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Boardman, Jed ; Shepherd, Geoff
2011 The Journal of Mental Health Training, Education and Practice
doi: 10.1108/17556221111136125
Purpose - The purpose of this paper is to present the outline of a methodological approach to help address ten key challenges for the implementation of Recovery-orientated services. Design/methodology/approach - At the onset of the project the authors produced a policy paper, Making Recovery a Reality. This formed the basis of a series of workshops on implementing Recovery in organisations that were held in five mental health trusts in 2008 and 2009. Findings - A key element driving the transformation of Recovery-orientated mental health services will be the joint work of local systems, setting priorities, agreeing goals and contracts and then monitoring progress and reviewing. Originality/value - The impetus for the project arose out of the increasing attention being given to the principles of recovery in government policy and in local mental health services, combined with an increasing frustration that there was little to guide how these principles could be put into practice.
2011 The Journal of Mental Health Training Education and Practice
doi: 10.1108/17556221111136125
Purpose – The purpose of this paper is to present the outline of a methodological approach to help address ten key challenges for the implementation of Recovery‐orientated services. Design/methodology/approach – At the onset of the project the authors produced a policy paper, Making Recovery a Reality. This formed the basis of a series of workshops on implementing Recovery in organisations that were held in five mental health trusts in 2008 and 2009 . Findings – A key element driving the transformation of Recovery‐orientated mental health services will be the joint work of local systems, setting priorities, agreeing goals and contracts and then monitoring progress and reviewing. Originality/value – The impetus for the project arose out of the increasing attention being given to the principles of recovery in government policy and in local mental health services, combined with an increasing frustration that there was little to guide how these principles could be put into practice.
Roberts, Glenn ; Good, John ; Wooldridge, James ; Baker, Elina
2011 The Journal of Mental Health Training, Education and Practice
doi: 10.1108/17556221111136134
Purpose - This paper aims to describe a review and overview of the issue of developing guidance on implementing recovery and supporting organisational change, focused specifically on seeking to clarify the many different contributions that "lived experience" could make to training and workforce development. Design/methodology/approach - The particular focus of our workshop was to clarify the key issues in workforce development, training for a recovery-focused service and the contribution of "lived experience". A particular outcome was to emphasise the benefits of collaborative co-working between people who use services and practitioners at all levels. Findings - A key element of our learning has been in valuing collaborative co-working and the synergism of personal experience, professional training, research and evaluation. Originality/value - The paper draws out what lessons have been learned already and sketches guidance for future practice and service development.
Glenn Roberts; John Good; James Wooldridge; Elina Baker
2011 The Journal of Mental Health Training Education and Practice
doi: 10.1108/17556221111136134
Purpose – This paper aims to describe a review and overview of the issue of developing guidance on implementing recovery and supporting organisational change, focused specifically on seeking to clarify the many different contributions that “lived experience” could make to training and workforce development. Design/methodology/approach – The particular focus of our workshop was to clarify the key issues in workforce development, training for a recovery‐focused service and the contribution of “lived experience”. A particular outcome was to emphasise the benefits of collaborative co‐working between people who use services and practitioners at all levels. Findings – A key element of our learning has been in valuing collaborative co‐working and the synergism of personal experience, professional training, research and evaluation. Originality/value – The paper draws out what lessons have been learned already and sketches guidance for future practice and service development.
2011 The Journal of Mental Health Training Education and Practice
doi: 10.1108/17556221111136143
Purpose – This paper aims to build on the Sainsbury Centre for Mental Health (now Centre for Mental Health) workshops by focusing on the recovery of family and friends in particular. Design/methodology/approach – There are already policy supports for the well being of family and friends but at present, their recovery has been overshadowed by the recovery of people who use services. Taking hope, agency and opportunity as key recovery tenets, we use life story work (LSW) to explore this gap and further a relational approach between people who give care, people who use services and people who provide them. Findings – The loop between existing policy and recovery oriented practice should be closed, suggesting LSW as a training platform to consider the humanity of family and friends as of equal worth to people who use services and people who provide them. Originality/value – The authors argue that without equal consideration and support, family and friends are at risk of becoming hopeless as their sense of agency and access to opportunities diminish. LSW with family and friends paints a consistently worrying picture of the quality of engagement with services which are not sufficiently resourced to offer an integrated approach to recovery. Without such an approach, however, the effectiveness of recovery‐oriented practice may be compromised by the creation of new cycles of hopelessness.
Chandler, Ruth ; Repper, Julie
2011 The Journal of Mental Health Training, Education and Practice
doi: 10.1108/17556221111136143
Purpose - This paper aims to build on the Sainsbury Centre for Mental Health (now Centre for Mental Health) workshops by focusing on the recovery of family and friends in particular. Design/methodology/approach - There are already policy supports for the well being of family and friends but at present, their recovery has been overshadowed by the recovery of people who use services. Taking hope, agency and opportunity as key recovery tenets, we use life story work (LSW) to explore this gap and further a relational approach between people who give care, people who use services and people who provide them. Findings - The loop between existing policy and recovery oriented practice should be closed, suggesting LSW as a training platform to consider the humanity of family and friends as of equal worth to people who use services and people who provide them. Originality/value - The authors argue that without equal consideration and support, family and friends are at risk of becoming hopeless as their sense of agency and access to opportunities diminish. LSW with family and friends paints a consistently worrying picture of the quality of engagement with services which are not sufficiently resourced to offer an integrated approach to recovery. Without such an approach, however, the effectiveness of recovery-oriented practice may be compromised by the creation of new cycles of hopelessness.
2011 The Journal of Mental Health Training, Education and Practice
doi: 10.1108/17556221111136152
Purpose - This paper aims to focus on the process of organisational change in the implementation of recovery principles into everyday NHS mental health practice, in order to highlight the centrality of this process in enabling implementation. Design/methodology/approach - Several recent good practice examples are given below of relevant projects in which similar challenges have been met and the methods of doing so. Findings - The organisational change process for recovery-oriented services needs to be a win-win situation, in which all of the participants would be able to recognise that each of them can win from the implementation of a recovery-oriented service, even if they are in for some losses (in status, in having to share power, being indirectly criticised for the way they have worked up to now, having to unlearn). This implies that the losses need to be recognised by the leaders of the change process and addressed as much as possible, but that the emphasis should remain on what the participants stand to gain in the new culture and structure. Originality/value - Conceptual framework of such a process and its significant components are linked to the challenges inherent in recovery implementation for the workforce. The challenges are expanded upon in terms of their implications for the specificity of the organisational change required and its complexity. Organisational change is both differentiated from the change in the content and structure of services necessary for implementing recovery yet related to it.
2011 The Journal of Mental Health Training Education and Practice
doi: 10.1108/17556221111136152
Purpose – This paper aims to focus on the process of organisational change in the implementation of recovery principles into everyday NHS mental health practice, in order to highlight the centrality of this process in enabling implementation. Design/methodology/approach – Several recent good practice examples are given below of relevant projects in which similar challenges have been met and the methods of doing so. Findings – The organisational change process for recovery‐oriented services needs to be a win‐win situation, in which all of the participants would be able to recognise that each of them can win from the implementation of a recovery‐oriented service, even if they are in for some losses (in status, in having to share power, being indirectly criticised for the way they have worked up to now, having to unlearn). This implies that the losses need to be recognised by the leaders of the change process and addressed as much as possible, but that the emphasis should remain on what the participants stand to gain in the new culture and structure. Originality/value – Conceptual framework of such a process and its significant components are linked to the challenges inherent in recovery implementation for the workforce. The challenges are expanded upon in terms of their implications for the specificity of the organisational change required and its complexity. Organisational change is both differentiated from the change in the content and structure of services necessary for implementing recovery yet related to it.
Priest, Helena ; Roberts, Paula ; Dent, Helen ; Hunt, Tom ; Weston, Dale ; Chell, Amy ; Blincoe, Christine ; Armstrong, Christine
2011 The Journal of Mental Health Training, Education and Practice
doi: 10.1108/17556221111136161
Purpose - Effective interprofessional working is widely claimed to enhance service delivery, user satisfaction, and most importantly, clinical outcomes. Achieving this position is proving difficult. Research suggests that strategies to enhance interprofessional collaboration should begin at the earliest possible opportunity to prevent negative stereotypes from developing. This project was an attempt to develop effective interprofessional education (IPE) across staff groups who work in the mental health arena (mental health nursing students and clinical psychology trainees). Design/methodology/approach - Participants were whole cohorts of undergraduate mental health nursing students (n = 11) in their second year of training (at the commencement of their "branch" programme), and trainees on the doctorate in clinical psychology (n = 10) at the start of their first year of training. IPE sessions were facilitated by mental health nursing and clinical psychology academic staff and clinicians. Activities included creative group work and problem-based learning. Seven sessions were delivered across over a 2 year period. Findings - Qualitative and quantitative data from this two year project showed an increase in positive attitudes towards professionals from each profession over a two year period, though no overall improvement. Qualitative analysis of participant comments provided more encouraging support for improvement in attitudes, within the theme areas of teamwork and collaboration, professional identity, and roles and responsibilities. Overall, the project provided important information on building positive attitudes within the mental health workforce, while identifying challenges that need to be anticipated and addressed. Originality/value - Few studies have explored IPE in mental health contexts, especially in the pre-qualification arena.
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