The impact of risk management practice upon the implementation of recovery-oriented care in community mental health services: a qualitative investigation

Holley, Jessica, Chambers, Mary and Gillard, Steve (2016) The impact of risk management practice upon the implementation of recovery-oriented care in community mental health services: a qualitative investigation. Journal of Mental Health, 25 (4). pp. 315-322. ISSN 0963-8237

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Abstract

Background: Recovery-oriented care has become guiding principle for mental health policies and practice in the UK and elsewhere. However, a pre-existing culture of risk management practice may impact upon the provision of recovery-oriented mental health services.
Aims: To explore how risk management practice impacts upon the implementation of recovery-oriented care within community mental health services.
Method: Semi-structured interviews using vignettes were conducted with 8 mental health worker and service user dyads. Grounded theory techniques were used to develop explanatory themes.
Results: Four themes arose: 1) recovery and positive risk taking; 2) competing frameworks of practice; 3) a hybrid of risk and recovery; 4) real-life recovery in the context of risk.
Discussion: In abstract responses to the vignettes, mental health workers described how they would use a positive risk taking approach in support of recovery. In practice, this was restricted by a risk-averse culture embedded within services. Mental health workers set conditions with which service users complied to gain some responsibility for recovery.
Conclusion: A lack of strategic guidance at policy level and lack of support and guidance at practice level may result in resistance to implementing ROC in the context of RMP. Recommendations are made for policy, training and future research.

Item Type: Article
Additional Information: Published online: 24 Dec 2015
Keywords (uncontrolled): Recovery-oriented care; risk management practice, qualitative research.
Research Areas: A. > School of Health and Education > Mental Health, Social Work and Interprofessional Learning
Item ID: 18573
Notes on copyright: This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Mental Health on 24/12/2015, available online: http://www.tandfonline.com/10.3109/09638237.2015.1124402
Depositing User: Jess Holley
Date Deposited: 15 Dec 2015 10:53
Last Modified: 31 May 2019 05:13
URI: https://eprints.mdx.ac.uk/id/eprint/18573

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