Recovery-Oriented Mental Health Practice in a Community Care Unit: An Exploratory Study

Brian McKenna, Jane Oakes, Niki Fourniotis, Nigel Toomey, Trentham Furness

Research output: Contribution to journalArticlepeer-review

24 Citations (Scopus)

Abstract

A recovery-oriented model of care has become the major focus of mental health service delivery in the state of Victoria, Australia. However, there is a total absence of knowledge of recovery-oriented mental health practice in community care units (CCUs). Therefore, the aims of this exploratory study were to: (a) describe what aspects of the current model of care fit within the domains of recovery; and (b) describe the pragmatic processes that staff use to mold their care within the domains of recovery. Twenty-one key stakeholders provided informed voluntary consent to participate in one-to-one interviews. Six content domains evolved to include: (a) a common vision: "a continuous journey"; (b) promoting hope; (c) promoting autonomy and self-determination; (d) meaningful engagement; (e) holistic and personalized care; and (f) community participation and citizenship. The CCU appeared to be on a journey of transformation toward personal recovery. However, clinicians were grappling with an identified tension among personal recovery and clinical recovery. The tension among personal recovery and clinical recovery may be attributed to the psychosocial rehabilitation model of care, which was previously systemic in Victorian CCUs.

Original languageEnglish
Pages (from-to)167-175
Number of pages9
JournalJournal of Forensic Nursing
Volume12
Issue number4
DOIs
Publication statusPublished - Oct 2016
Externally publishedYes

Keywords

  • mental illness
  • recovery-oriented practice
  • staff perspective
  • system transformation

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