System-level barriers to personal recovery in mental health: qualitative analysis of co-productive narrative dialogues between users and professionals
Background No co-productive narrative synthesis of system-level facilitators and barriers to personal recovery in mental illness has been undertaken. Aims To clarify system-level facilitators and barriers to personal recovery of people with mental illness. Method Qualitative study guided by themat...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2021-01-01
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| Series: | BJPsych Open |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472420001568/type/journal_article |
| _version_ | 1811156995179282432 |
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| author | Miharu Nakanishi George Kurokawa Junko Niimura Atsushi Nishida Geoff Shepherd Syudo Yamasaki |
| author_facet | Miharu Nakanishi George Kurokawa Junko Niimura Atsushi Nishida Geoff Shepherd Syudo Yamasaki |
| author_sort | Miharu Nakanishi |
| collection | DOAJ |
| description | Background
No co-productive narrative synthesis of system-level facilitators and barriers to personal recovery in mental illness has been undertaken.
Aims
To clarify system-level facilitators and barriers to personal recovery of people with mental illness.
Method
Qualitative study guided by thematic analysis. Data were collected through one focus group, which involved seven service users and three professionals. This group had 11 meetings, each lasting 2 h at a local research institute, between July 2016 to January 2018.
Results
The analysis yielded three themes: barriers inhibiting positive interaction within personal relationship networks, roots of barriers from mental health systems and the social cultural context, and possible solutions to address the roots. Barriers were acknowledged as those related to sense of safety, locus of control within oneself and reunion with self. The roots of barriers were recognised within mental health services, including system without trauma sensitivity, lack of advocacy support and limited access to psychosocial approaches. Roots from social cultural context were also found. There were no narratives relating to facilitators. A possible solution was to address the roots from systems. Social cultural change was called for that makes personalised goals most valued, with an inclusive design that overcomes stigma, to achieve an open and accepting community.
Conclusions
The analysis yielded system-level barriers specific to each recovery process. Roots of barriers that need transformation to facilitate personal recovery were identified within mental health services. Social interventions should be further explored to translate the suggested social cultural changes into action.
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| first_indexed | 2024-04-10T04:58:54Z |
| format | Article |
| id | doaj.art-371d16f04c744d9ea05f513466859f8c |
| institution | Directory Open Access Journal |
| issn | 2056-4724 |
| language | English |
| last_indexed | 2024-04-10T04:58:54Z |
| publishDate | 2021-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj.art-371d16f04c744d9ea05f513466859f8c2023-03-09T12:29:05ZengCambridge University PressBJPsych Open2056-47242021-01-01710.1192/bjo.2020.156System-level barriers to personal recovery in mental health: qualitative analysis of co-productive narrative dialogues between users and professionalsMiharu Nakanishi0https://orcid.org/0000-0001-6200-9279George Kurokawa1Junko Niimura2Atsushi Nishida3Geoff Shepherd4Syudo Yamasaki5Research Center for Social Science & Medicine, Tokyo Metropolitan Institute of Medical Science, JapanPeer Staff Department, Sudachikai Social Welfare Corporation, JapanResearch Center for Social Science & Medicine, Tokyo Metropolitan Institute of Medical Science, JapanResearch Center for Social Science & Medicine, Tokyo Metropolitan Institute of Medical Science, JapanProgram Director, Implementing Recovery through Organisational Change (ImROC), UKResearch Center for Social Science & Medicine, Tokyo Metropolitan Institute of Medical Science, Japan.Background No co-productive narrative synthesis of system-level facilitators and barriers to personal recovery in mental illness has been undertaken. Aims To clarify system-level facilitators and barriers to personal recovery of people with mental illness. Method Qualitative study guided by thematic analysis. Data were collected through one focus group, which involved seven service users and three professionals. This group had 11 meetings, each lasting 2 h at a local research institute, between July 2016 to January 2018. Results The analysis yielded three themes: barriers inhibiting positive interaction within personal relationship networks, roots of barriers from mental health systems and the social cultural context, and possible solutions to address the roots. Barriers were acknowledged as those related to sense of safety, locus of control within oneself and reunion with self. The roots of barriers were recognised within mental health services, including system without trauma sensitivity, lack of advocacy support and limited access to psychosocial approaches. Roots from social cultural context were also found. There were no narratives relating to facilitators. A possible solution was to address the roots from systems. Social cultural change was called for that makes personalised goals most valued, with an inclusive design that overcomes stigma, to achieve an open and accepting community. Conclusions The analysis yielded system-level barriers specific to each recovery process. Roots of barriers that need transformation to facilitate personal recovery were identified within mental health services. Social interventions should be further explored to translate the suggested social cultural changes into action. https://www.cambridge.org/core/product/identifier/S2056472420001568/type/journal_articleConsumer advocacyco-productionmental health recoverynarrative medicinequalitative research |
| spellingShingle | Miharu Nakanishi George Kurokawa Junko Niimura Atsushi Nishida Geoff Shepherd Syudo Yamasaki System-level barriers to personal recovery in mental health: qualitative analysis of co-productive narrative dialogues between users and professionals BJPsych Open Consumer advocacy co-production mental health recovery narrative medicine qualitative research |
| title | System-level barriers to personal recovery in mental health: qualitative analysis of co-productive narrative dialogues between users and professionals |
| title_full | System-level barriers to personal recovery in mental health: qualitative analysis of co-productive narrative dialogues between users and professionals |
| title_fullStr | System-level barriers to personal recovery in mental health: qualitative analysis of co-productive narrative dialogues between users and professionals |
| title_full_unstemmed | System-level barriers to personal recovery in mental health: qualitative analysis of co-productive narrative dialogues between users and professionals |
| title_short | System-level barriers to personal recovery in mental health: qualitative analysis of co-productive narrative dialogues between users and professionals |
| title_sort | system level barriers to personal recovery in mental health qualitative analysis of co productive narrative dialogues between users and professionals |
| topic | Consumer advocacy co-production mental health recovery narrative medicine qualitative research |
| url | https://www.cambridge.org/core/product/identifier/S2056472420001568/type/journal_article |
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