One size fits all: or horses for courses? Recovery-based care in specialist mental health services

Soc Psychiatry Psychiatr Epidemiol. 2011 Feb;46(2):127-36. doi: 10.1007/s00127-009-0174-6.

Abstract

Introduction: The ‘recovery approach’ to the management of severe mental health problems has become a guiding vision of service provision amongst many practitioners, researchers, and policy makers as well as service users.

Method: This qualitative pilot study explored the meaning of ‘recovery’ with users of three specialist mental health services (eating disorders, dual diagnosis, and forensic) in 18 semi-structured interviews.

Results: The relevance of themes identified in mainstream recovery literature was confirmed; however, the interpretation and relative weight of these themes appeared to be affected by factors that were specific to the diagnosis and treatment context. ‘Clinical’ recovery themes were also seen as important, as were aspects of care that reflect core human values, such as kindness.

Publication types

  • Comparative Study

MeSH terms

  • Community Mental Health Services / methods
  • Community Mental Health Services / organization & administration
  • Comorbidity
  • Convalescence
  • Diagnosis, Dual (Psychiatry)
  • Feeding and Eating Disorders / diagnosis
  • Feeding and Eating Disorders / epidemiology
  • Feeding and Eating Disorders / therapy*
  • Female
  • Forensic Psychiatry
  • Humans
  • London / epidemiology
  • Mainstreaming, Education
  • Male
  • Mental Disorders / diagnosis
  • Mental Disorders / therapy
  • Mental Health Services / organization & administration*
  • Metaphor
  • Narration
  • Pilot Projects
  • Psychiatric Status Rating Scales / statistics & numerical data
  • Qualitative Research
  • Social Values
  • Specialization*
  • Substance-Related Disorders / diagnosis
  • Substance-Related Disorders / epidemiology
  • Substance-Related Disorders / therapy*