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A conceptual framework for personal recovery in mental health. Mary Leamy Programme Co-ordinator, REFOCUS study, Institute of Psychiatry, King’s College, London on behalf of REFOCUS team Victoria Bird, Clair le Boutillier, Julie Williams and Mike Slade. Overview.
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Programme Co-ordinator, REFOCUS study,
Institute of Psychiatry, King’s College, London
on behalf of REFOCUS team
Victoria Bird, Clair le Boutillier, Julie Williams and Mike Slade
1. What is personal recovery and why is a conceptual framework needed?
2. Systematic review and narrative synthesis
4. Conceptual framework of personal recovery
5. What next for REFOCUS study?
A deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills and roles. It is a way of living a satisfying, hopeful and contributing life even with limitations caused by the illness.
Recovery involves the development of new meaning and purpose in one’s life as one grows beyond the catastrophic effects of mental illness.
Anthony WA (1993) Recovery from mental illness:
the guiding vision of the mental health service system in the 1990s,
Psychosocial Rehabilitation Journal, 16, 11-23.
A recovery orientation is mental health policy in most English speaking countries.
Key knowledge gaps have been identified:
Need for conceptual clarity about the underpinning philosophy of recovery
Better understanding of the stages and processes of recovery
Valid measurement tools
Current approaches based on qualitative research or consensus methods, no systematic review has been undertaken
Need a conceptual framework to provide an empirical basis for recovery-oriented research and practice.
(a) studies solely focussing upon clinical recovery;
(b) studies involving modelling of predictors of clinical recovery;
(c) studies defining remission criteria or recovery from substance misuse, addiction or eating disorders; and
(d) dissertations and doctoral theses
12 bibliographic databases + web-based and hand searching
5208 papers identified
819 papers abstracts reviewed
376 full papers retrieved
97 papers included
Papers quality rated
A modified narrative synthesis approach was used (Popay et al. 2006)
Develop a preliminary synthesis
Explore relationships within and between studies
Assess the robustness of the synthesis
Support from Others
Rebuilding of Life
Quality of Life
Control over Life
Meaning of Mental Illness Experiences
Focussing on Strengths
Further information: Leamy et al. A conceptual framework for personal recovery in mental health: systematic review and narrative synthesis, British Journal of Psychiatry.
(accepted on 18.8.10)