Making Sense of It All: Consumer Providers' Theories about Factors Facilitating and Impeding Recovery from Psychiatric Disabilities.

St. Louis University, School of Social Service, St. Louis, MO 63139, USA.
Psychiatric Rehabilitation Journal (Impact Factor: 1.16). 02/2005; 29(1):48-55. DOI: 10.2975/29.2005.48.55
Source: PubMed

ABSTRACT This qualitative study examined the accounts of fifteen adults regarding how they recovered from serious psychiatric disability. Interviews were analyzed using a grounded theory approach within a framework of Symbolic Interactionism. Recovery was identified as a dynamic process of personal growth and transformation. Barriers to recovery included paternalistic and coercive treatment systems, indifferent professionals, side effects from medication, and psychiatric symptoms. The existence of supportive relationships, meaningful activities and effective traditional and alternative treatments were identified as influential in facilitating recovery. The consumer providers who participated in this study provided important findings and fresh understanding about the recovery process.

Download full-text


Available from: Hal A Lawson, Sep 25, 2015
1 Follower
64 Reads
  • Source
    • "Similarly, the external process involving living life and/or contributing to community were reflective of Anthony's definition (1993, p. 15) that ' … [recovery is] a way of living a satisfying, hopeful, and contributing life … .' Moreover, consumers in many other studies valued similar views, such as the ability to engage in meaningful activities as an important aspect of recovering from mental illness (Browne et al., 2008; Drake et al., 2006; Katsakou et al., 2012; Mancini et al., 2005; Siu et al., 2012). Similar to this study many consumers in various other studies (Borg & Davidson, 2008; Drake et al., 2006; Lakeman, 2010; Ng et al., 2008; Piat et al., 2009; Ridge & Ziebland, 2006) identified recovery as getting rid of symptoms or going back to the pre-illness state. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Abstract Background Mental health recovery is a prominent topic of discussion in the global mental health settings. The concept of mental health recovery brought about a major shift in the traditional philosophical views of many mental health systems. Aim The purpose of this article is to outline the results of a qualitative study on mental health recovery, which involved mental health consumers, carers and mental health nurses from an Area Mental Health Service in Victoria, Australia. This paper is part one of the results that explored the meaning of recovery. Methods The study used van Manen's hermeneutic phenomenology to analyse the data. Findings Themes suggested that the cohort had varying views on recovery that were similar and dissimilar. The similar views were categorised under two processes involving the self, an internal process and an external process. These two processes involved reclaiming various aspects of oneself, living life, cure or absence of symptoms and contribution to community. The dissimilar views involved returning to pre-illness state and recovery was impossible. Conclusion This study highlights the need for placing importance to the person's sense of self in the recovery process.
    Contemporary nurse: a journal for the Australian nursing profession 09/2014; 50(1):4588-4613. DOI:10.5172/conu.2014.4588 · 0.65 Impact Factor
  • Source
    • "Our findings about the recovery benefits and mechanisms contributed to the development of a conceptual model that depicts their interconnectedness. The findings of this study are consistent with benefits reported in previous qualitative studies of mental health peer providers (Mancini et al., 2005; Mowbray et al., 1998; Salzer & Shear, 2002), as well as with some of the benefits associated with other employment avenues pursued by individuals with psychiatric illnesses (Mueser et al., 1997). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Providing peer support to individuals with psychiatric disabilities has emerged as a promising modality of mental health services. These services are delivered by individuals who experience mental illnesses themselves. The purpose of this study was to explore how working as a peer provider can enhance personal recovery. The study was conducted with 31 peer providers employed in a variety of mental health agencies. Data were collected through face-to-face semistructured interviews and analyzed using a grounded theory approach. Qualitative analysis revealed a wide range of recovery benefits for the peer providers. The benefits span across five wellness domains: foundational, emotional, spiritual, social, and occupational. In addition, analysis revealed five role-related and five work-environment-related mechanisms of beneficial impact. The role of sharing one's personal story is highlighted as contributing to positively reauthoring one's self-narrative. Implications for peer training, job development, and workplace supports are discussed.
    Qualitative Health Research 09/2011; 22(3):304-19. DOI:10.1177/1049732311420578 · 2.19 Impact Factor
  • Source
    • "A central tenet of harm reduction and for recovery-oriented services is that Harm Reduction in Community Mental Health 139 service relationships should be predicated on a model of shared decision making and citizenship (Davidson, Rowe, Tondora, & O'Connell, 2008; Marlatt, 1998). Service relationships that are paternalistic and judgmental will alienate clients and lead to resistance and eventual disengagement (Allman et al., 2007; Mancini, Hardiman, & Lawson, 2005). A common dilemma faced by the community mental health practitioners in our study is helping service users effectively negotiate the negative social, legal, and physical consequences of their continued substance use. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Harm reduction is a conceptual framework and set of practices that focus on the minimization of the physical, social, and legal harms substance users do to themselves and to society as a whole. Its application to community mental health settings is relatively new, and can create controversies and ethical dilemmas if not properly designed, implemented, and evaluated. Building on the harm reduction literature, the community mental health literature, and the authors' experiences with a community mental health program that uses a harm reduction approach, the authors offer five guidelines for its successful implementation. The authors conclude that when properly integrated with other recovery-based services, and when appropriately applied to the individual client's stage of change, harm reduction can effectively be used, and should be used, in community mental health settings with clients with co-occurring substance use and psychiatric disorders.
    Journal of Social Work in Disability & Rehabilitation 08/2010; 9(2):130-47. DOI:10.1080/1536710X.2010.493481
Show more