Mental Health Clinician Attitudes about Service User and Family Agency and Involvement in Recovery-Oriented Practice

Janice Chisholm (), Judy Hope, Ellie Fossey and Melissa Petrakis
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Janice Chisholm: Department of Social Work, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC 3145, Australia
Judy Hope: Mental Health and Wellbeing Program, Eastern Health, Centre for Education and Research, Melbourne, VIC 3128, Australia
Ellie Fossey: Department of Occupational Therapy, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC 3199, Australia
Melissa Petrakis: Department of Social Work, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC 3145, Australia

IJERPH, 2023, vol. 20, issue 18, 1-11

Abstract: Background: Recovery-oriented practice (ROP) is a framework focusing on recovery through hope, choice, and meaning, to live with or without enduring symptoms and challenges. Aims: To examine clinicians’ attitudes about the involvement of service users and family or supporters in ROP. Methods: A bespoke Qualtrics survey obtained views of mental health clinicians working in an Australian public mental health service about service user and family involvement in ROP, using a five-point Likert scale of agreement and free-text responses. Data were analysed with descriptive statistics and content analysis methods. Results: Two hundred and three clinicians completed the survey. Most (79%) clinicians agreed with the statement that service users want clinicians to use ROP principles, and the majority (63%) also ‘strongly believed’ that ROP made a difference to service users’ mental health outcomes. Only 15% ‘strongly agreed’ and 57% somewhat agreed with the statement that service users know what treatment is best for them, and only 20% of clinicians ‘strongly agreed’ that supporters of service users believed in and wanted ROP for their family member or friend. Future directions: This study adds to the literature on clinicians’ views about ROP and shows that although clinicians are supportive of ROP, they also express substantial ambivalence about whether service users and families know what treatment is best. For ROP implementation to be successful, workforce training needs to support clinicians to reflect on these views with service users and families, and to encourage supported decision making. Future studies should focus on changes in clinicians’ views and practice post ROP training.

Keywords: recovery-oriented practice; mental health; lived experience; families; carers; multidisciplinary clinicians; biomedical model (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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