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Kanehara A, Koike H, Fujieda Y, Yajima S, Kabumoto A, Kumakura Y, Morita K, Miyamoto Y, Nochi M, Kasai K. Culture-dependent and universal constructs and promoting factors for the process of personal recovery in users of mental health services: qualitative findings from Japan. BMC Psychiatry 2022; 22:105. [PMID: 35144562 PMCID: PMC8832737 DOI: 10.1186/s12888-022-03750-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/20/2021] [Accepted: 01/28/2022] [Indexed: 12/03/2022] Open
Abstract
BACKGROUND The conceptualization of personal recovery began in Europe and North America and has spread worldwide. However, the concept of personal recovery in addition to recovery-promoting factors may be influenced by culture. We explored how users of mental health services in Japan perceive their own personal recovery and the factors that promote it. METHODS We conducted semi-structured interviews and focus group interviews with individuals using mental health services. The interview data were analysed using thematic analysis with a grouped framework analysis approach. We used a coding framework based on the existing CHIME framework (connectedness, hope and optimism about the future, identity, meaning in life, and empowerment). RESULTS Data were obtained from 30 users of mental health services (mean age: 40.4 years; 46.7% women; 50.0% with schizophrenia). "Compassion for others" was newly extracted in "Connectedness", and "Rebuilding/redefining identity not being as shaped by social norms" was newly extracted in "Identity" as personal recovery. "Positive experiences in childhood" (including positive parenting support from neighbours) was newly extracted as a recovery-promoting factor. CONCLUSIONS Our unique findings on the rebuilding identity/defining identity free from conformity to social norms due to interactions with familiar people, including peers, may be culture dependent. This study raises overarching questions regarding how socio-cultural values influence the development of identity and personal values and how they are in turn reflected in personal recovery.
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Affiliation(s)
- Akiko Kanehara
- Department of Neuropsychiatry, University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
| | - Haruna Koike
- grid.419280.60000 0004 1763 8916Department of Pathology of Mental Diseases, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan
| | - Yumiko Fujieda
- grid.412708.80000 0004 1764 7572Department of Rehabilitation, University of Tokyo Hospital, Tokyo, Japan
| | - Sayaka Yajima
- grid.412708.80000 0004 1764 7572Department of Rehabilitation, University of Tokyo Hospital, Tokyo, Japan
| | - Asami Kabumoto
- grid.412708.80000 0004 1764 7572Department of Rehabilitation, University of Tokyo Hospital, Tokyo, Japan
| | - Yousuke Kumakura
- grid.26999.3d0000 0001 2151 536XDepartment of Mental Health/ Psychiatric Nursing, Graduate School of Medicine, University of Tokyo, Tokyo, Japan
| | - Kentaro Morita
- grid.412708.80000 0004 1764 7572Department of Rehabilitation, University of Tokyo Hospital, Tokyo, Japan
| | - Yuki Miyamoto
- grid.26999.3d0000 0001 2151 536XDepartment of Psychiatric Nursing, Graduate School of Medicine, University of Tokyo, Tokyo, Japan
| | - Masahiro Nochi
- grid.26999.3d0000 0001 2151 536XDepartment of Clinical Psychology, University of Tokyo, Tokyo, Japan
| | - Kiyoto Kasai
- grid.26999.3d0000 0001 2151 536XDepartment of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan ,grid.26999.3d0000 0001 2151 536XThe International Research Center for Neurointelligence (WPI-IRCN) at The University of Tokyo Institutes for Advanced Study (UTIAS), Tokyo, Japan
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Grim K, Näslund H, Allaskog C, Andersson J, Argentzell E, Broström K, Jenneteg FG, Jansson M, Schön UK, Svedberg P, Svensson S, Wåhlstedt S, Rosenberg D. Legitimizing user knowledge in mental health services: Epistemic (in)justice and barriers to knowledge integration. Front Psychiatry 2022; 13:981238. [PMID: 36090358 PMCID: PMC9454952 DOI: 10.3389/fpsyt.2022.981238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Accepted: 08/09/2022] [Indexed: 11/13/2022] Open
Abstract
Including the voices and knowledge of service users is essential for developing recovery-oriented and evidence-based mental health services. Recent studies have however, suggested that challenges remain to the legitimization of user knowledge in practice. To further explore such challenges, a co-production study was conducted by a team of researchers and representatives from user organizations in Sweden. The aim of the study was to explore the barriers and facilitators to the legitimacy of user knowledge, as a central factor in sustainably implementing user influence in mental health practice. A series of workshops, with representatives of mental health services and user organizations were conducted by the research team to explore these issues. The analysis built on the theoretical framework of epistemic injustice, and the underlying aspects, testimonial, hermeneutic and participation-based injustice, were utilized as a framework for a deductive analysis. Results suggest that this is a useful model for exploring the complex dynamics related to the legitimacy of user knowledge in mental health systems. The analysis suggests that the legitimacy of user knowledge is related to the representativeness of the knowledge base, the systematic formulation of this knowledge in applicable methods, access to resources and positions within the mental health system and participation in the process of integrating this knowledge-base in mental health contexts. Legitimizing user knowledge in practice additionally challenges mental health systems to support readiness for change in working environments and to address the power and role issues that these changes involve.
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Affiliation(s)
- Katarina Grim
- Department of Social and Psychological Studies, Karlstad University, Karlstad, Sweden
| | - Hilda Näslund
- Department of Social Work, Umeå University, Umeå, Sweden
| | | | | | | | | | | | | | - Ulla-Karin Schön
- Department of Social Work, Stockholm University, Stockholm, Sweden
| | - Petra Svedberg
- School of Health and Welfare, Halmstad University, Halmstad, Sweden
| | - Sara Svensson
- NSPH Västra Götaland and Gothenburg, Gothenburg, Sweden
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Ujhelyi Gomez K, Carson J, Brown G, Holland M. Positive psychology in dual diagnosis recovery: a mixed methods study with drug and alcohol workers. JOURNAL OF SUBSTANCE USE 2020. [DOI: 10.1080/14659891.2020.1760376] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
| | - Jerome Carson
- School of Education and Psychology, University of Bolton, Bolton, UK
| | - Gill Brown
- School of Education and Psychology, University of Bolton, Bolton, UK
| | - Mark Holland
- Manchester Dual Diagnosis Liaison Service, Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK
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Schön UK, Grim K, Wallin L, Rosenberg D, Svedberg P. Psychiatric service staff perceptions of implementing a shared decision-making tool: a process evaluation study. Int J Qual Stud Health Well-being 2018; 13:1421352. [PMID: 29405889 PMCID: PMC5804774 DOI: 10.1080/17482631.2017.1421352] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Abstract
PURPOSE Shared decision making, SDM, in psychiatric services, supports users to experience a greater sense of involvement in treatment, self-efficacy, autonomy and reduced coercion. Decision tools adapted to the needs of users have the potential to support SDM and restructure how users and staff work together to arrive at shared decisions. The aim of this study was to describe and analyse the implementation process of an SDM intervention for users of psychiatric services in Sweden. METHOD The implementation was studied through a process evaluation utilizing both quantitative and qualitative methods. In designing the process evaluation for the intervention, three evaluation components were emphasized: contextual factors, implementation issues and mechanisms of impact. RESULTS The study addresses critical implementation issues related to decision-making authority, the perceived decision-making ability of users and the readiness of the service to increase influence and participation. It also emphasizes the importance of facilitation, as well as suggesting contextual adaptations that may be relevant for the local organizations. CONCLUSION The results indicate that staff perceived the decision support tool as user-friendly and useful in supporting participation in decision-making, and suggest that such concrete supports to participation can be a factor in implementation if adequate attention is paid to organizational contexts and structures.
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Affiliation(s)
- Ulla-Karin Schön
- a School of Education, Health and Social Studies , Dalarna University , Falun , Sweden
| | - Katarina Grim
- a School of Education, Health and Social Studies , Dalarna University , Falun , Sweden.,b Institution for Social Work , Karlstad University , Karlstad , Sweden
| | - Lars Wallin
- a School of Education, Health and Social Studies , Dalarna University , Falun , Sweden
| | - David Rosenberg
- c Department of Social Work , Umeå University , Umeå , Sweden
| | - Petra Svedberg
- d School of Social and Health Sciences , Halmstad University , Halmstad , Sweden
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Abstract
BACKGROUND One goal within positive psychiatry is to support the personal recovery of persons with mental illness and providing opportunities for well-being. AIM The current article aims to introduce readers to the concept of personal recovery and the potential and importance of recovery-oriented services and measures. METHODS A literature review was conducted to help consider the domains of 'personal recovery', 'recovery-oriented services/interventions', and 'measures'. A database search was complemented with a web-based search. Both medical subject heading (MESH) terms and free-text search terms were used. RESULTS Literature from research journals, grey literature, and websites were included. Within this context, recovery does not refer to a cure but involves a process in which a person acts as an agent to develop new goals and meaning in life, despite and beyond limitations posed by the illness and its consequences. A positive focus on recovery is in sharp contrast to historical deterministic and pessimistic concepts of mental illnesses. Recovery-oriented services such as peer support, assertive community treatment, supported employment/education/housing, illness self-management, and decreasing self-stigma are highlighted. A review of 27 measures that focus on personal recovery and promotion of well-being are also discussed. CONCLUSIONS The literature overview presents perspectives and knowledge of how to develop positive psychiatry, how mental health services and their partner organizations may become more recovery oriented and help persons reach well-being and a better quality of life. This study is limited to a narrative review and may precede future systematic reviews.
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Affiliation(s)
- Ulrika Bejerholm
- a Department of Health Sciences/Mental Health, Activity and Participation , Lund University , Lund , Sweden.,b Center for Evidence-based Psychosocial Interventions (CEPI) , Lund University , Lund , Sweden
| | - David Roe
- c Department of Community Mental Health , University of Haifa , Haifa , Israel.,d Department of Medicine , Aalborg University , Aalborg , Denmark
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Unhjem JV, Hem MH, Vatne S. Encountering Ambivalence - A Qualitative Study of Mental Health Nurses' Experiences with Dual Relationships. Issues Ment Health Nurs 2018; 39:457-466. [PMID: 29436894 DOI: 10.1080/01612840.2017.1416507] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Nurses are obliged to set professional boundaries in nurse-patient relationships. Relationships with patients that are pursued outside of working hours (dual relationships) are commonly prohibited by legislation and professional codes of ethics, but some nurses still engage in them. A thematic analysis of qualitative interviews revealed that the nurses experienced ambivalence regarding how they see the patients, their assessment of the dual relationships and how people around the nurses react to the relationships. Ambivalence was characterized by contradictory and indeterminate thoughts and attitudes toward patients and dual relationships. Results indicated that dual relationship decisions were complex and highly contextually dependent.
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Affiliation(s)
- Jeanette Varpen Unhjem
- a University of Oslo, Centre for Medical Ethics , Molde , Norway ; Molde University College , Department of Health Sciences and Social Care , Molde , Norway
| | - Marit Helene Hem
- b University of Oslo, Centre for Medical Ethics , Blindern , Oslo , Norway
| | - Solfrid Vatne
- c Molde University College , Department of Health Sciences and Social Care , Molde , Norway
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Biringer E, Tjoflåt M. Validation of the 24-item recovery assessment scale-revised (RAS-R) in the Norwegian language and context: a multi-centre study. Health Qual Life Outcomes 2018; 16:23. [PMID: 29370843 PMCID: PMC5784720 DOI: 10.1186/s12955-018-0849-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2017] [Accepted: 01/17/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The Recovery Assessment Scale-revised (RAS-R) is a self-report instrument measuring mental health recovery. The purpose of the present study was to translate and adapt the RAS-R into the Norwegian language and to investigate its psychometric properties in terms of factor structure, convergent and discriminant validity and reliability in the Norwegian context. METHODS The present study is a cross-sectional multi-centre study. After a pilot test, the Norwegian version of the RAS-R was distributed to 231 service users in mental health specialist and community services. The factor structure of the instrument was investigated by a confirmatory factor analysis (CFA), and internal consistency was assessed by Cronbach's alpha. RESULTS The RAS-R was found to be acceptable and feasible for service users. The original five-factor structure was confirmed. All model fit indices, including the standardised root mean square residual (SRMR), which is independent of the χ2-test, met the criteria for an acceptable model fit. Internal consistencies within sub-scales as measured by Cronbach's alpha ranged from 0.65 to 0.85. Cronbach's alpha for the total scale was 0.90. As expected, some redundancy between factors existed (in particular among the factors Personal confidence and hope, Goal and success orientation and Not dominated by symptoms). CONCLUSIONS The Norwegian RAS-R showed acceptable psychometric properties in terms of convergent validity and reliability, and fit indices from the CFA confirmed the original factor structure. We recommend the Norwegian RAS-R as a tool in service users' and health professionals' collaborative work towards the service users' recovery goals and as an outcome measure in larger evaluations.
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Affiliation(s)
- Eva Biringer
- Department of Research and Innovation, Helse Fonna Local Health Authority, PO Box 2170, N-5504, Haugesund, Norway.
| | - Marit Tjoflåt
- Folgefonn Community Mental Health Centre, Division of Psychiatry, Helse Fonna Local Health Authority, Sjukehusvn. 14, N-5451, Valen, Norway
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8
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Biringer E, Davidson L, Sundfør B, Ruud T, Borg M. Service users’ expectations of treatment and support at the Community Mental Health Centre in their recovery. Scand J Caring Sci 2016; 31:505-513. [DOI: 10.1111/scs.12364] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2015] [Accepted: 05/16/2016] [Indexed: 11/29/2022]
Affiliation(s)
- Eva Biringer
- Helse Fonna Local Health Authority; Haugesund Norway
- Regional Research Network on Mood Disorders (MoodNet); Bergen Norway
| | - Larry Davidson
- Department of Psychiatry; Yale University School of Medicine; New Haven CT USA
| | - Bengt Sundfør
- Regional Research Network on Mood Disorders (MoodNet); Bergen Norway
| | - Torleif Ruud
- Division of Mental Health Services; Akershus University Hospital; Lørenskog Norway
- Institute of Clinical Medicine; University of Oslo; Oslo Norway
| | - Marit Borg
- Faculty of Health Sciences; University College of Southeast Norway; Drammen Norway
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9
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Rosenberg D, Schön UK, Nyholm M, Grim K, Svedberg P. Shared decision making in Swedish community mental health services - an evaluation of three self-reporting instruments. J Ment Health 2016; 26:142-149. [PMID: 27452763 DOI: 10.1080/09638237.2016.1207223] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
BACKGROUND Despite the potential impact of shared decision making on users satisfaction with care and quality in health care decisions, there is a lack of knowledge and skills regarding how to work with shared decision making among health care providers. AIM The aim of this study was to evaluate the psychometric properties of three instruments that measure varied dimensions of shared decision making, based on self-reports by clients, in a Swedish community mental health context. METHOD The study sample consisted of 121 clients with experience of community mental health care, and involved in a wide range of decisions regarding both social support and treatment. The questionnaires were examined for face and content validity, internal consistency, test-retest reliability and construct validity. RESULTS The instruments displayed good face and content validity, satisfactory internal consistency and a moderate to good level of stability in test-retest reliability with fair to moderate construct correlations, in a sample of clients with serious mental illness and experience of community mental health services in Sweden. CONCLUSIONS The questionnaires are considered to be relevant to the decision making process, user-friendly and appropriate in a Swedish community mental health care context. They functioned well in settings where non-medical decisions, regarding social and support services, are the primary focus. The use of instruments that measure various dimensions of the self-reported experience of clients, can be a key factor in developing knowledge of how best to implement shared decision making in mental health services.
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Affiliation(s)
- David Rosenberg
- a Department of Social Work , Umeå University , Umeå , Sweden
| | - Ulla-Karin Schön
- b School of Health and Social Work, Dalarna University , Falun , Sweden , and
| | - Maria Nyholm
- c School of Health and Welfare, Halmstad University , Halmstad , Sweden
| | - Katarina Grim
- b School of Health and Social Work, Dalarna University , Falun , Sweden , and
| | - Petra Svedberg
- c School of Health and Welfare, Halmstad University , Halmstad , Sweden
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Dahlqvist Jönsson P, Schön UK, Rosenberg D, Sandlund M, Svedberg P. Service users' experiences of participation in decision making in mental health services. J Psychiatr Ment Health Nurs 2015; 22:688-97. [PMID: 26148016 DOI: 10.1111/jpm.12246] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/14/2015] [Indexed: 11/27/2022]
Abstract
ACCESSIBLE SUMMARY Despite the potential positive impact of shared decision making on service users knowledge and experience of decisional conflict, there is a lack of qualitative research on how participation in decision making is promoted from the perspective of psychiatric service users. This study highlights the desire of users to participate more actively in decision making and demonstrates that persons with SMI struggle to be seen as competent and equal partners in decision-making situations. Those interviewed did not feel that their strengths, abilities and needs were being recognized, which resulted in a feeling of being omitted from involvement in decision-making situations. The service users describe some essential conditions that could work to promote participation in decision making. These included having personal support, having access to knowledge, being involved in a dialogue and clarity about responsibilities. Mental health nurses can play an essential role for developing and implementing shared decision making as a tool to promote recovery-oriented mental health services. ABSTRACT Service user participation in decision making is considered an essential component of recovery-oriented mental health services. Despite the potential of shared decision making to impact service users knowledge and positively influence their experience of decisional conflict, there is a lack of qualitative research on how participation in decision making is promoted from the perspective of psychiatric service users. In order to develop concrete methods that facilitate shared decision making, there is a need for increased knowledge regarding the users' own perspective. The aim of this study was to explore users' experiences of participation in decisions in mental health services in Sweden, and the kinds of support that may promote participation. Constructivist Grounded Theory (CGT) was utilized to analyse group and individual interviews with 20 users with experience of serious mental illness. The core category that emerged in the analysis described a 'struggle to be perceived as a competent and equal person' while three related categories including being the underdog, being controlled and being omitted described the difficulties of participating in decisions. The data analysis resulted in a model that describes internal and external conditions that influence the promotion of participation in decision making. The findings offer new insights from a user perspective and these can be utilized to develop and investigate concrete methods in order to promote user's participation in decisions.
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Affiliation(s)
- P Dahlqvist Jönsson
- Department of Research, Development and Education (FoUU), Region of Halland, Sweden.,School of Health and Welfare, Halmstad University, Sweden
| | - U-K Schön
- School of Health and Social Work, Dalarna University, Sweden
| | - D Rosenberg
- Department of Social Work, Umeå University, Sweden
| | - M Sandlund
- Department of Social Work, Umeå University, Sweden.,Department of Clinical Science, Umeå University, Sweden
| | - P Svedberg
- School of Health and Welfare, Halmstad University, Sweden
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Biringer E, Davidson L, Sundfør B, Lier HØ, Borg M. Coping with mental health issues: subjective experiences of self-help and helpful contextual factors at the start of mental health treatment. J Ment Health 2015; 25:23-7. [PMID: 26484831 PMCID: PMC4776697 DOI: 10.3109/09638237.2015.1078883] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
Background: Self-help strategies and various contextual factors support recovery. However, more in-depth knowledge is needed about how self-help strategies and supportive environments facilitate the recovery process. Aims: To explore what individuals who have recently been referred to a specialist Community Mental Health Center experience as helpful and what they do to help themselves. Method: Ten service users participated in in-depth interviews within a collaborative-reflexive framework. A hermeneutic-phenomenological approach was used. Results: Participants described a variety of helpful strategies and environmental supports. Four relevant main themes were identified: helpful activities, helpful people and places, self-instruction and learning about mental problems and medication and self-medication. Conclusions: The process of recovery is initiated before people become users of mental health services. This study confirms that recovery takes place within the person’s daily life context and involves the interplay of contextual factors, such as family, friends, good places, work and other meaningful activities. The coping strategies reported may represent an important focus for attention and clinical intervention.
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Affiliation(s)
- Eva Biringer
- a Helse Fonna Local Health Authority , Haugesund , Norway .,b Regional Research Network on Mood Disorders (MoodNet) , Bergen , Norway
| | - Larry Davidson
- c Department of Psychiatry , Yale University School of Medicine , New Haven , CT , USA , and
| | - Bengt Sundfør
- b Regional Research Network on Mood Disorders (MoodNet) , Bergen , Norway
| | - Haldis Ø Lier
- a Helse Fonna Local Health Authority , Haugesund , Norway
| | - Marit Borg
- b Regional Research Network on Mood Disorders (MoodNet) , Bergen , Norway .,d Faculty of Health Sciences , Buskerud and Vestfold University College , Drammen , Norway
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Schön UK, Svedberg P, Rosenberg D. Evaluating the INSPIRE measure of staff support for personal recovery in a Swedish psychiatric context. Nord J Psychiatry 2015; 69:275-81. [PMID: 25377024 DOI: 10.3109/08039488.2014.972453] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND Recovery is understood to be an individual process that cannot be controlled, but can be supported and facilitated at the individual, organizational and system levels. Standardized measures of recovery may play a critical role in contributing to the development of a recovery-oriented system. The INSPIRE measure is a 28-item service user-rated measure of recovery support. INSPIRE assesses both the individual preferences of the user in the recovery process and their experience of support from staff. AIM The aim of this study was to evaluate the psychometric properties of the Swedish version of the INSPIRE measure, for potential use in Swedish mental health services and in order to promote recovery in mental illness. METHOD The sample consisted of 85 participants from six community mental health services targeting people with a diagnosis of psychosis in a municipality in Sweden. For the test-retest evaluation, 78 participants completed the questionnaire 2 weeks later. RESULTS The results in the present study indicate that the Swedish version of the INSPIRE measure had good face and content validity, satisfactory internal consistency and some level of instability in test-retest reliability. CONCLUSIONS While further studies that test the instrument in a larger and more diverse clinical context are needed, INSPIRE can be considered a relevant and feasible instrument to utilize in supporting the development of a recovery-oriented system in Sweden.
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Affiliation(s)
- Ulla-Karin Schön
- Ulla-Karin Schön, School of Health and Social Work, Dalarna University , Sweden
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Schrank B, Brownell T, Riches S, Chevalier A, Jakaite Z, Larkin C, Lawrence V, Slade M. Staff views on wellbeing for themselves and for service users. J Ment Health 2015; 24:48-53. [PMID: 25587818 DOI: 10.3109/09638237.2014.998804] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
BACKGROUND Wellbeing is an important outcome in the context of recovery from mental illness. The views of mental health professionals on wellbeing may influence their approach to supporting recovery. AIMS This study aims to explore views held by mental health staff about factors influencing their own wellbeing and that of service users with psychosis. METHODS Semi-structured interviews were conducted with 14 mental health staff in South London who had worked with people with psychosis. Thematic analysis was used to analyse the data and comparisons were made between staff views of wellbeing for themselves and service users. RESULTS Staff participants held similar conceptualisations of wellbeing for themselves and for service users. However, they suggested a differential impact on wellbeing for a number of factors, such as balance, goals and achievement, and work. Staff employed a more deficit-based perspective on wellbeing for service users and a more strengths-based view for themselves. CONCLUSIONS Staff stated a recovery orientation in principle, but struggled to focus on service user strengths in practice. A stronger emphasis in clinical practice on amplifying strengths to foster self-management is indicated, and staff may need support to achieve this emphasis, e.g. through specific interventions and involvement of peer support workers.
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Affiliation(s)
- Beate Schrank
- Health Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology & Neuroscience (Box P029) , De Crespigny Park, London , UK and
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15
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Guha M. Book Review. J Ment Health 2014. [DOI: 10.3109/09638237.2014.958214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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