A Knowledge Synthesis on Implementation of the Recovery Concept into Canadian Mental Health Services

Renseignements sur le financement
Canadian Institutes of Health Research
  • Type de subvention: Subvention sur la synthèse des connaissances
  • Année: 2015/16
  • Financement total: $100,000
Mots clés
Chercheur(e) principal(e)
  • Piat, Myra
    Douglas Mental Health University Institute
Collaborateur(s)

Aucun chercheur n’a été trouvé.

Partenaires

Aucune organisation partenaire n’a été touvée.

Sommaire du projet

Issue to be addressed: The goal of this synthesis is to transform Canadian mental health services to a recovery approach. In order to do this we will conduct a systematic review of research on implementing the recovery concept into mental health services for people with serious mental illness. Recovery in mental health is understood as a unique process of personal change leading to a satisfying, hopeful, contributing life, even within the limitations of mental illness. Recovery-oriented services support personal responsibility and illness self-management for people with mental illness, much like services for chronic medical conditions. In promoting a life in society, not in services, recovery meets an ethical obligation to honor the personhood of people with mental illness in ways that traditional services do not. There is a great deal of published research on mental health recovery yet to be compiled into a best evidence synthesis. Despite the “pull” from Canadian knowledge users they do not have the best available evidence to inform their work.ExpertiseOur team has the knowledge, experience and institutional support to bring this project to successful completion. The project emanates directly from the needs of decision makers. Our 12 knowledge users include provincial decision makers, people with lived experience and an organization representing families. Knowledge users have substantial experience and are committed to implementing recovery-oriented services in their organizations. Our 2 Team Leaders (Piat & Chodos) have the expertise in mental health recovery. Dr Chodos is the lead person on the Mental Health Commission’s Mental Health Strategy. Three members of the research team have expertise in conducting systematic reviews. Vachon & Curran both completed their post-doctoral studies on knowledge translation and have successfully conducted systematic reviews. Labbrou, a McGill Librarian specializes in systematic reviews at McGill University.Approach: We will use a mixed studies review examining qualitative, quantitative and mixed methods studies. Four research questions will guide the data extraction, and synthesis of the findings. 1) How is recovery defined in this study? 2) How is the recovery approach implemented in this study? 3) What facilitators and barriers emerged in implementing recovery in this study? 4) What outcomes are reported in this study? Our search strategy combines a systematic search of literature in multiple electronic databases with secondary searches. A thematic approach will be used to synthesize the findings. An Advisory Committee composed of the research team knowledge users and International experts will oversee the project.The end products will be 4 documents: 1) a critical appraisal of findings on recovery implementation; 2) a compendium of case studies on successful recovery implementation initiatives; 3) a recovery implementation manual for decision makers; and 4) a toolkit of recovery-enhancing practices (strategies for individual behavior change targeted at service providers & service users).The timing of this project is excellent, as recovery is integral to Canada’s new national mental health strategy, and to provincial policies. The major contribution is that this will be the first systematic review of the research evidence on implementing mental health recovery into services. It will provide decision makers with concrete tools for implementing the recovery approach into services.

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