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How do recovery-oriented interventions contribute to personal mental health recovery? A systematic review and logic model

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Winsper, Catherine, Crawford Docherty, Anne, Weich, Scott, Fenton, Sarah-Jane Hannah and Singh, Swaran P. (2020) How do recovery-oriented interventions contribute to personal mental health recovery? A systematic review and logic model. Clinical Psychology Review, 76 . 101815. doi:10.1016/j.cpr.2020.101815 ISSN 0272-7358.

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Official URL: https://doi.org/10.1016/j.cpr.2020.101815

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Abstract

The emergent recovery paradigm prioritises adaption to serious mental illness and a move towards personally meaningful goals. In this review, we combine a theory driven logic model approach with systematic review techniques to forward understanding of how recovery-oriented interventions can help service users in their personal recovery journey. We identified 309 studies meeting our inclusion criteria. Our logic model mapped out intervention typologies and their recovery outcomes, the mechanisms of action underpinning these links, and the contextual moderators of these mechanisms and outcomes. Interventions were associated with recovery outcomes (functional, existential and social) directly and through a sequence of processes, which were underpinned by four common mechanisms: 1) providing information and skills; 2) promoting a working alliance; 3) role modelling recovery; and 4) increasing choice. Moderators of these mechanisms were observed at the service user (e.g., motivation), mental health service (e.g., professional attitudes) and wider environmental (e.g., unemployment rates) level. Recovery-oriented interventions share common critical mechanisms, which can help propel service users towards recovery especially when delivered within pro-recovery and non-stigmatising contexts. Future studies should further examine ways to reduce (or remove) barriers preventing individuals with mental health problems from experiencing the same citizenship entitlements as everyone else.

Item Type: Journal Article
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RA Public aspects of medicine
R Medicine > RC Internal medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Mental health -- Research, Mentally ill -- Care, Mental health services, Mentally ill -- Rehabilitation
Journal or Publication Title: Clinical Psychology Review
Publisher: Pergamon
ISSN: 0272-7358
Official Date: March 2020
Dates:
DateEvent
March 2020Published
7 January 2020Available
3 January 2020Accepted
Volume: 76
Article Number: 101815
DOI: 10.1016/j.cpr.2020.101815
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Date of first compliant deposit: 14 January 2020
Date of first compliant Open Access: 7 January 2022
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
MERIT Vanguard programmeNHS England.‏ Operational Information for Commissioning (National)http://viaf.org/viaf/666154260329824480003
Collaborations for Leadership in Applied Health Research and Care (CLAHRC)National Institute for Health Research (Great Britain)http://viaf.org/viaf/168775621

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