Smith, P, Simpson, L and Madill, A orcid.org/0000-0002-9406-507X (2021) Service user experiences of a novel in-reach rehabilitation and recovery service for people with profound and enduring mental health needs. International Journal of Mental Health Nursing, 30 (5). pp. 1106-1116. ISSN 1445-8330
Abstract
This article provides an organizational case study using exploratory qualitative and visual research methods. We address the research question: What are the experiences of service users who use a novel in-reach rehabilitation and recovery service for people with severe and enduring mental health needs? Fifteen purposefully sampled service users were recruited from across a Service that is novel in embedding community sectors within inpatient provision. The sample reflects approximately the demographic of the Service and comprises: 10 men, 5 women; 12 white British, 3 ethnic minority; aged 18–60 years; and across inpatient care and supported community living. Photo-elicitation was used to enrich data collection through lightly structured interviews focused on the images brought by participants. Interview transcripts were analysed using interpretative phenomenological analysis. Analysis indicates that participants oriented towards four ‘meta-questions’: What does mental well-being mean to you? What difficulties have you encountered? What do you appreciate about the Service? What do you need for change to occur? We also identified six themes which told the story of a journey. The journey begins with challenge and moves towards making connections with others. Here, power dynamics are often experienced and addressed in the development of a greater sense of independence. This then provides opportunities for raised awareness around possibilities of recovery and a new-found hope. Our three main conclusions are all relevant to clinical practice: service users (a) place great importance on building relationships; (b) aspire to make informed choices throughout their recovery journey; and (c) desire greater transparency regarding treatment options.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2021 The Authors. International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. |
Keywords: | Interpretative Phenomenological Analysis; Mental Health Services; Photo-elicitation; Psychosis; Recovery-orientated Care |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Psychology (Leeds) |
Funding Information: | Funder Grant number Leeds & York Partnership NHS Foundation Trust N/A |
Depositing User: | Symplectic Publications |
Date Deposited: | 05 Mar 2021 15:54 |
Last Modified: | 25 Jun 2023 22:36 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1111/inm.12861 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:171777 |