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International differences in understanding recovery: systematic review

Part of: Special Articles

Published online by Cambridge University Press:  15 March 2012

M. Slade ,
M. Leamy ,
F. Bacon ,
M. Janosik ,
C. Le Boutillier ,
J. Williams  and
V. Bird
M. Slade*
Affiliation:
King's College London, Health Service and Population Research Department, Institute of Psychiatry, London, UK
M. Leamy
Affiliation:
King's College London, Health Service and Population Research Department, Institute of Psychiatry, London, UK
F. Bacon
Affiliation:
King's College London, Health Service and Population Research Department, Institute of Psychiatry, London, UK
M. Janosik
Affiliation:
King's College London, Health Service and Population Research Department, Institute of Psychiatry, London, UK
C. Le Boutillier
Affiliation:
King's College London, Health Service and Population Research Department, Institute of Psychiatry, London, UK
J. Williams
Affiliation:
King's College London, Health Service and Population Research Department, Institute of Psychiatry, London, UK
V. Bird
Affiliation:
King's College London, Health Service and Population Research Department, Institute of Psychiatry, London, UK
*
*Address for correspondence: Dr Mike Slade, Reader in Health Services Research, Health Service and Population Research Department (Box P029), Institute of Psychiatry, King's College London, De Crespigny Park, Denmark Hill, London SE5 8AF, UK. (Email: m.slade@iop.kcl.ac.uk)
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Abstract

Aims.

Mental health policy internationally varies in its support for recovery. The aims of this study were to validate an existing conceptual framework and then characterise by country the distribution, scientific foundations and emphasis in published recovery conceptualisations.

Methods.

Update and modification of a previously published systematic review and narrative synthesis of recovery conceptualisations published in English.

Results.

A total of 7431 studies were identified and 429 full papers reviewed, from which 105 conceptualisations in 115 papers were included and quality assessed using established rating scales. Recovery conceptualisations were identified from 11 individual countries, with 95 (91%) published in English-speaking countries, primarily the USA (47%) and the UK (25%). The scientific foundation was primarily qualitative research (53%), non-systematic literature reviews (24%) and position papers (12%). The conceptual framework was validated with the 18 new papers. Across the different countries, there was a relatively similar distribution of codings for each of five key recovery processes.

Conclusions.

Recovery as currently conceptualised in English-language publications is primarily based on qualitative studies and position papers from English-speaking countries. The conceptual framework was valid, but the development of recovery conceptualisations using a broader range of research designs within other cultures and non-majority populations is a research priority.

Keywords

Recoverysystematic reviewconceptual framework
Type
Special Article
Information
Epidemiology and Psychiatric Sciences , Volume 21 , Issue 4 , December 2012 , pp. 353 - 364
Copyright
Copyright © Cambridge University Press 2012

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References

Adams, N, Grieder, DM (2005). Treatment Planning for Person-Centered Care. Elsevier: Burlington, MA.Google Scholar
Amering, M, Schmolke, M (2007). Recovery. Das Ende der Unheilbarkeit. Psychiatrie-Verlag: Bonn.Google Scholar
Andresen, R, Oades, L, Caputi, P (2011). Psychological Recovery: Beyond Mental Illness. John Wiley: London.Google Scholar
Anthony, WA (1993). Recovery from mental illness: the guiding vision of the mental health system in the 1990s. Innovations and Research 2, 17–24.Google Scholar
Arvidsson, H (2011). Recovered or dead? A Swedish study of 321 persons surveyed as severely mentally ill in 1995/96 but not so ten years later. Epidemiology and Psychiatric Sciences 20, 55–63.Google Scholar
Asmundsdottir, EE (2009). Creation of new services: collaboration between mental health consumers and occupational therapists. Occupational Therapy in Mental Health 25, 115–126.CrossRefGoogle Scholar
Barbic, S, Krupa, T, Armstrong, I (2009). A randomized controlled trial of the effectiveness of a modified recovery workbook program: preliminary findings. Psychiatric Services 60, 491–497.CrossRefGoogle ScholarPubMed
Bellack, A (2006). Scientific and consumer models of recovery in schizophrenia: concordance, contrasts, and implications. Schizophrenia Bulletin 32, 432–442.CrossRefGoogle ScholarPubMed
Bird, V, Leamy, M, Le Boutillier, C, Williams, J, Slade, M (2011). REFOCUS: Promoting Recovery in Community Mental Health Services. Rethink (researchintorecovery.com/refocus): London.Google Scholar
Boyle, D, Harris, M (2009). The Challenge of Co-production. New Economics Foundation: London.Google Scholar
Care Services Improvement Partnership, RCoP, Social Care Institute for Excellence (2007). A Common Purpose: Recovery in Future Mental Health Services. CSIP: Leeds.Google Scholar
Clark, J (2003). How to peer review a qualitative manuscript. In Peer Review in Health Sciences (ed. Godlee, F and Jefferson, T), pp. 219–235. BMJ Books: London.Google Scholar
Clarke, SP, Oades, LG, Crowe, T, Deane, F (2006). Collaborative goal technology: theory and practice. Psychiatric Rehabilitation Journal 30, 129–136.Google Scholar
Compagni, A, Adams, N, Daniels, A (2007). International Pathways to Mental Health System Transformation: Strategies and Challenges. California Institute for Mental Health: California.Google Scholar
Cross, T, Earle, K, Echo-Hawk-Solie, H, Manness, K (2000). Cultural strengths and challenges in implementing a system of care model in American Indian communities. Systems of Care: Promising Practices in Children's Mental Health, 2000 Series, 1, 8–14.Google Scholar
Davidson, L, Miller, R, Flanagan, E (2008a). What's in it for me? The utility of psychiatric treatments from the perspective of the person in recovery. Epidemiologia e Psichiatria Sociale 17, 177–181.Google Scholar
Davidson, L, Schmutte, T, Dinzeo, T, Andres-Hyman, R (2008b). Remission and recovery in schizophrenia: practitioner and patient perspectives. Schizophrenia Bulletin 34, 5–8.Google Scholar
Davidson, L, Tondora, J, Lawless, MS, O'Connell, M, Rowe, M (2009). A Practical Guide to Recovery-Oriented Practice Tools for Transforming Mental Health Care. Oxford University Press: Oxford.Google Scholar
Davidson, L, Rakfeldt, J, Strauss, J (2010a). The Roots of the Recovery Movement in Psychiatry. Wiley-Blackwell: Chichester.Google Scholar
Davidson, L, Roe, D, Andres-Hyman, R, Ridgway, P (2010b). Applying stages of change models to recovery from serious mental illness: contributions and limitations. Israel Journal of Psychiatry and Related Sciences 47, 2010–2221.Google Scholar
Department of Health (2011). Framework for Recovery-oriented Practice. Mental Health, Drugs and Regions Division: Melbourne.Google Scholar
Dilks, S, Tasker, F, Wren, B (2010). Managing the impact of psychosis: a grounded theory exploration of recovery processes in psychosis. British Journal of Clinical Psychology 49, 1–107.Google Scholar
Doughty, C, Tse, S (2005). The Effectiveness of Service User-run or Service User-led Mental Health Services for People with Mental Illness: A Systematic Literature Review. Mental Health Commission: Wellington.Google Scholar
EPHPP (1998). Effective Public Health Practice Project. http://www.ephpp.ca/index.html.Google Scholar
Flood, J (1991). Archaeology of the Dreamtime: The Story of Prehistoric Australia and Its People. Collins: Sydney.Google Scholar
Green, T, Batson, A, Gudjonsson, G (2011). The development and initial validation of a service-user led measure for recovery of mentally disordered offenders. Journal of Forensic Psychiatry and Psychology 22, 252–265.CrossRefGoogle Scholar
Greenfield, TK, Stoneking, BC, Humphreys, K, Sundby, E, Bond, J (2008). A randomized trial of a mental health consumer-managed alternative to civil commitment for acute psychiatric crisis. American Journal of Community Psychology 42, 135–144.Google Scholar
Holm, AL, Severinsson, E (2011). Struggling to recover by changing suicidal behaviour: narratives from women with borderline personality disorder. International Journal of Mental Health Nursing 20, 165–173.CrossRefGoogle ScholarPubMed
Kartalova-O'Doherty, Y, Tedstone Doherty, D (2010). Recovering from recurrent mental health problems: giving up and fighting to get better. International Journal of Mental Health Nursing 19, 3–15.Google Scholar
Kelly, M, Lamont, S, Brunero, S (2010). An occupational perspective of the recovery journey in mental health. British Journal of Occupational Therapy 73, 129–135.CrossRefGoogle Scholar
Kogstad, RE, Ekeland, TJ, Hummelvoll, JK (2011). In defence of a humanistic approach to mental health care: recovery processes investigated with the help of clients' narratives on turning points and processes of gradual change. Journal of Psychiatric and Mental Health Nursing 18, 479–486.Google Scholar
Lapsley, H, Nikora, LW, Black, R (2002). Kia Mauri Tau! Narratives of Recovery from Disabling Mental Health Problems. Mental Health Commission: Wellington.Google Scholar
Le Boutillier, C, Leamy, M, Bird, VJ, Davidson, L, Williams, J, Slade, M (2011). What does recovery mean in practice? A qualitative analysis of international recovery-oriented practice guidance. Psychiatric Services 62, 1470–1476.CrossRefGoogle ScholarPubMed
Leamy, M, Bird, V, Le Boutillier, C, Williams, J, Slade, M (2011). A conceptual framework for personal recovery in mental health: systematic review and narrative synthesis. British Journal of Psychiatry 199, 445–452.CrossRefGoogle ScholarPubMed
Libermann, RP, Kopelowicz, A (2002). Recovery from schizophrenia: a challenge for the 21st century. International Review of Psychiatry 14, 242–255.CrossRefGoogle Scholar
Mansell, W, Powell, S, Pedley, R, Thomas, N, Jones, SA (2010). The process of recovery from bipolar 1 disorder: a qualitative analysis of personal accounts in relation to an integrative cognitive model. British Journal of Clinical Psychology 49, 193–216.Google Scholar
Mead, S (2005). Intentional Peer Support: An Alternative Approach. Shery Mead Consulting: Plainfield, NH.Google Scholar
Mental Health ‘Recovery’ Study Working Group (2009). Mental Health ‘Recovery’: Users and Refusers. Wellesley Institute: Toronto.Google Scholar
Mezey, GC, Kavuma, M, Turton, P, Demetriou, A, Wright, C (2010). Perceptions, experiences and meanings of recovery in forensic psychiatric patients. Journal of Forensic Psychiatry and Psychology 21, 2010–2696.CrossRefGoogle Scholar
Mind (2008). Life and Times of a Supermodel. The Recovery Paradigm for Mental Health. Mind: London.Google Scholar
National Institute for Health and Clinical Excellence (2009). The Guidelines Manual. National Institute for Health and Clinical Excellence: London.Google Scholar
Noiseux, S, Tribble St-Cyr, D, Corin, E, St-Hilaire, PL, Morissette, R, Leclerc, C, Fleury, D, Vigneault, L, Gagnier, F (2010). The process of recovery of people with mental illness: the perspectives of patients, family members and care providers: part 1. BMC Health Services Research 10, 161.CrossRefGoogle ScholarPubMed
Oades, L, Deane, F, Crowe, T, Lambert, WG, Kavanagh, D, Lloyd, C (2005). Collaborative recovery: an integrative model for working with individuals who experience chronic and recurring mental illness. Australasian Psychiatry 13, 279–284.Google ScholarPubMed
O'Hagan, M (2004). Recovery in New Zealand: lessons from Australia? Australian e-journal for the Advancement of Mental Health 3 (http://www.auseinet.com/journal/vol3iss1/ohaganeditorial.pdf).Google Scholar
Onken, SJ, Craig, CM, Ridgway, P, Ralph, RO, Cook, JA (2007). An analysis of the definitions and elements of recovery: a review of the literature. Psychiatric Rehabilitation Journal 31, 9–22.CrossRefGoogle ScholarPubMed
Poloni, N, Callegari, C, Buzzi, A, Aletti, F, Beranzini, F, Vecchi, F, Vender, S (2010). [The Italian version of ISOS and RSQ, two suitable scales for investigating recovery style from psychosis]. Validazione della versione italiana delle Scale ISOS e RSQ per lo studio del recovery style nei disturbi psicotici. Epidemiologia e Psichiatria Sociale 19, 352–359.Google Scholar
Popay, J, Roberts, H, Sowden, A, Petticrew, M, Arai, L, Rodgers, M, Britten, N, Roen, K, Duffy, S (2006). Guidance on the Conduct of Narrative Synthesis in Systematic Reviews. Results of an ESRC Funded Research Project (Unpublished Report). University of Lancaster: Lancaster.Google Scholar
Prochaska, JO, Di Clemente, CC (1982). Transtheoretical therapy: toward a more integrative model of change. Psychotherapy: Theory, Research and Practice 19, 276–288.Google Scholar
Ralph, RO (2000). Recovery. Psychiatric Rehabilitation Skills 4, 480–517.Google Scholar
Ralph, RO (2005). Verbal definitions and visual models of recovery: focus on the recovery model. In Recovery in Mental Illness. Broadening Our Understanding of Wellness (ed. Ralph, RO and Corrigan, PW), pp. 131–145. American Psychological Association: Washington, DC.Google Scholar
Ramon, S, Healy, B, Renouf, N (2007). Recovery from Mental Illness as an Emergent Concept and Practice in Australia and the UK. International Journal of Social Psychiatry 53, 108–122.Google Scholar
Rapp, C, Goscha, RJ (2006). The Strengths Model: Case Management With People With Psychiatric Disabilities. 2nd edn.Oxford University Press: New York.Google Scholar
Resnick, SG, Rosenheck, RA (2006). Recovery and positive psychology: Parallel themes and potential synergies. Psychiatric Services 57, 120–122.CrossRefGoogle ScholarPubMed
Romano, DM, McCay, E, Goering, P, Boydell, K, Zipursky, R (2010). Reshaping an enduring sense of self: the process of recovery from a first episode of schizophrenia. Early Intervention in Psychiatry 4, 243–250.Google Scholar
Romme, M, Escher, S, Dillon, J, Corstens, D, Morris, M (2009). Living with Voices: 50 Stories of Recovery. PCCS: Ross-on-Wye.Google Scholar
Schön, U (2010). Recovery from severe mental illness, a gender perspective. Scandinavian Journal of Caring Sciences 24, 557–564.Google Scholar
Schrank, B, Slade, M (2007). Recovery in psychiatry. Psychiatric Bulletin 31, 321–325.Google Scholar
Secker, J, Membrey, H, Grove, B, Seebohm, P (2002). Recovering from Illness or recovering your life? Implications of clinical versus social models of recovery from mental health problems for employment support services. Disability and Society 17, 403–418.Google Scholar
Semisa, D, Casacchia, M, Di Munzio, W, Neri, G, Buscaglia, G, Burti, L, Pucci, C, Corlito, G, Bacigalupi, M, Parravani, R, Roncone, R, Cristofalo, D, Lora, A, Ruggeri, M, Gruppo, S-DS, Asioli, F, Balbi, A, Buscaglia, C, Carra, G, Erlicher, A, Lasalvia, A, Marinoni, A, Miceli, M, Morganti, C, Morosini, P, Iacchetti, D, Pegoraro, M, Scavo, V, Alderighi, M, Lorenzo, P, Lecci, F, Tanini, A, Cefali, T, Caneschi, A, Ottanelli, R, Magnani, N, Bardicchia, F, Pescosolido, R, Allevi, L, Ferrigno, J, Giusto, G, Rolando, P, Dall'Agnola, R, Bissoli, S, Cassano, AM, Ciampolillo, G, Fracchiolla, P, Lupoi, S, Visani, E, Pismataro, CP, Mari, L, Gazale, MF, Bianchi, I, Milano, MC, Amideo, F, Basile, F, Santelia, S, Vanetti, M, Carnevale, L, Debernardi, C, Fiorica, L, Pollice, R, Cavicchio, A, Pioli, R, Cicolella, G, Riva, E, Pismataro, CP, Leng, G, Levav, I, Losavio, T, Maj, M, Pilling, S, Saxena, S, Tansella, M (2008). [Promoting recovery of schizophrenic patients: discrepancy between routine practice and evidence. The SIEP-DIRECT'S Project]. Promuovere il recupero dei pazienti con schizofrenia: discrepanze fra pratiche di routine ed evidenze. Il Progetto SIEP-DIRECT'S. Epidemiologia e Psichiatria Sociale 17, 331–348.Google Scholar
Slade, M (2009a). 100 Ways to Support Recovery. Rethink (rethink.org/100ways): London.Google Scholar
Slade, M (2009b). The contribution of mental health services to recovery. Journal of Mental Health 18, 367–371.Google Scholar
Slade, M (2009c). Personal Recovery and Mental Illness. A Guide for Mental Health Professionals. Cambridge University Press: Cambridge.Google Scholar
Slade, M (2010a). Measuring recovery in mental health services. Israel Journal of Psychiatry and Related Sciences 47, 206–212.Google Scholar
Slade, M (2010b). Mental illness and well-being: the central importance of positive psychology and recovery approaches. BMC Health Services Research 10, 26.Google Scholar
Slade, M, Hayward, M (2007). Recovery, psychosis and psychiatry: research is better than rhetoric. Acta Psychiatrica Scandinavica 116, 81–83.Google Scholar
Slade, M, Amering, M, Oades, L (2008). Recovery: an international perspective. Epidemiologia e Psichiatria Sociale 17, 128–137.CrossRefGoogle ScholarPubMed
Slade, M, Bird, V, Chandler, R, Fox, J, Larsen, J, Tew, J, Leamy, M (2010). The contribution of advisory committees and public involvement to large studies: case study. BMC Health Services Research 10, 323.Google Scholar
Slade, M, Bird, V, Le Boutillier, C, Williams, J, McCrone, P, Leamy, M (2011). REFOCUS Trial: protocol for a cluster randomised controlled trial of a pro-recovery intervention within community based mental health teams. BMC Psychiatry 11, 185.Google Scholar
Slade, M, Adams, N, O'Hagan, M (2012). Recovery: past progress and future challenges. International Review of Psychiatry 24, 1–4.Google Scholar
Song, LY, Shih, CY (2009). Factors, process and outcome of recovery from psychiatric disability the utility model. International Journal of Social Psychiatry 55, 348–360.Google Scholar
South London and Maudsley NHS Foundation Trust (2010). Social Inclusion and Recovery (SIR) Strategy 2010–2015. SLAM: London.Google Scholar
Stickley, T, Wright, N (2011a). The British research evidence for recovery, papers published between 2006 and 2009 (inclusive). Part One: a review of the peer-reviewed literature using a systematic approach. Journal of Psychiatric and Mental Health Nursing 18, 247–256.CrossRefGoogle Scholar
Stickley, T, Wright, N (2011b). The British research evidence for recovery, papers published between 2006 and 2009 (inclusive). Part Two: a review of the grey literature including book chapters and policy documents. Journal of Psychiatric and Mental Health Nursing 18, 297–307.Google Scholar
Sung, KM, Kim, S, Puskar, KR, Kim, E (2006). Comparing life experiences of college students with differing courses of schizophrenia in Korea: case studies. Perspectives in Psychiatric Care 42, 82–94.Google Scholar
Tse, S, Cheung, E, Kan, A, Ng, R, Yau, S (2012). Recovery in Hong Kong: Service user participation in mental health services. International Review of Psychiatry 24, 40–47.Google Scholar
Turton, P, Demetriou, A, Boland, W, Gillard, S, Kavuma, M, Mezey, G, Mountford, V, Turner, K, White, S, Zadeh, E, Wright, C (2011). One size fits all: or horses for courses? Recovery-based care in specialist mental health services. Social Psychiatry and Psychiatric Epidemiology 46, 127–136.Google Scholar
Vogel-Scibilia, SE, McNulty, KC, Baxter, B, Miller, S, Dine, M, Frese III, FJ (2009). The recovery process utilizing Erikson's stages of human development. Community Mental Health Journal 45, 405–414.Google Scholar
Wood, L, Price, J, Morrison, A, Haddock, G (2010). Conceptualisation of recovery from psychosis: A service-user perspective. Psychiatrist 34, 465–470.CrossRefGoogle Scholar