Implementation of recovery‐oriented practice in hospital‐based mental health services: A systematic review.

Recovery‐oriented practice has become the dominant paradigm of practice in mental health services internationally. The exception is hospital‐based mental health services where the biomedical model continues to prevail, in this context defined by high acuity and safety concerns. This review aims to i...

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Publicado en:International Journal of Mental Health Nursing Vol. 29; no. 6; pp. 1035 - 1049
Autores principales: Lorien, Leonie, Blunden, Sarah, Madsen, Wendy
Formato: research systematic review tables/charts Journal Article
Publicado: Wiley-Blackwell Dec2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2020
      vid: 29
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/inm.12794
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        atl: Implementation of recovery‐oriented practice in hospital‐based mental health services: A systematic review.
      aug:
        au:
          Lorien, Leonie
          Blunden, Sarah
          Madsen, Wendy
        affil: School of Health, Medical and Applied Sciences, CQUniversity, Rockhampton Queensland, Australia
      sug:
        subj:
          Mental Health Services
          Recovery
          Hospitals
          Implementation Science
          Inpatients
          Human
          Systematic Review
          Medline
          CINAHL Database
          Psycinfo
          Health Personnel Education
          Staff Development
      ab: Recovery‐oriented practice has become the dominant paradigm of practice in mental health services internationally. The exception is hospital‐based mental health services where the biomedical model continues to prevail, in this context defined by high acuity and safety concerns. This review aims to identify the approaches to, and feasibility of, implementing recovery‐oriented practice in hospital‐based mental health services. A systematic review of the literature (2010–2019) identified seventeen studies of recovery‐oriented practice implementation in hospital‐based mental health services. One study was excluded based on quality assessment. Of the remaining studies, seven reported on staff training initiatives, four reported service user programmes facilitated by staff, and five were implementations of models of care. The findings indicate that it is feasible, albeit challenging, to implement recovery‐oriented practice in hospital‐based mental health services. More successful approaches are multimodal, applied over several years and have organizational support. The main barriers to implementation include resistance to change from the embedded, biomedical model, staff attitudes towards recovery, and an absence of consumer involvement in the implementation of recovery‐oriented practice.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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