a vision for a recovery model in irish mental health services

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A Qualitative Analysis of Submissions to the Mental Health Commission on the Discussion PaperA Vision for a Recovery Model in Irish Mental Health ServicesQuestion 5: What, in your view is the single factor that would promotethe recovery approach in our mental health services?The key themes that emerged from the analysis in relation to a ‘single factor’ are presentedin Table 7 below.Table 7: Frequencies of Key Themes for Response to Question 5 (percentages in parentheses)Key ThemesHSE /Ind GrHSE/Ind IndividProfessional BodyAdvocacy/Voluntary AgencyResearch/AcademicVocationalTotalAcceptance of Recovery Model byAll Stakeholders5(23.8)Effective Leadership 1(4.8)Education on the Recovery Model 3(14.3)1(6.3)1(6.3)Involvement of Service Users - 2(12.5)Funding 1(4.8)- 2(28.6)1(14.3)1(14.3)- 1(14.3)2(18.2)1(9)- 1(9)1(9)1(9)2(20)1(10)- 1(33.3)10(14.7)- 5(7.35)- - 4(5.9)- - 4(5.9)- 4(5.9)In consideration of the transcripts that directly addressed the question, the analysis of theresponses revealed acceptance of and belief in the recovery model by various stakeholdersand the public, as the single most important factor to promoting this model. (“All stakeholdersto have belief in the recovery model”). The support and commitment of Professionals andconsultants for the recovery model was emphasised by a Professional Body.Effective Leadership emerged as the second most dominant theme. Respondentsemphasised the need for a leader that is recruited on the basis of leadership skills andrecovery skills (“Recruiting recovery focused team leaders to the various mental healthteams nationally”). A minor theme that emerged was education on the recovery model.Respondents stressed the importance of educating both service providers and service userson the principles inherent in the recovery model (“education of staff and service users onthe principles of the [recovery] model”).19
A Qualitative Analysis of Submissions to the Mental Health Commission on the Discussion PaperA Vision for a Recovery Model in Irish Mental Health ServicesAnother minor theme was the need for improving the involvement of service users (“Thefull integration of service users in the planning and delivery of care. This would includeparticipation at local Management level, the recruitment of staff, the development ofservices and the development of Mental Health Support Workers as envisaged in the ‘Visionfor Change’”). Furthermore, funding was highlighted as a single factor (“The single best thingthe health service could do to promote recovery is to ring fence a substantial proportionof health expenditure for people with serious mental illness…it is essential that the fundingallocated is actually available and spent on the services to which it is attributed”).Other ‘single factors’ that were mentioned by at least two respondents included: the buildingof a sound evidence base for the recovery model; and the drawing up of national codes ofpractice for the model with a formal auditing to ensure implementation. Finally, a numberof respondents (n=4; 6%) commented that there is not one single factor necessary but thatthere are many important interacting variables that will contribute to the promotion of therecovery model (“to promote a recovery approach there has to be simultaneous attentionto many interacting variables”).20
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Page 30: ISBN 978-0-9553994-5-9Mental Health

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