Cargando…

Implementation of the Recovery Guide in inpatient mental health services in Sweden—A process evaluation study

BACKGROUND: Involving service users in inpatient care and recovery planning has gained interest worldwide. Our purpose was to evaluate the process of implementation of a coproduced Recovery Guide (RG) intervention in 22 inpatient wards in Sweden, in terms of context, implementation process and mecha...

Descripción completa

Detalles Bibliográficos
Autores principales: Bejerholm, Ulrika, Allaskog, Conny, Andersson, Jessica, Nordström, Linda, Roe, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9327815/
https://www.ncbi.nlm.nih.gov/pubmed/35340092
http://dx.doi.org/10.1111/hex.13480
_version_ 1784757581899628544
author Bejerholm, Ulrika
Allaskog, Conny
Andersson, Jessica
Nordström, Linda
Roe, David
author_facet Bejerholm, Ulrika
Allaskog, Conny
Andersson, Jessica
Nordström, Linda
Roe, David
author_sort Bejerholm, Ulrika
collection PubMed
description BACKGROUND: Involving service users in inpatient care and recovery planning has gained interest worldwide. Our purpose was to evaluate the process of implementation of a coproduced Recovery Guide (RG) intervention in 22 inpatient wards in Sweden, in terms of context, implementation process and mechanisms of impact over 12 months. METHODS: A mixed method design and a process evaluation framework were used to guide data collection and to deductively analyze perspectives and descriptive statistics of delivery from three stakeholder groups. RESULTS: Results showed that although initial contextual barriers were present (e.g., lack of resources, and interest, uncertainty in the organization, a dominant illness perspective), it was possible to implement the RG in 14 wards, where 53% of admitted service users received the intervention. Legitimacy of the intervention, engaged managers and staff, capacity of staff and ward organization, coproduction and continuous support from user organization were critical mediators. Mechanisms of impact concerned (1) a new perspective on mental health, well‐being and recovery, (2) capacity building of a recovery approach in inpatient settings and (3) a meaningful outlet for users' thoughts and feelings on recovery, sharing narratives and influencing care and goals. CONCLUSIONS: The RG intervention has the potential to promote a recovery approach in inpatient mental health services (MHSs). Coproduction among stakeholders created trust and a sustainable implementation that made it possible for wards to resume implementation when contextual barriers had been resolved. PATIENT AND PUBLIC CONTRIBUTION: The current study involved stakeholders including a service user organization, the public, first‐line managers and staff (including peer support workers) in inpatient and community MHS and researchers, who greatly contributed to the implementation programme, including codesign of the RG intervention as well as coproduction of the implementation in inpatient MHS. All authors have their own lived experiences of mental health problems as a service user or as a relative.
format Online
Article
Text
id pubmed-9327815
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-93278152022-08-01 Implementation of the Recovery Guide in inpatient mental health services in Sweden—A process evaluation study Bejerholm, Ulrika Allaskog, Conny Andersson, Jessica Nordström, Linda Roe, David Health Expect Original Articles BACKGROUND: Involving service users in inpatient care and recovery planning has gained interest worldwide. Our purpose was to evaluate the process of implementation of a coproduced Recovery Guide (RG) intervention in 22 inpatient wards in Sweden, in terms of context, implementation process and mechanisms of impact over 12 months. METHODS: A mixed method design and a process evaluation framework were used to guide data collection and to deductively analyze perspectives and descriptive statistics of delivery from three stakeholder groups. RESULTS: Results showed that although initial contextual barriers were present (e.g., lack of resources, and interest, uncertainty in the organization, a dominant illness perspective), it was possible to implement the RG in 14 wards, where 53% of admitted service users received the intervention. Legitimacy of the intervention, engaged managers and staff, capacity of staff and ward organization, coproduction and continuous support from user organization were critical mediators. Mechanisms of impact concerned (1) a new perspective on mental health, well‐being and recovery, (2) capacity building of a recovery approach in inpatient settings and (3) a meaningful outlet for users' thoughts and feelings on recovery, sharing narratives and influencing care and goals. CONCLUSIONS: The RG intervention has the potential to promote a recovery approach in inpatient mental health services (MHSs). Coproduction among stakeholders created trust and a sustainable implementation that made it possible for wards to resume implementation when contextual barriers had been resolved. PATIENT AND PUBLIC CONTRIBUTION: The current study involved stakeholders including a service user organization, the public, first‐line managers and staff (including peer support workers) in inpatient and community MHS and researchers, who greatly contributed to the implementation programme, including codesign of the RG intervention as well as coproduction of the implementation in inpatient MHS. All authors have their own lived experiences of mental health problems as a service user or as a relative. John Wiley and Sons Inc. 2022-03-27 2022-08 /pmc/articles/PMC9327815/ /pubmed/35340092 http://dx.doi.org/10.1111/hex.13480 Text en © 2022 The Authors. Health Expectations published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Bejerholm, Ulrika
Allaskog, Conny
Andersson, Jessica
Nordström, Linda
Roe, David
Implementation of the Recovery Guide in inpatient mental health services in Sweden—A process evaluation study
title Implementation of the Recovery Guide in inpatient mental health services in Sweden—A process evaluation study
title_full Implementation of the Recovery Guide in inpatient mental health services in Sweden—A process evaluation study
title_fullStr Implementation of the Recovery Guide in inpatient mental health services in Sweden—A process evaluation study
title_full_unstemmed Implementation of the Recovery Guide in inpatient mental health services in Sweden—A process evaluation study
title_short Implementation of the Recovery Guide in inpatient mental health services in Sweden—A process evaluation study
title_sort implementation of the recovery guide in inpatient mental health services in sweden—a process evaluation study
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9327815/
https://www.ncbi.nlm.nih.gov/pubmed/35340092
http://dx.doi.org/10.1111/hex.13480
work_keys_str_mv AT bejerholmulrika implementationoftherecoveryguideininpatientmentalhealthservicesinswedenaprocessevaluationstudy
AT allaskogconny implementationoftherecoveryguideininpatientmentalhealthservicesinswedenaprocessevaluationstudy
AT anderssonjessica implementationoftherecoveryguideininpatientmentalhealthservicesinswedenaprocessevaluationstudy
AT nordstromlinda implementationoftherecoveryguideininpatientmentalhealthservicesinswedenaprocessevaluationstudy
AT roedavid implementationoftherecoveryguideininpatientmentalhealthservicesinswedenaprocessevaluationstudy