Implementation of the Recovery Guide in inpatient mental health services in Sweden—A process evaluation study
Abstract 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 a...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-08-01
|
| Series: | Health Expectations |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/hex.13480 |
| _version_ | 1811312691433701376 |
|---|---|
| author | Ulrika Bejerholm Conny Allaskog Jessica Andersson Linda Nordström David Roe |
| author_facet | Ulrika Bejerholm Conny Allaskog Jessica Andersson Linda Nordström David Roe |
| author_sort | Ulrika Bejerholm |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-04-13T10:40:02Z |
| format | Article |
| id | doaj.art-39895920ba254aaab720f925511655fb |
| institution | Directory Open Access Journal |
| issn | 1369-6513 1369-7625 |
| language | English |
| last_indexed | 2024-04-13T10:40:02Z |
| publishDate | 2022-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Expectations |
| spelling | doaj.art-39895920ba254aaab720f925511655fb2022-12-22T02:49:56ZengWileyHealth Expectations1369-65131369-76252022-08-012541405141710.1111/hex.13480Implementation of the Recovery Guide in inpatient mental health services in Sweden—A process evaluation studyUlrika Bejerholm0Conny Allaskog1Jessica Andersson2Linda Nordström3David Roe4Department of Health Sciences, Centre of Evidence‐Based Psychosocial Interventions, CEPI Lund University Lund SwedenThe Swedish Partnership for Mental Health, NSPH Skåne SwedenThe Swedish Partnership for Mental Health, NSPH Skåne SwedenThe Swedish Partnership for Mental Health, NSPH Skåne SwedenDepartment of Health Sciences, Centre of Evidence‐Based Psychosocial Interventions, CEPI Lund University Lund SwedenAbstract 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.https://doi.org/10.1111/hex.13480coproductionmental healthperson‐centredprocess evaluation |
| spellingShingle | Ulrika Bejerholm Conny Allaskog Jessica Andersson Linda Nordström David Roe Implementation of the Recovery Guide in inpatient mental health services in Sweden—A process evaluation study Health Expectations coproduction mental health person‐centred process evaluation |
| 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 | coproduction mental health person‐centred process evaluation |
| url | https://doi.org/10.1111/hex.13480 |
| work_keys_str_mv | AT ulrikabejerholm implementationoftherecoveryguideininpatientmentalhealthservicesinswedenaprocessevaluationstudy AT connyallaskog implementationoftherecoveryguideininpatientmentalhealthservicesinswedenaprocessevaluationstudy AT jessicaandersson implementationoftherecoveryguideininpatientmentalhealthservicesinswedenaprocessevaluationstudy AT lindanordstrom implementationoftherecoveryguideininpatientmentalhealthservicesinswedenaprocessevaluationstudy AT davidroe implementationoftherecoveryguideininpatientmentalhealthservicesinswedenaprocessevaluationstudy |