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Recovery-based staff training intervention within mental health rehabilitation units: a two-stage analysis using realistic evaluation principles and framework approach

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      Abstract

      BackgroundLong-term change in recovery-based practice in mental health rehabilitation is a research priority.MethodsWe used a qualitative case study analysis using a blend of traditional ‘framework’ analysis and ‘realist’ approaches to carry out an evaluation of a recovery-focused staff training intervention within three purposively selected mental health rehabilitation units. We maximised the validity of the data by triangulating multiple data sources.ResultsWe found that organisational culture and embedding of a change management programme in routine practice were reported as key influences in sustaining change in practice. The qualitative study generated 10 recommendations on how to achieve long-term change in practice including addressing pre-existing organisational issues and synergising concurrent change programmes.ConclusionsWe propose that a recovery-focused staff training intervention requires clear leadership and integration with any existing change management programmes to facilitate sustained improvements in routine practice.

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      Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis.

      No systematic review and narrative synthesis on personal recovery in mental illness has been undertaken. To synthesise published descriptions and models of personal recovery into an empirically based conceptual framework. Systematic review and modified narrative synthesis. Out of 5208 papers that were identified and 366 that were reviewed, a total of 97 papers were included in this review. The emergent conceptual framework consists of: (a) 13 characteristics of the recovery journey; (b) five recovery processes comprising: connectedness; hope and optimism about the future; identity; meaning in life; and empowerment (giving the acronym CHIME); and (c) recovery stage descriptions which mapped onto the transtheoretical model of change. Studies that focused on recovery for individuals of Black and minority ethnic (BME) origin showed a greater emphasis on spirituality and stigma and also identified two additional themes: culturally specific facilitating factors and collectivist notions of recovery. The conceptual framework is a theoretically defensible and robust synthesis of people's experiences of recovery in mental illness. This provides an empirical basis for future recovery-oriented research and practice.
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        Real world research

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          Evaluating With Sense: The Theory-Driven Approach

           H-T Chen,  P. H. Rossi (1983)
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            Author and article information

            Affiliations
            [1 ]Centre for Health & Social Care Research, Sheffield Hallam University, Montgomery House 32 Collegiate Crescent, Sheffield, S10 2BP UK
            [2 ]Departments of Primary Care and Population Health and Priment Clinical Trials Unit, University College London, London, UK
            [3 ]Division of Psychiatry, University College London, London, UK
            Contributors
            ORCID: http://orcid.org/0000-0003-0771-8130, s.bhanbhro@shu.ac.uk
            m.d.gee@shu.ac.uk
            sarah@windses.freeserve.co.uk
            l.marston@ucl.ac.uk
            m.lean@ucl.ac.uk
            h.killaspy@ucl.ac.uk
            Journal
            BMC Psychiatry
            BMC Psychiatry
            BMC Psychiatry
            BioMed Central (London )
            1471-244X
            17 August 2016
            17 August 2016
            2016
            : 16
            27535830
            4989510
            999
            10.1186/s12888-016-0999-y
            © The Author(s). 2016

            Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

            Funding
            Funded by: FundRef http://dx.doi.org/10.13039/501100000272, National Institute for Health Research;
            Award ID: RP-PG-0610-10097
            Award Recipient :
            Categories
            Research Article
            Custom metadata
            © The Author(s) 2016

            Clinical Psychology & Psychiatry

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