), criminology (e.g. desistance), mental health care (e.g. recovery), forensic psychology (e.g. the Good Lives Model), special needs education (e.g. Quality of Life) and family studies (e.g. family recovery). In this article, we will discuss the available knowledge with regard to strengths-based approaches for offenders with mental illness, in relation to these different disciplines. Several dilemmas are observed across these disciplines: (1) "Living apart together": the integration of different disciplines; (2) "Beyond Babylonian confusion and towards more theoretical research": conceptualization of strengths-based practices in different fields; (3) "No agency without autonomy": the individual in context; and (4) "Risks, strengths and capabilities": the search for an integrated paradigm. In our view, these different disciplines share a shift in how humankind is viewed, respecting agency in the interaction with people who have offended. Yet, differences apply to the objectives that the disciplines strive for, which warrants not to eclectically consider strengths-based working in each of the disciplines as 'being small variations of the same theme'.

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“…The need for research within this area has been previously highlighted . More recently, Clarke et al and Shepherd et al have answered this call by publishing meta synthesis of 11 and 5 qualitative studies, respectively, exploring the subjective recovery of forensic mental health patients. Recovery has been most commonly explored qualitatively using a cross‐sectional design.…”

Section: Introductionmentioning

confidence: 99%

A protocol in action: Recovery approach for patients within high secure care: A 20+ year follow‐up

Rees

Pitcairn

Thomson

2018

Health Science Reports

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Objectives: A person-centred approach to recovery is increasingly represented within mainstream mental health literature. Little examination of recovery among forensic mental health patients is evidenced. This study plans to address that insufficiency.Methods: This protocol paper details a novel approach to exploring recovery among a cohort of 241 patients detained under conditions of high secure care in Scotland during August 1992 to August 1993. Under discussion is the repurposing of previous research to circumnavigate length of inpatient stay commonly associated with forensic mental health care. The methodology adopted, while considering data leakage given the vulnerable participant group, will be discussed.Results: Repurposing and extending previous research attempts to address the file cabinet effect with 85% of health care research being wasted and future uncertainty regarding research funding in a post-Brexit era. This is an ongoing study. Ethical, confidentiality, privacy issues, and permissions are considered within the methodology.Conclusions: Ethical arguments can be made for tracing and attempting contact with vulnerable groups under-represented in the literature. A well-considered methodology putting the focus on participant welfare and confidentiality at every step is essential. The reported methodology provides an opportunity to expand and re-examine previously collected data through a contemporary lens. with the underlying principle of the need to obtain the maximum benefit for patients detained under its provisions, with medical treatment defined in broad terms that include both habilitation and rehabilitation.The person-centred recovery approach to mental illness focuses on an individual's journey and potential for recovery. This involves developing hope, supportive relationships, coping skills, and a life with meaning. Given the current economic climate of budget constraints and with 85% of health care research reportedly being wasted, 14 the decision was made to pull some previously collected data out of the filing drawer.Examining it through a contemporary lens cuts costs, breathes new life into previously collected data, and facilitates exploration of issues reliant upon time passed, such as recovery within a forensic mental health context. Uncertainty surrounding Brexit and European funding has also made repurposing and enhancing existing data a more attractive pursuit. 3. To compare the outcomes of patients progressing to varying security levels in terms of factors more likely to lead to meaningful recovery.4. To identify factors associated with readmission to a higher level of security.5. To determine the current and future needs of high secure care patients and how well they are met within existing resources and services.

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What does recovery mean to a forensic mental health patient? A systematic review and narrative synthesis of the qualitative literature

Cited by 72 publications

References 37 publications

Recovery and forensic care: Recent advances and future directions

Recovery and forensic care: Recent advances and future directions

Dilemmas in applying strengths-based approaches in working with offenders with mental illness: A critical multidisciplinary review

A protocol in action: Recovery approach for patients within high secure care: A 20+ year follow‐up

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