Essential Elements That Contribute to the Recovery of Persons With Severe Mental Illness: A Systematic Scoping Study

Introduction: There is an increasing emphasis on recovery-oriented care in the design and delivery of mental health services. Research has demonstrated that recovery-oriented services are understood differently depending on the stakeholders involved. Variations in interpretations of recovery lead to...

Full description

Bibliographic Details
Main Authors: Atul Jaiswal, Karin Carmichael, Shikha Gupta, Tina Siemens, Pavlina Crowley, Alexandra Carlsson, Gord Unsworth, Terry Landry, Naomi Brown
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-11-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2020.586230/full
_version_ 1828781590489071616
author Atul Jaiswal
Karin Carmichael
Shikha Gupta
Tina Siemens
Pavlina Crowley
Alexandra Carlsson
Gord Unsworth
Terry Landry
Naomi Brown
author_facet Atul Jaiswal
Karin Carmichael
Shikha Gupta
Tina Siemens
Pavlina Crowley
Alexandra Carlsson
Gord Unsworth
Terry Landry
Naomi Brown
author_sort Atul Jaiswal
collection DOAJ
description Introduction: There is an increasing emphasis on recovery-oriented care in the design and delivery of mental health services. Research has demonstrated that recovery-oriented services are understood differently depending on the stakeholders involved. Variations in interpretations of recovery lead to challenges in creating systematically organized environments that deliver a consistent recovery-oriented approach to care. The existing evidence on recovery-oriented practice is scattered and difficult to apply. Through this systematic scoping study, we aim to identify and map the essential elements that contribute to recovery outcomes for persons living with severe mental illness.Methods: We used the Arksey & O'Malley framework as our guiding approach. Seven key databases (MEDLINE, PubMed, CINAHL/EBSCO, EMBASE, ProQuest, PsycINFO, and Google Scholar) were searched using index terms and keywords relating to recovery and severe mental illness. To be included, studies had to be peer-reviewed, published after 1988, had persons with severe mental illness as the focal population, and have used recovery in the context of mental health. The search was conducted in August 2018 and last updated in February 2020.Results: Out of 4,496 sources identified, sixty (n = 60) sources were included that met all of the selection criteria. Three major elements of recovery that emerged from the synthesis (n = 60) include relationships, sense of meaning, and participation. Some sources (n = 20) highlighted specific elements such as hope, resilience, self-efficacy, spirituality, social support, empowerment, race/ethnicity etc. and their association with the processes underpinning recovery.Discussion: The findings of this study enable mental health professionals to incorporate the identified key elements into strategic interventions to facilitate recovery for clients with severe mental illness, and thereby facilitate recovery-oriented practice. The review also documents important gaps in knowledge related to the elements of recovery and identifies a critical need for future studies to address this issue.
first_indexed 2024-12-11T17:35:46Z
format Article
id doaj.art-7b239ad900374496a5ff5afaf7f41a3b
institution Directory Open Access Journal
issn 1664-0640
language English
last_indexed 2024-12-11T17:35:46Z
publishDate 2020-11-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Psychiatry
spelling doaj.art-7b239ad900374496a5ff5afaf7f41a3b2022-12-22T00:56:40ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402020-11-011110.3389/fpsyt.2020.586230586230Essential Elements That Contribute to the Recovery of Persons With Severe Mental Illness: A Systematic Scoping StudyAtul Jaiswal0Karin Carmichael1Shikha Gupta2Tina Siemens3Pavlina Crowley4Alexandra Carlsson5Gord Unsworth6Terry Landry7Naomi Brown8School of Optometry, Université de Montréal, Montreal, PQ, CanadaProvidence Care, Kingston, ON, CanadaSchool of Rehabilitation Therapy, Queen's University, Kingston, ON, CanadaProvidence Care, Kingston, ON, CanadaProvidence Care, Kingston, ON, CanadaProvidence Care, Kingston, ON, CanadaProvidence Care, Kingston, ON, CanadaProvidence Care, Kingston, ON, CanadaProvidence Care, Kingston, ON, CanadaIntroduction: There is an increasing emphasis on recovery-oriented care in the design and delivery of mental health services. Research has demonstrated that recovery-oriented services are understood differently depending on the stakeholders involved. Variations in interpretations of recovery lead to challenges in creating systematically organized environments that deliver a consistent recovery-oriented approach to care. The existing evidence on recovery-oriented practice is scattered and difficult to apply. Through this systematic scoping study, we aim to identify and map the essential elements that contribute to recovery outcomes for persons living with severe mental illness.Methods: We used the Arksey & O'Malley framework as our guiding approach. Seven key databases (MEDLINE, PubMed, CINAHL/EBSCO, EMBASE, ProQuest, PsycINFO, and Google Scholar) were searched using index terms and keywords relating to recovery and severe mental illness. To be included, studies had to be peer-reviewed, published after 1988, had persons with severe mental illness as the focal population, and have used recovery in the context of mental health. The search was conducted in August 2018 and last updated in February 2020.Results: Out of 4,496 sources identified, sixty (n = 60) sources were included that met all of the selection criteria. Three major elements of recovery that emerged from the synthesis (n = 60) include relationships, sense of meaning, and participation. Some sources (n = 20) highlighted specific elements such as hope, resilience, self-efficacy, spirituality, social support, empowerment, race/ethnicity etc. and their association with the processes underpinning recovery.Discussion: The findings of this study enable mental health professionals to incorporate the identified key elements into strategic interventions to facilitate recovery for clients with severe mental illness, and thereby facilitate recovery-oriented practice. The review also documents important gaps in knowledge related to the elements of recovery and identifies a critical need for future studies to address this issue.https://www.frontiersin.org/articles/10.3389/fpsyt.2020.586230/fullrecoveryrehabilitationscoping reviewelementsmental healthsevere mental illness (SMI)
spellingShingle Atul Jaiswal
Karin Carmichael
Shikha Gupta
Tina Siemens
Pavlina Crowley
Alexandra Carlsson
Gord Unsworth
Terry Landry
Naomi Brown
Essential Elements That Contribute to the Recovery of Persons With Severe Mental Illness: A Systematic Scoping Study
Frontiers in Psychiatry
recovery
rehabilitation
scoping review
elements
mental health
severe mental illness (SMI)
title Essential Elements That Contribute to the Recovery of Persons With Severe Mental Illness: A Systematic Scoping Study
title_full Essential Elements That Contribute to the Recovery of Persons With Severe Mental Illness: A Systematic Scoping Study
title_fullStr Essential Elements That Contribute to the Recovery of Persons With Severe Mental Illness: A Systematic Scoping Study
title_full_unstemmed Essential Elements That Contribute to the Recovery of Persons With Severe Mental Illness: A Systematic Scoping Study
title_short Essential Elements That Contribute to the Recovery of Persons With Severe Mental Illness: A Systematic Scoping Study
title_sort essential elements that contribute to the recovery of persons with severe mental illness a systematic scoping study
topic recovery
rehabilitation
scoping review
elements
mental health
severe mental illness (SMI)
url https://www.frontiersin.org/articles/10.3389/fpsyt.2020.586230/full
work_keys_str_mv AT atuljaiswal essentialelementsthatcontributetotherecoveryofpersonswithseverementalillnessasystematicscopingstudy
AT karincarmichael essentialelementsthatcontributetotherecoveryofpersonswithseverementalillnessasystematicscopingstudy
AT shikhagupta essentialelementsthatcontributetotherecoveryofpersonswithseverementalillnessasystematicscopingstudy
AT tinasiemens essentialelementsthatcontributetotherecoveryofpersonswithseverementalillnessasystematicscopingstudy
AT pavlinacrowley essentialelementsthatcontributetotherecoveryofpersonswithseverementalillnessasystematicscopingstudy
AT alexandracarlsson essentialelementsthatcontributetotherecoveryofpersonswithseverementalillnessasystematicscopingstudy
AT gordunsworth essentialelementsthatcontributetotherecoveryofpersonswithseverementalillnessasystematicscopingstudy
AT terrylandry essentialelementsthatcontributetotherecoveryofpersonswithseverementalillnessasystematicscopingstudy
AT naomibrown essentialelementsthatcontributetotherecoveryofpersonswithseverementalillnessasystematicscopingstudy