Recovery-oriented Mental Health Research Articles

Perspectives and Experiences of Stakeholders on Self-Disclosure of Peers in Mental Health Services.

With the movement towards recovery-oriented mental health (MH) services, individuals with MH lived-experience are increasingly employed as peer providers (peers). Peers are unique in that they bring knowledge from experience and eye-level connection to service users that enhance the quality of services and humanize MH systems' culture. In Israel, hundreds of peers are employed in various roles and settings across the MH system. However, peer integration into MH services faces challenges. One issue involves the use of self-disclosure (SD) in MH services which varies with explicitness across roles and settings. This study sought to understand perspectives and experiences regarding peers' SD (use & sharing of knowledge from experience) among different stakeholders in MH health services. Six focus groups and 4 semi-structured interviews (N = 42) were conducted as a part of a larger international project (UPSIDES; ERC Horizon 2020, Moran et al., Trials 21:371, 2020). Data was transcribed verbatim and analyzed using thematic analysis. Four categories and 7 themes were identified regarding current perspectives and experiences with peers' SD in MH organizations: (i) Restrained or cautious organizational approach to SD; (ii) Attitudes of peers to SD approach; (iii) The influence of designated peer roles on SD; and (iv) Unwarranted SD of peers working in traditional roles. The findings reveal that peers' SD in MH services is a complex process. Organizationalapproaches were often controlling of non-designated peers' SD practices; participants had diverse attitudes for and against peers' SD; SD occurred according to personal preferences, specific peer role and the director's approach to peers' SD; Conflictual SD dilemmas emerged in relation to service users and staff. SD sometimes occurs unwarrantely due to ill mental health. The presence of peer-designated roles positively impacts peers' SD. We interpret thecurrent mix of views and general conduct of peer SD practice in statutory MH services as related to three aspects: 1. The presence of a traditional therapeutic SD model vs. a peer SD model - with the former currently being dominant. 2. Insufficient proficiency and skill development in peers' SD. 3. Stigmatic notions about peer SD among service users and staff. Together, these aspects interrelate and sometimes create a negative cycle create tension and confusion.A need to develop professionalism of peer SD in statutory services is highlighted alongside enhancing staff and service user acknowledgement of the value of peer SD. Developing peer-designated roles can positively impacts peer SD in MH statutory services. Training, support, and organizational interventions are required to further support for peer-oriented SD and the enhancement of a person-centered and recovery orientation of MH services.

The patient's perspective on participation in a multidisciplinary team meeting: A phenomenological study.

In mental health care settings, inpatients are increasingly engaged in their care process, allowing them to participate in multidisciplinary team meetings. Research into how mental health patients (MHPs) experience participating in such meetings is, however, limited. This study aimed to explore inpatients' experiences when participating in multidisciplinary team meetings in a Belgian inpatient mental health unit. This study used a phenomenological design with data collection including semistructured interviews. Twelve individuals participated in the study. Participants were MHPs admitted to a mental health unit that works according to the model of recovery-oriented mental health practice. Findings were analysed utilising thematic analysis. Results showed that the MHPs' experiences were mainly positive but intense. Themes included: 'Feeling honoured to be invited', 'Sense of obligation', 'Feeling nervous', 'Transparency in team members' insights', 'Feeling supported by the (primary) nurse' and 'Duality about the presence of relatives'. By taking these findings into account, (mental) healthcare workers gain insight into the patient's lived experiences, allowing them to provide more person-centred care when inpatients participate in multidisciplinary team meetings. Moreover, these findings can support mental health units in implementing or optimising patient participation in multidisciplinary team meetings. Finally, other (mental health) patients can also benefit from these findings as it can help them to put feelings and thoughts into perspective when participating in a multidisciplinary team meeting during a hospital admittance.

Exploring safety culture within inpatient mental health units: The results from participant observation across three mental health services.

In Australia, acute inpatient units within public mental health services have become the last resort for mental health care. This research explored barriers and facilitators to safe, person-centred, recovery-oriented mental health care in these settings. It utilised participant observations conducted by mental health nurses in acute inpatient units. These units were located in three distinct facilities, each serving different areas: a large metropolitan suburban area in a State capital, a mid-sized regional city, and a small city with a large rural catchment area. Our findings highlighted that, in the three inpatient settings, nurses tended to avoid common areas they shared with consumers, except for brief, task-related visits. The prioritisation of administrative tasks seemed to arise in a situation where nurses lacked awareness of alternative practices and activities. Consumers spent prolonged periods of the day sitting in communal areas, where the main distraction was watching television. Boredom was a common issue across these environments. The nursing team structure in the inpatient units provided a mechanism for promoting a sense of psychological safety for staff and were a key element in how safety culture was sustained.

Integrating recovery-oriented mental health and addictions services directed by clients-patients.

This article focuses on the planning, process, and outcomes of integrating multiple services into a system that is based on the patient's/client's journey. It demonstrates the incorporation of the client voice and shared decision-making throughout the process. This article provides guidance for leaders looking for ways to engage clients/patients in the planning process. The discussion describes the process used by Frontenac Community Mental Health and Addiction Services to implement a client designed and centred, functionally integrated substance use and mental health service using the Mental Health Commission of Canada's recovery-oriented strategy. The reality is that although integrated services are evidence based best practices, in only rare cases has this translated into practice. Key messages are that the client/patient voice and direction can be used successfully in designing an integrated mental health and substance use system.

Rehabilitation and Recovery-Oriented Mental Health Services in the Northern Part of India: Initiatives and Way Forward

Rehabilitation and Recovery-Oriented Mental Health Services in the Northern Part of India: Initiatives and Way Forward

Understanding Peerness in Recovery-Oriented Mental Health Care.

Emotional and interpersonal support systems are fundamental to recovery-oriented support programs. Peerness represents the quality of shared lived experience that enhances such support programs. Through peerness, providers of formal peer support (FPS) strategically disclose their lived experience to help service recipients reach their goals. FPS disclosure is limited compared with the kind of free sharing in mutual support programs, with FPS focusing on information that specifically helps service recipients on their recovery journey. Peerness has additional value for shared experiences relevant for diversity, equity, and inclusion efforts. This Open Forum also considers where peerness conceptually fits into research of recovery-based services.

Conceptualisation of Personal Recovery and Recovery-Oriented Care for Youth: Multisystemic Perspectives

AbstractThere is a substantial body of evidence on the construct of personal recovery and the value of recovery-oriented mental health care worldwide. Personal recovery refers to the lived experience of those with mental illness overcoming challenges and living satisfying lives within the limitations of mental health symptomology. Conceptualisations such as CHIME have primarily relied on adult frameworks. With growing concerns about youth mental health, the present study aimed to understand the experiences of personal recovery and recovery-oriented care for youth. Given the multisystemic influences on youth development, the study analysed narratives from youth, caregivers, and mental health professionals. The analysis revealed two developmentally unique recovery processes involving the restoration of capabilities and existing relationships (restorative processes) and the bolstering of protective influences and strengths (resilience processes). Deductive analysis identified alignment to the CHIME framework. Implications of the findings for recovery-oriented care for youth are discussed.

Practicing Cultural Humility Will Achieve Recovery-oriented Mental Health Practice and Service Delivery.

The authors have proposed incorporating the concept of cultural humility to achieve better recovery outcomes. While agencies have mandated staff training in cultural competence, health outcomes have not shown promising results. Given the shortcomings of cultural competence training, cultural humility is being suggested as a complementary approach. When providers adopt cultural humility into their interactions with service users, it encompasses underlying principles and values consistent with recovery-oriented practices. Cultural humility addresses power imbalances and emphasizes ongoing self-reflection and openness to interpersonal relationships. The authors believe that embracing cultural humility will promote dignity and respect, create a culture of collaboration and partnership, acknowledge the uniqueness of each individual, enhance person-centered care, and foster self-determination and autonomy. The application of a cultural humility lens can promote a recovery-oriented culture within mental health services, and it is the responsibility of providers to actively cultivate cultural humility. Overall, cultural humility presents new opportunities for practice, and its adoption may be a key factor in promoting a recovery-oriented culture within mental health services.

Striking the Right Balance and Supporting Social Aspirations: How Agency and Choice Play out in a Recovery-Oriented Mental Health Service

Introduction There has been an increasing drive for a transformation of the mental health system towards recovery orientation, with research identifying a series of key recovery principles. It has been argued that these principles remain rhetoric rather than routine practice, and it remains unclear how these are operationalised and promoted within inpatient settings. Aim To address the knowledge gap of how staff and service-users enact recovery principles during the daily workings of an inpatient mental health service. Method Twenty-one interviews were conducted with staff and service-users at a recovery-oriented inpatient service in the United Kingdom. Data was analysed using framework analysis. Findings Analysis of research interview data identified three subcategories grouped under the category of choice. These categories were: a delicate balancing act, acceptability of choices, and social issues impacting choice. Discussion Staff were uncertain of their role in promoting choice, resulting in service-users feeling unsupported in their recovery. Staff had to adopt a titrated approach to social inclusion, to protect service-users from discrimination and rejection. Implications Mental health professionals need to take a more proactive role in enabling service-users to realise their social aspirations, as well as managing any adverse impacts of stigma and discrimination.

Perceptions of nurses working in mental health services regarding the recovery-oriented care approach: Findings from Africa.

The recovery-oriented care approach in mental health is recognised as the vision for mental health. People with a diagnosis of mental illness value the support and the individualistic approach emphasised in the recovery-oriented mental health care approach as they believe it facilitates their recovery. However, as a developing country, Botswana has a long way to go in availing mental health care resources to people with mental illness, let alone adopting new mental health approaches such as recovery. The study aimed to explore the perceptions of nurses working in mental health care facilities of recovery-oriented mental health care. Four mental health facilities from Botswana consented to participate in the study. A descriptive qualitative approach was utilised to explore nurses' views on how they perceive recovery from mental illness. Thirty nurses participated in the focus group discussions across the four study sites. All participants consented to participate and to be recorded. Tesch's (in Qualitative enquiry and research design: Choosing among five approaches. 3th ed. SAGE, 2013:198) thematic analysis was used for this study. Three main themes were identified in participants' perceptions of recovery-oriented care mental health: Recovery from mental illness is possible, the Meaning of recovery from mental illness and Factors facilitating recovery from mental illness. The study offers a perspective into how nurses perceive recovery-oriented approaches from a developing country and add to the gap existing in recovery-oriented mental health care approach from the African context.

Nurses' Perceptions on How Recovery-Oriented Mental Health Care Can Be Developed and Implemented.

This study explored how nurses working in inpatient mental health units perceived the development and implementation of a recovery-oriented mental healthcare programme (ROMHCP). The recovery-oriented mental healthcare approach (ROMHCA) in mental health is regarded as the future of mental health services and has been implemented in different countries worldwide. However, regarding developing and implementing the recovery approach, Africa appears to have been left behind by the rest of the continents. The study used a qualitative approach to describe how a recovery-oriented mental healthcare approach could be developed. Thirty nurses who worked in Botswana's four inpatient mental health facilities consented and voluntarily participated in the study. Data were collected from February to mid-March 2022 through online focus group discussions and analysed using thematic analysis. The COREQ checklist was used to report the findings. Two main themes emerged as follows: (i) developing and implementing a recovery-oriented mental healthcare programme is possible and (ii) certain elements are required to develop and implement ROMHCP. The participants believed that people diagnosed with mental illness could recover from the illness and suggested how it could be achieved. They also contended that the programme's success would lie mainly with multisectoral support from policymakers, facilities, hospital personnel, patients, and the community. Clinical Relevance. ROMHCP has the potential to benefit people with mental illness in the country. In addition, it would allow nurses to improve their knowledge and skills in managing mental illnesses. Patient or Public Contribution. The patients and the general public did not contribute to the study's concept, design, and outcomes. However, the nurses working in mental health facilities volunteered to participate in the study.

Recovery-oriented nursing service for people with schizophrenia in the community: An integrative review.

The recovery-oriented service concept has been recognized for its impact on mental health practices and services. As the largest group of mental healthcare providers, mental health nurses are well-positioned to deliver recovery-oriented services but face challenges due to role ambiguity and identity issues. Therefore, clarifying the role and principles of mental health nursing is essential. This study aimed to identify essential nursing practices for individuals with schizophrenia in recovery-oriented mental health services. The study utilized a five-step integrative review approach, including problem identification, literature search definition, critical analysis of methodological quality, data analysis, and data presentation. Multiple databases, such as ScienceDirect and Scopus, as well as online libraries and journals/publishers, including Sage journals, APA PsyNet, SpringerLink, PsychiatryOnline, Taylor & Francis Online, and Wiley Online Library, were searched. The search spanned from the inception of the recovery-oriented services concept in 1993 to 2022. Content and thematic analysis were employed to analyze and synthesize the findings from the included studies. Twenty-four articles met the inclusion criteria. Two themes were identified: 1) Direct nursing care, consisting of six sub-themes: therapeutic nurse-patient relationship (TNPR), psychoeducation (PE), coping skill training (CST), cognitive behavioral techniques (CBT), interventions to improve medication adherence (IMA), and social functioning (SF); and 2) Indirect nursing care. This study highlights the crucial role of nursing and nursing practices in recovery-oriented services. Mental health nurses prioritize person-centered care, therapeutic relationships, and collaboration with peer support workers to enhance treatment effectiveness. In addition, they focus on improving medication adherence, providing coping support, and promoting social capabilities, ultimately improving individuals' quality of life. Aligning actions with recovery-oriented principles, mental health nurses emphasize empowerment and holistic care. Further research in this area will enhance the healthcare system and better support individuals on their recovery journey.

Culture, Language of Latinx Community Honored in Rural Psychiatry Conference

Back to table of contents Previous article Next article CommunityFull AccessCulture, Language of Latinx Community Honored in Rural Psychiatry ConferenceKatie O'ConnorKatie O'ConnorSearch for more papers by this authorPublished Online:26 May 2023https://doi.org/10.1176/appi.pn.2023.07.7.6AbstractThe conference, which focused on the various challenges and opportunities in providing mental health care to the Latinx community, was delivered entirely in Spanish. Jose Canaca, M.D., began the 2023 University of New Mexico Rural Psychiatry Virtual Spring Conference by announcing in Spanish, “Today, we are doing something special.” This year was the first that the annual conference was delivered entirely in Spanish, with English subtitles available for non-Spanish speakers. The decision to hold it in Spanish was made to “celebrate the Latino culture and to feel proud of everything we have achieved and everything we are going to achieve in the near future,” Canaca said. “Wherever in the world there is a Hispanic, a Latino person, there is a hard-working, honest, and honorable person. We want to highlight that,” said Jose Canaca, M.D.Canaca is an assistant professor in the Department of Psychiatry and Behavioral Sciences at the University of New Mexico School of Medicine and medical director of the university’s Rural Psychiatry Program.The conference, which was held in early May, was titled “Speaking Our Language; Learning Together About Mental Health to Serve Our Community.” It was organized by the University of New Mexico Department of Psychiatry and Behavioral Health with support from the APA New Mexico district branch, the Psychiatric Medical Association of New Mexico. The conference began with a presentation from Thomas Chavez, Ph.D., a research assistant professor at the University of New Mexico. Chavez gave a history of the Latinx community in rural New Mexico, highlighting how their identities, cultural practices, and values have developed throughout history. New Mexico has a population of over two million, he explained, with 32% of that population living in rural areas. Further, half of the state’s residents identify as Hispanic or Latino, “but these identities are more complicated than that,” Chavez said. Throughout the conference, presenters and participants explored the complex nature of identity and how it has been impacted by efforts to force assimilation, such as by shaming individuals for speaking their native language.Chavez outlined some of the mental health challenges facing the Latinx population in rural New Mexico. Young people struggle with hopelessness and depression that have the potential to lead to suicidal behavior, he explained, and experience risk factors such as sleep problems and sexual violence. Depression is also a concern among adults, with stressors including unemployment and adverse childhood experiences.During the conference, Esperanza Diaz, M.D., and Andrea Mendiola, M.D., presented on the barriers to mental health care for Latinx people. Diaz and Mendiola are professor and assistant professor, respectively, of psychiatry at Yale University School of Medicine. Diaz is the medical director of the Connecticut Mental Health Center’s Hispanic Clinic, which provides culturally appropriate and recovery-oriented mental health and addiction services to the Latinx community. Mendiola was the inaugural recipient of the Hispanic Psychiatry Fellowship at Yale, which Diaz proposed and founded.In the creation of the Hispanic Clinic in 1973, the founders had to take into account the specific barriers that the Latinx population face, including poverty, homelessness, violence, language barriers, and racism. The staff is fully bilingual, from the front-desk staff to the therapists. Insurance or documentation is not required to receive services, and a pharmacy provides some free medications for those who cannot pay. The staff are specifically trained to provide psychotherapy to the many immigrants who seek care at the clinic, many of whom have experienced various traumas. “Treatment is a long, painful, slow process because they have left their families and cannot return, and many years have gone by without being seen. Psychotherapy is crucial,” Diaz said.“Although there is a lot of diversity in the Hispanic culture, we share many customs and beliefs, and that helps a lot in connecting and being able to help our patients,” Mendiola said.Other presenters during the conference included Reyna Rivera, L.C.S.W., faculty instructor at New Mexico Highlands University; Brenda Quiñonez, L.C.S.W., board president of El Puente de Encuentros, a nonprofit that mentors students of diverse backgrounds in the mental health field; and Bill Wagner, Ph.D., L.C.S.W., executive director of Centro Sávila, which provides culturally and linguistically appropriate services in New Mexico, including to first- and second-generation immigrants. Participants also heard from therapists with Centro Sávila—Ivette Miramontes, L.P.C.C., Dulce Medina, L.C.S.W., M.B.A., Sonia Ramirez, L.M.S.W., and Diana Hernández, L.P.C.C.—and the organization’s access and analytics manager, Sofia Olay, B.A. Throughout the conference, both presenters and participants commented on how important and unique it was to have the conference entirely in Spanish. “Let’s feel proud of who we are, of our language, of our culture, and where we come from,” Canaca said. ■ResourcesRecording of conference ISSUES NewArchived

Level of shared decision making and associated factors among patients with mental illness in Northwest Ethiopia: Explanatory sequential mixed method study.

Shared decision-making is a patient-centered and a recovery-oriented mental health system in which consumers are encouraged to actively engage in illness management. Although shared decision-making research in mental health has evolved rapidly in the past two decades, there is a lack of studies examining the level and factors associated with shared decision-making practice in low-income countries like Ethiopia. An institutional-based explanatory sequential mixed method study design was conducted from July 18 to September 18, 2022, at Bahir Dar city specialized hospitals. A systematic random sampling technique was used. The level of shared-decision making was measured by 9-item shared decision-making questionnaire among 423 patients with mental illness. Epicollect5 was used to collect data, which was then exported to the Statistical Package for social science version 25 for analysis. Variables with a P-value < 0.25 were considered candidates for the multivariate logistic regression analysis. The odds ratio with a 95% confidence interval was used to show the strength of the association. An in-depth interview was conducted among ten purposively selected participants. Low shared decision-making practice was found to be 49.2% (95% CI 45.9%-55.7%). The Multivariate analysis showed that low perceived compassionate care (AOR = 4.45; 95%CI 2.52-7.89), low social support (AOR = 1.72; 95% CI 1.06-2.80), and no community-based health insurance (AOR = 1.96; 95%CI l.04-3.69) were positively associated with low shared decision making. The qualitative result showed that the most common barriers to shared decision-making were a lack of empathy and a shortage of mental health workers. Almost half of the patients had low shared decision-making practices. This implies that shared decision-making requires high attention as it is essential for patient-centered care.

The principles of recovery-oriented mental health services: A review of the guidelines from five different countries for developing a protocol to be implemented in Yogyakarta, Indonesia.

Recovery-oriented mental health service has become the focus of global change in mental health services. Most of North industrialized countries have adopted and implemented this paradigm in the last two decades. Only recently that some developing countries are trying to follow this step. In Indonesia's case, there has been little attention to developing a recovery orientation by mental health authorities. The aim of this article is to synthesize and analyze the recovery-oriented guidelines from five industrialized countries that we can use as a primary model for developing a protocol to be implemented in community health centre in Kulonprogo District, Yogyakarta, Indonesia. We used a narrative literature review by searching for guidelines from many different sources. We found 57 guidelines, but only 13 from five countries met the criteria, including five guidelines from Australia, one from Ireland, three from Canada, two from the UK, and two from the US. To analyze the data, we used an inductive thematic analysis to explore the themes of each principle as described by the guideline. The results of the thematic analysis revealed seven recovery principles, including (1) cultivating positive hope, (2) establishing partnerships and collaboration, (3) ensuring organizational commitment and evaluation, (4) recognizing the consumer's rights, (5) focusing on person-centeredness and empowerment, (6) recognizing an individual's uniqueness and social context, and (7) facilitating social support,. These seven principles are not independent, rather they are interrelated and overlap each other. The principle of person-centeredness and empowerment is central to the recovery-oriented mental health system, while the principle of hope is also essential to embracing all the other principles. We will adjust and implement the result of the review in our project focusing on developing recovery-oriented mental health service in the community health center in Yogyakarta, Indonesia. We hope that this framework will be adopted by the central government in Indonesia and other developing countries.

Making the case for citizenship-oriented mental healthcare for youth in Canada

PurposeVarying stakeholders have highlighted how recovery-oriented mental health services such as youth mental health services have traditionally focused on supporting individual resources to promote recovery (e.g., agency) to the exclusion of addressing structural issues that influence recovery (e.g. poverty). One response to this criticism has been work helping people with mental health problems recover a sense of citizenship and sense of belonging in their communities. Work on citizenship has yet to influence youth mental healthcare in Canada’s provinces and territories. This paper aims to highlight ways that youth mental healthcare can better help youth recover a sense of citizenship.Design/methodology/approachThe arguments described in this paper were established through discussion and consensus among authors based on clinical experience in youth mental health and an understanding of Canada’s healthcare policy landscape, including current best practices as well as guidelines for recovery-oriented care by the Mental Health Commission of Canada.FindingsHere, this study proposes several recommendations that can help young with mental health problems recover their sense of citizenship at the social, systems and service levels. These include addressing the social determinants of health; developing a citizenship-based system of care; addressing identity-related disparities; employing youth community health workers within services; adapting and delivering citizenship-based interventions; and connecting youth in care to civic-oriented organizations.Originality/valueThis paper provides the first discussion of how the concept of citizenship can be applied to youth mental health in Canada in multiple ways. The authors hope that this work provides momentum for adopting policies and practices that can help youth in Canada recover a sense of citizenship following a mental health crisis.

Empowerment or Holding the Child Responsible? An Australian Recovery-Oriented Mental Health Policy Analysis

Abstract Recovery, as a concept is internationally recognised as a means to empower children to manage their own mental health. Recovery-oriented mental health policy production and service delivery in many Western countries, however, occurs in a discursive field influenced by biomedical and neo-liberal discourses. This article uses Critical Discourse Analysis to investigate an Australian policy—'A National Framework for Recovery-Oriented Mental Health Services: Guide for Practitioners and Providers', to critically analyse the competing versions of recovery. The findings reveal ideological slippages at work and show the operation of biomedical, developmental, collaborative, empowerment and responsibilisation discourses that compete in this mental health policy. This article shows how social workers require critical analysis to discern the consequences of different understandings of recovery in the child and youth mental health field. Despite the collaborative and strengths-based language of recovery, the analysis demonstrates the need to recognise the fine line between empowerment and the neo-liberal imperative for children to self-manage their mental health concerns.

A bridge to recovery: an interpretative phenomenological analysis with peer support specialists in Singapore

ABSTRACT Recovery-oriented mental health care approach is gaining acceptance in Asian countries, including Singapore. Following Western countries, Singapore started hiring peer support specialists (PSS) as part of mental healthcare services. The aim of this paper was to explore and understand how individual peer support specialists in Singapore perceive and make sense of their role given their unique perspective as both recipients and providers of mental healthcare treatment. Six PSS in Singapore were interviewed utilizing a semi-structured interview schedule. Interviews were transcribed verbatim and analysed using interpretative phenomenological analysis. Four superordinate themes were generated illustrating how PSS viewed their role: embracing and embodying recovery, balancing on a bridge, impossible without support, and helping to end stigma. Findings also illustrated participants’ awareness of the nature of the job and the role of PSS as still in the infancy stage. They embraced a recovery-oriented mindset despite experiencing stigma from professionals and/or their social support. The need to understand familial attitudes towards the PSS role is discussed. The limitations, contributions to the research, and several areas for future research are also outlined.

Award for Distinguished Senior Career Contributions to Psychology in the Public Interest: Patrick Corrigan.

The Awards for Distinguished Contributions to Psychology in the Public Interest recognize persons who have advanced psychology as a science and/or profession by a single extraordinary achievement or a lifetime of outstanding contributions in the public interest. Two awards are given: one to a senior psychologist and a second to a psychologist who has made a significant contribution to the public interest in the early stages of their career For his vast portfolio of research, education, and service surrounding community behavioral health and recovery. Patrick Corrigan's work is a blueprint for integration of psychological science and practice in the public interest, advancing social justice, and promoting human welfare. Nothing is more public and intransigent than mental health stigma; Corrigan has pioneered the field both in grant programs and as editor of the journal, Stigma and Health. One signature aspect of his career is full inclusion of people with mental illness and conducting studies through community-based participatory action research. These contributions to recovery-oriented mental health research and services are consequential. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Recovery-oriented mental health principles in psychiatric hospitals: How service users, family members and staff perceive the realization of practices.

The aim of the study was to describe and compare how recovery-oriented mental health principles have been realized in Finnish psychiatric hospitals from the viewpoint of different stakeholders (service users, family members and staff). A multimethod research design was adopted to combine both quantitative and qualitative descriptive methods. A total of 24 focus group interviews were conducted with service users (n=33), family members (n=3) and staff (n=53) on 12 psychiatric Finnish hospital wards (October 2017). The interview topics were based on six recovery-oriented principles (WHO QualityRights Tool Kit, 2012). A quantitative deductive analysis was conducted to describe and compare the realization of the recovery-oriented principles between three stakeholder groups. A qualitative deductive content analysis was used to describe participants' perceptions of the realization of recovery-oriented principles in practice. The GRAMMS guideline was used in reporting. Out of six recovery-oriented principles, 'Dignity and respect' was found to have been realized to the greatest extent on the psychiatric wards. The most discrepancy between the participant groups was seen in the 'Evaluation of recovery'. Service users and family members found the realization of the practices of all principles to be poorer than the staff members did. Wide variation was also found at the ward level between perceptions among participants, and descriptions of the realization of the principles in psychiatric hospital practice. Perceptions about the realization of recovery-oriented principles in practice in Finnish psychiatric hospitals vary between different stakeholder groups. This variation is linked to differing ward environments. More research is needed to understand the factors associated with variation in perceptions of recovery principles. Service users and family members participated in this study.