Abstract
BackgroundDespite advances in our understanding of what mental health systems and services can do to enhance recovery and wellbeing outcomes for people seeking support, there is limited evidence demonstrating that this body of work has translated successfully into mental health service practice. The Collaborative Recovery Model (CRM) is a practice framework that has been designed to support application of recovery and wellbeing oriented principles and practices within mental health service delivery. The aims of this study were to assess consumer and staff perceptions of implementation frequency during service engagement and the value of this approach for assisting recovery within a setting where the CRM approach had been adopted.MethodsThe setting was a large Australian community managed mental health organisation. The study involved a cross-sectional analysis of consumer (n = 116) and staff practitioner (n = 62) perspectives. A series of paired sample t-tests assessed for differences between consumer and staff perceptions of the: (i) importance of key practice elements for assisting recovery, and the (ii) frequency that key practice elements are utilised during engagement sessions. Spearman’s r correlational analysis explored associations between importance, frequency and helpfulness of sessions.ResultsKey practice elements of the model were applied during service interactions at a high level and perceived by the majority of consumers and staff participants as being important or very important for assisting recovery. Significant moderate correlations were found between the extent that practice elements were valued and the level at which they were applied. Higher levels of implementation of CRM practices were associated with higher ratings of perceived session helpfulness. The strongest association was between ‘encouragement to set tasks to complete between support visits’ and perceived helpfulness.ConclusionsConsumer and staff responses revealed that the key practice elements of the CRM were frequently implemented during service engagement interactions and were seen as valuable for assisting recovery. The level of agreement between raters suggests firstly, that the key practice elements were apparent and able to be rated as occurring, and secondly that the CRM approach is seen as responsive to consumer needs. The results have implications for translating recovery and wellbeing oriented knowledge into mental health service practice.
Highlights
Despite advances in our understanding of what mental health systems and services can do to enhance recovery and wellbeing outcomes for people seeking support, there is limited evidence demonstrating that this body of work has translated successfully into mental health service practice
This paper presents findings from a large study aimed at exploring implementation fidelity to the Collaborative Recovery Model within an Australian community managed mental health organisation, Neami National
This paper focuses attention on the first unit of analysis and seeks to answer four questions: 1. Are the key practice elements within the Collaborative Recovery Model (CRM) considered important in assisting recovery?
Summary
Despite advances in our understanding of what mental health systems and services can do to enhance recovery and wellbeing outcomes for people seeking support, there is limited evidence demonstrating that this body of work has translated successfully into mental health service practice. There is well established evidence demonstrating the need for a shift in engagement style beyond traditional approaches and positional roles where a person accessing mental health services is seen as a passive recipient of clinical expertise [18, 20, 21]. This shift calls for practitioners to interact in a manner that is person centred and purposefully relational whilst utilising skills and therapeutic processes that are most likely to facilitate hope, self-empowerment and growth [22,23,24,25,26]. Coaching style practices and principles of co-design have emerged as potential facilitators to support these shifts [27,28,29]
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have