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What in-patients want: a qualitative study of what's important to mental health service users in their recovery (Wayfinder Partnership)

Joanna Bredski (Consultant Psychiatrist, General Adult Psychiatry, Queen Margaret Hospital, Dunfermline, UK)
Kirsty Forsyth (Professor & Academic Lead (Wayfinder Partnership), School of Health Sciences, Queen Margaret University, Edinburgh, UK)
Debbie Mountain (Consultant Psychiatrist & Clinical Lead (Wayfinder Partnership), Rehabilitation Service, Royal Edinburgh Hospital, Edinburgh, UK)
Michele Harrison (Lead Research Practitioner (Wayfinder Partnership), School of Health Sciences, Queen Margaret University, Edinburgh, UK)
Linda Irvine (Strategic Programme Manager & Mental Health and Wellbeing Facilitator (Wayfinder Partnership), School of Health Sciences, Queen Margaret University, Edinburgh, UK)
Donald Maciver (Reader, School of Health Sciences, Queen Margaret University, Edinburgh, UK)

Mental Health Review Journal

ISSN: 1361-9322

Article publication date: 9 March 2015

Abstract

Purpose

The purpose of this paper is to present a qualitative analysis of the facilitators of recovery in in-patient psychiatric rehabilitation from the service users’ perspective.

Design/methodology/approach

Interviews with 31 in-patients were coded and analysed thematically at an interpretive level using an inductive approach.

Findings

The dominant themes identified were hope, agency, relationships and opportunity. Totally, 20 subthemes were identified. Agency was more important to men than women and agency, hope and relationships were all more important to detained patients.

Research limitations/implications

Interview data were collected in writing rather than taped. The results may not be transferrable to patient populations with significantly different demographic or service factors.

Practical implications

Services need to target interventions at the areas identified by service users as important in their recovery. The findings suggest both environmental and relational aspects of care that may optimise recovery. Services also need to be able to measure the quality of the care they provide. A brief, culturally valid and psychometrically assessed instrument for measuring the recovery orientation of services is required.

Originality/value

As far as the authors are aware no qualitative work to date has examined the recovery experiences of psychiatric rehabilitation in-patient service users in order to understand what services require to do to enable recovery from their perspective. The conceptual framework identified in this paper can be used to develop a service user self-report measure of the recovery orientation of services.

Keywords

Citation

Bredski, J., Forsyth, K., Mountain, D., Harrison, M., Irvine, L. and Maciver, D. (2015), "What in-patients want: a qualitative study of what's important to mental health service users in their recovery (Wayfinder Partnership)", Mental Health Review Journal, Vol. 20 No. 1, pp. 1-12. https://doi.org/10.1108/MHRJ-02-2014-0003

Publisher

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Emerald Group Publishing Limited

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