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Striking the Right Balance and Supporting Social Aspirations: How Agency and Choice Play out in a Recovery-Oriented Mental Health Service

Amy Pritchard Orcid Logo, Michael Coffey Orcid Logo, Jaynie Rance Orcid Logo

Issues in Mental Health Nursing, Volume: 44, Issue: 12, Pages: 1237 - 1244

Swansea University Authors: Michael Coffey Orcid Logo, Jaynie Rance Orcid Logo

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DOI (Published version): 10.1080/01612840.2023.2260472

Abstract

Introduction: There has been an increasing drive for a transformation of the mental health system towards recovery orientation, with research identifying a series of key recovery principles. It has been argued that these principles remain rhetoric rather than routine practice, and it remains unclear...

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Published in: Issues in Mental Health Nursing
ISSN: 0161-2840 1096-4673
Published: Informa UK Limited 2023
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URI: https://cronfa.swan.ac.uk/Record/cronfa64644
first_indexed 2023-10-02T13:49:48Z
last_indexed 2024-11-25T14:14:26Z
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spelling 2024-09-17T16:20:30.1821337 v2 64644 2023-10-02 Striking the Right Balance and Supporting Social Aspirations: How Agency and Choice Play out in a Recovery-Oriented Mental Health Service 12112bd2ce15561464c98607f3a8eb0b 0000-0002-0380-4704 Michael Coffey Michael Coffey true false 14360f4993b452995fbc22db857cabf7 0000-0002-9504-0675 Jaynie Rance Jaynie Rance true false 2023-10-02 HSOC Introduction: There has been an increasing drive for a transformation of the mental health system towards recovery orientation, with research identifying a series of key recovery principles. It has been argued that these principles remain rhetoric rather than routine practice, and it remains unclear how these are operationalised and promoted within inpatient settings. Aim: To address the knowledge gap of how staff and service-users enact recovery principles during the daily workings of an inpatient mental health service. Method: Twenty-one interviews were conducted with staff and service-users at a recovery-oriented inpatient service in the United Kingdom. Data was analysed using framework analysis. Findings: Analysis of research interview data identified three subcategories grouped under the category of choice. These categories were: a delicate balancing act, acceptability of choices, and social issues impacting choice. Discussion: Staff were uncertain of their role in promoting choice, resulting in service-users feeling unsupported in their recovery. Staff had to adopt a titrated approach to social inclusion, to protect service-users from discrimination and rejection. Implications: Mental health professionals need to take a more proactive role in enabling service-users to realise their social aspirations, as well as managing any adverse impacts of stigma and discrimination. Journal Article Issues in Mental Health Nursing 44 12 1237 1244 Informa UK Limited 0161-2840 1096-4673 2 12 2023 2023-12-02 10.1080/01612840.2023.2260472 COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University Another institution paid the OA fee This research was funded by part-funded by Swansea University and part-funded by the charity organisation. 2024-09-17T16:20:30.1821337 2023-10-02T14:44:22.3183002 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health Amy Pritchard 0000-0003-2055-8098 1 Michael Coffey 0000-0002-0380-4704 2 Jaynie Rance 0000-0002-9504-0675 3 64644__28929__8f39f12b7f874745a7e394ca96377a97.pdf 64644.VOR.pdf 2023-11-06T10:26:17.1867411 Output 1217353 application/pdf Version of Record true © 2023 The Author(s). Published with license by Taylor & Francis Group, LLC. Distributed under the terms of a Creative Commons Attribution 4.0 License (CC BY 4.0). true eng https://creativecommons.org/licenses/by/4.0/
title Striking the Right Balance and Supporting Social Aspirations: How Agency and Choice Play out in a Recovery-Oriented Mental Health Service
spellingShingle Striking the Right Balance and Supporting Social Aspirations: How Agency and Choice Play out in a Recovery-Oriented Mental Health Service
Michael Coffey
Jaynie Rance
title_short Striking the Right Balance and Supporting Social Aspirations: How Agency and Choice Play out in a Recovery-Oriented Mental Health Service
title_full Striking the Right Balance and Supporting Social Aspirations: How Agency and Choice Play out in a Recovery-Oriented Mental Health Service
title_fullStr Striking the Right Balance and Supporting Social Aspirations: How Agency and Choice Play out in a Recovery-Oriented Mental Health Service
title_full_unstemmed Striking the Right Balance and Supporting Social Aspirations: How Agency and Choice Play out in a Recovery-Oriented Mental Health Service
title_sort Striking the Right Balance and Supporting Social Aspirations: How Agency and Choice Play out in a Recovery-Oriented Mental Health Service
author_id_str_mv 12112bd2ce15561464c98607f3a8eb0b
14360f4993b452995fbc22db857cabf7
author_id_fullname_str_mv 12112bd2ce15561464c98607f3a8eb0b_***_Michael Coffey
14360f4993b452995fbc22db857cabf7_***_Jaynie Rance
author Michael Coffey
Jaynie Rance
author2 Amy Pritchard
Michael Coffey
Jaynie Rance
format Journal article
container_title Issues in Mental Health Nursing
container_volume 44
container_issue 12
container_start_page 1237
publishDate 2023
institution Swansea University
issn 0161-2840
1096-4673
doi_str_mv 10.1080/01612840.2023.2260472
publisher Informa UK Limited
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
document_store_str 1
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description Introduction: There has been an increasing drive for a transformation of the mental health system towards recovery orientation, with research identifying a series of key recovery principles. It has been argued that these principles remain rhetoric rather than routine practice, and it remains unclear how these are operationalised and promoted within inpatient settings. Aim: To address the knowledge gap of how staff and service-users enact recovery principles during the daily workings of an inpatient mental health service. Method: Twenty-one interviews were conducted with staff and service-users at a recovery-oriented inpatient service in the United Kingdom. Data was analysed using framework analysis. Findings: Analysis of research interview data identified three subcategories grouped under the category of choice. These categories were: a delicate balancing act, acceptability of choices, and social issues impacting choice. Discussion: Staff were uncertain of their role in promoting choice, resulting in service-users feeling unsupported in their recovery. Staff had to adopt a titrated approach to social inclusion, to protect service-users from discrimination and rejection. Implications: Mental health professionals need to take a more proactive role in enabling service-users to realise their social aspirations, as well as managing any adverse impacts of stigma and discrimination.
published_date 2023-12-02T08:25:04Z
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