Conceptualizations, assessments and implications of personal recovery from mental illness

A scoping review of systematic reviews and meta-analyses

J. van Weeghel, C. van Zelst, D. Boertien, I. Hasson-Ohayon

Research output: Contribution to journalReview articleScientificpeer-review

Abstract

Objective:
Recovery, defined as a personal process of living with mental illness, has become a prominent concept in mental health care. We aimed to map the state of the art of conceptualizing recovery, its promoting and impeding factors, recovery-oriented practice, and the assessment of recovery.

Method:
A scoping review of systematic reviews and meta-analyses was performed. Systematic searches were conducted, supplemented with hand-searching in reference lists.

Results:
Of 228 articles that were identified and 33 that were reviewed, a total of 25 were included. This review showed that the CHIME conceptual framework for personal recovery is widely endorsed, containing the elements of connectedness, hope and optimism, identity, meaning in life, and empowerment. Although personal recovery first and foremost starts from individual preferences, the CHIME framework should be adapted according to culture and unique population characteristics. "Difficulties and trauma" should be added, and the person's choice, risk taking, and coping with challenges should be emphasized. Barriers to recovery are stigma and negative effects of mental health services and medication. Facilitators of recovery include spirituality, personal agency, and social support. Recovery-focused interventions, in which peer providers are involved, enhance recovery, hope, and empowerment. For assessing recovery outcomes, multiple instruments are accepted as methodologically sound.

Conclusions:
Personal recovery is conceptualized as complementary to clinical recovery and represents processes rather than outcomes. Additional work is needed to bridge the gap between the concept of recovery-oriented practice and routinely provided interventions. A broad framework of recovery is needed, and more research is needed into the working mechanisms of personal recovery processes.
Original languageEnglish
Pages (from-to)169-181
JournalPsychiatric Rehabilitation Journal
Volume42
Issue number2
DOIs
Publication statusPublished - 2019

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Mental Health Services
Mental Health
Delivery of Health Care
Wounds and Injuries
Optimism

Keywords

  • CARE
  • DEFINITION
  • FRAMEWORK
  • HEALTH RECOVERY
  • INDIVIDUALS
  • META-SYNTHESIS
  • ORIENTED PRACTICES
  • PEOPLE
  • PSYCHOSIS
  • SCHIZOPHRENIA
  • personal recovery
  • recovery-oriented practice
  • scoping review
  • severe mental illness

Cite this

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title = "Conceptualizations, assessments and implications of personal recovery from mental illness: A scoping review of systematic reviews and meta-analyses",
abstract = "Objective:Recovery, defined as a personal process of living with mental illness, has become a prominent concept in mental health care. We aimed to map the state of the art of conceptualizing recovery, its promoting and impeding factors, recovery-oriented practice, and the assessment of recovery.Method:A scoping review of systematic reviews and meta-analyses was performed. Systematic searches were conducted, supplemented with hand-searching in reference lists.Results:Of 228 articles that were identified and 33 that were reviewed, a total of 25 were included. This review showed that the CHIME conceptual framework for personal recovery is widely endorsed, containing the elements of connectedness, hope and optimism, identity, meaning in life, and empowerment. Although personal recovery first and foremost starts from individual preferences, the CHIME framework should be adapted according to culture and unique population characteristics. {"}Difficulties and trauma{"} should be added, and the person's choice, risk taking, and coping with challenges should be emphasized. Barriers to recovery are stigma and negative effects of mental health services and medication. Facilitators of recovery include spirituality, personal agency, and social support. Recovery-focused interventions, in which peer providers are involved, enhance recovery, hope, and empowerment. For assessing recovery outcomes, multiple instruments are accepted as methodologically sound.Conclusions:Personal recovery is conceptualized as complementary to clinical recovery and represents processes rather than outcomes. Additional work is needed to bridge the gap between the concept of recovery-oriented practice and routinely provided interventions. A broad framework of recovery is needed, and more research is needed into the working mechanisms of personal recovery processes.",
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author = "{van Weeghel}, J. and {van Zelst}, C. and D. Boertien and I. Hasson-Ohayon",
year = "2019",
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volume = "42",
pages = "169--181",
journal = "Psychiatric Rehabilitation Journal",
issn = "1095-158X",
publisher = "Boston University",
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}

Conceptualizations, assessments and implications of personal recovery from mental illness : A scoping review of systematic reviews and meta-analyses. / van Weeghel, J.; van Zelst, C.; Boertien, D.; Hasson-Ohayon , I.

In: Psychiatric Rehabilitation Journal, Vol. 42, No. 2, 2019, p. 169-181.

Research output: Contribution to journalReview articleScientificpeer-review

TY - JOUR

T1 - Conceptualizations, assessments and implications of personal recovery from mental illness

T2 - A scoping review of systematic reviews and meta-analyses

AU - van Weeghel, J.

AU - van Zelst, C.

AU - Boertien, D.

AU - Hasson-Ohayon , I.

PY - 2019

Y1 - 2019

N2 - Objective:Recovery, defined as a personal process of living with mental illness, has become a prominent concept in mental health care. We aimed to map the state of the art of conceptualizing recovery, its promoting and impeding factors, recovery-oriented practice, and the assessment of recovery.Method:A scoping review of systematic reviews and meta-analyses was performed. Systematic searches were conducted, supplemented with hand-searching in reference lists.Results:Of 228 articles that were identified and 33 that were reviewed, a total of 25 were included. This review showed that the CHIME conceptual framework for personal recovery is widely endorsed, containing the elements of connectedness, hope and optimism, identity, meaning in life, and empowerment. Although personal recovery first and foremost starts from individual preferences, the CHIME framework should be adapted according to culture and unique population characteristics. "Difficulties and trauma" should be added, and the person's choice, risk taking, and coping with challenges should be emphasized. Barriers to recovery are stigma and negative effects of mental health services and medication. Facilitators of recovery include spirituality, personal agency, and social support. Recovery-focused interventions, in which peer providers are involved, enhance recovery, hope, and empowerment. For assessing recovery outcomes, multiple instruments are accepted as methodologically sound.Conclusions:Personal recovery is conceptualized as complementary to clinical recovery and represents processes rather than outcomes. Additional work is needed to bridge the gap between the concept of recovery-oriented practice and routinely provided interventions. A broad framework of recovery is needed, and more research is needed into the working mechanisms of personal recovery processes.

AB - Objective:Recovery, defined as a personal process of living with mental illness, has become a prominent concept in mental health care. We aimed to map the state of the art of conceptualizing recovery, its promoting and impeding factors, recovery-oriented practice, and the assessment of recovery.Method:A scoping review of systematic reviews and meta-analyses was performed. Systematic searches were conducted, supplemented with hand-searching in reference lists.Results:Of 228 articles that were identified and 33 that were reviewed, a total of 25 were included. This review showed that the CHIME conceptual framework for personal recovery is widely endorsed, containing the elements of connectedness, hope and optimism, identity, meaning in life, and empowerment. Although personal recovery first and foremost starts from individual preferences, the CHIME framework should be adapted according to culture and unique population characteristics. "Difficulties and trauma" should be added, and the person's choice, risk taking, and coping with challenges should be emphasized. Barriers to recovery are stigma and negative effects of mental health services and medication. Facilitators of recovery include spirituality, personal agency, and social support. Recovery-focused interventions, in which peer providers are involved, enhance recovery, hope, and empowerment. For assessing recovery outcomes, multiple instruments are accepted as methodologically sound.Conclusions:Personal recovery is conceptualized as complementary to clinical recovery and represents processes rather than outcomes. Additional work is needed to bridge the gap between the concept of recovery-oriented practice and routinely provided interventions. A broad framework of recovery is needed, and more research is needed into the working mechanisms of personal recovery processes.

KW - CARE

KW - DEFINITION

KW - FRAMEWORK

KW - HEALTH RECOVERY

KW - INDIVIDUALS

KW - META-SYNTHESIS

KW - ORIENTED PRACTICES

KW - PEOPLE

KW - PSYCHOSIS

KW - SCHIZOPHRENIA

KW - personal recovery

KW - recovery-oriented practice

KW - scoping review

KW - severe mental illness

U2 - 10.1037/prj0000356

DO - 10.1037/prj0000356

M3 - Review article

VL - 42

SP - 169

EP - 181

JO - Psychiatric Rehabilitation Journal

JF - Psychiatric Rehabilitation Journal

SN - 1095-158X

IS - 2

ER -