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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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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 |
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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 |
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