Abstract
The aim is to investigate the change towards a recovery-supporting model for health care services in a Norwegian municipality. The model is founded on the five processes identified by Leamy et al. (British Journal of Psychiatry, 199, 445–452, 2011): Connectedness, Hope, Identity, Meaning and Empowerment, described as the acronym CHIME. To examine this change, we used focus groups, which provided a basis for qualitative content analysis. The participants were recruited from several departments of the Mental Health and Substance Use unit. We found three themes: reflections on attitudes and actions, patients not participating in matters regarding their situation, balancing paternalistic attitudes and patients’ autonomy. The findings suggest that workers have an understanding of recovery but do not know what to do differently. We advocate that there is a need for tools, mechanisms and structures on how to support a recovery-oriented approach for patients needing mental health and substance use treatment.
Highlights
The aim is to investigate the change towards a recovery-supporting model for health care services in a Norwegian municipality
The changes can be challenging in practice because it seems that the term recovery is difficult to grasp; perhaps it is a bit too abstract
We suggest that the five main CHIME processes offered by Leamy et al (2011) are not sufficiently operationalised to make them a natural part of the unit’s daily services
Summary
The aim is to investigate the change towards a recovery-supporting model for health care services in a Norwegian municipality. The model is founded on the five processes identified by Leamy et al (British Journal of Psychiatry, 199, 445–452, 2011): Connectedness, Hope, Identity, Meaning and Empowerment, described as the acronym CHIME. To examine this change, we used focus groups, which provided a basis for qualitative content analysis. We advocate that there is a need for tools, mechanisms and structures on how to support a recovery-oriented approach for patients needing mental health and substance use treatment. In line with the European Mental Health Action Plan (WHO 2015), the Norwegian Directorate of Health has, through guidelines and policy documents, recommended a recovery-oriented approach that involves a higher level of patient participation in the healthcare sector (Norwegian Directorate of Health 2012; Norwegian Directorate of Health 2014)
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