Striking the right balance and supporting social aspirations: how agency and choice play out in a recovery-oriented mental health service

Article


Pritchard, A., Coffey, M. and Rance, J. 2023. Striking the right balance and supporting social aspirations: how agency and choice play out in a recovery-oriented mental health service. Issues in Mental Health Nursing. 44 (12), pp. 1237-1244. https://doi.org/10.1080/01612840.2023.2260472
TypeArticle
TitleStriking the right balance and supporting social aspirations: how agency and choice play out in a recovery-oriented mental health service
AuthorsPritchard, A., Coffey, M. and Rance, J.
Abstract

Introduction
There has been an increasing drive for a transformation of the mental health system towards recovery orientation, with research identifying a series of key recovery principles. It has been argued that these principles remain rhetoric rather than routine practice, and it remains unclear how these are operationalised and promoted within inpatient settings.

Aim
To address the knowledge gap of how staff and service-users enact recovery principles during the daily workings of an inpatient mental health service.

Method
Twenty-one interviews were conducted with staff and service-users at a recovery-oriented inpatient service in the United Kingdom. Data was analysed using framework analysis.

Findings
Analysis of research interview data identified three subcategories grouped under the category of choice. These categories were: a delicate balancing act, acceptability of choices, and social issues impacting choice.

Discussion
Staff were uncertain of their role in promoting choice, resulting in service-users feeling unsupported in their recovery. Staff had to adopt a titrated approach to social inclusion, to protect service-users from discrimination and rejection.

Implications
Mental health professionals need to take a more proactive role in enabling service-users to realise their social aspirations, as well as managing any adverse impacts of stigma and discrimination.

Sustainable Development Goals3 Good health and well-being
Middlesex University ThemeHealth & Wellbeing
PublisherTaylor & Francis (Routledge)
JournalIssues in Mental Health Nursing
ISSN0161-2840
Electronic1096-4673
Publication dates
Online11 Oct 2023
Print02 Dec 2023
Publication process dates
AcceptedOct 2023
Deposited11 Jan 2024
Output statusPublished
Publisher's version
License
File Access Level
Open
Copyright Statement

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted
Manuscript in a repository by the author(s) or with their consent.

Digital Object Identifier (DOI)https://doi.org/10.1080/01612840.2023.2260472
Web of Science identifierMEDLINE:37819779
WOS:001079350600001
Permalink -

https://repository.mdx.ac.uk/item/v8q51

  • 25
    total views
  • 8
    total downloads
  • 5
    views this month
  • 1
    downloads this month

Export as

Related outputs

Gambling problems and help-seeking in serving United Kingdom military personnel: a qualitative study
Champion, H., Pritchard, A., Dighton, G. and Dymond, S. 2022. Gambling problems and help-seeking in serving United Kingdom military personnel: a qualitative study. Frontiers in Psychiatry. 13. https://doi.org/10.3389/fpsyt.2022.1003457