Development of the REFOCUS intervention to increase mental health team support for personal recovery

Mike Slade¹, Victoria Bird², Clair Le Boutillier², Marianne Farkas², Barbara Grey², John Larsen², Mary Leamy², Lindsay Oades², Julie Williams²

Affiliations

¹ Mike Slade, PhD, Victoria Bird, BSc, Clair Le Boutillier, MSc, Health Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK; Marianne Farkas, ScD, Center for Psychiatric Rehabilitation, Boston University, Boston, Massachusetts, USA; Barbara Grey, PhD, South London and Maudsley NHS Foundation Trust, London, UK; John Larsen, PhD, Rethink Mental Illness, London, UK; Mary Leamy, PhD, Health Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK; Lindsay Oades, PhD, Centre for Health Initiatives, University of Wollongong, NSW, Australia; Julie Williams, MSc, Health Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK mike.slade@kcl.ac.uk.
² Mike Slade, PhD, Victoria Bird, BSc, Clair Le Boutillier, MSc, Health Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK; Marianne Farkas, ScD, Center for Psychiatric Rehabilitation, Boston University, Boston, Massachusetts, USA; Barbara Grey, PhD, South London and Maudsley NHS Foundation Trust, London, UK; John Larsen, PhD, Rethink Mental Illness, London, UK; Mary Leamy, PhD, Health Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK; Lindsay Oades, PhD, Centre for Health Initiatives, University of Wollongong, NSW, Australia; Julie Williams, MSc, Health Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK.

PMID: 26450586
DOI: 10.1192/bjp.bp.114.155978

Review

Development of the REFOCUS intervention to increase mental health team support for personal recovery

Mike Slade et al. Br J Psychiatry. 2015 Dec.

. 2015 Dec;207(6):544-50.

doi: 10.1192/bjp.bp.114.155978. Epub 2015 Oct 8.

Authors

Mike Slade¹, Victoria Bird², Clair Le Boutillier², Marianne Farkas², Barbara Grey², John Larsen², Mary Leamy², Lindsay Oades², Julie Williams²

Affiliations

¹ Mike Slade, PhD, Victoria Bird, BSc, Clair Le Boutillier, MSc, Health Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK; Marianne Farkas, ScD, Center for Psychiatric Rehabilitation, Boston University, Boston, Massachusetts, USA; Barbara Grey, PhD, South London and Maudsley NHS Foundation Trust, London, UK; John Larsen, PhD, Rethink Mental Illness, London, UK; Mary Leamy, PhD, Health Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK; Lindsay Oades, PhD, Centre for Health Initiatives, University of Wollongong, NSW, Australia; Julie Williams, MSc, Health Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK mike.slade@kcl.ac.uk.
² Mike Slade, PhD, Victoria Bird, BSc, Clair Le Boutillier, MSc, Health Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK; Marianne Farkas, ScD, Center for Psychiatric Rehabilitation, Boston University, Boston, Massachusetts, USA; Barbara Grey, PhD, South London and Maudsley NHS Foundation Trust, London, UK; John Larsen, PhD, Rethink Mental Illness, London, UK; Mary Leamy, PhD, Health Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK; Lindsay Oades, PhD, Centre for Health Initiatives, University of Wollongong, NSW, Australia; Julie Williams, MSc, Health Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK.

PMID: 26450586
DOI: 10.1192/bjp.bp.114.155978

Abstract

Background: There is an emerging evidence base about best practice in supporting recovery. This is usually framed in relation to general principles, and specific pro-recovery interventions are lacking.

Aims: To develop a theoretically based and empirically defensible new pro-recovery manualised intervention--called the REFOCUS intervention.

Method: Seven systematic and two narrative reviews were undertaken. Identified evidence gaps were addressed in three qualitative studies. The findings were synthesised to produce the REFOCUS intervention, manual and model.

Results: The REFOCUS intervention comprises two components: recovery-promoting relationships and working practices. Approaches to supporting relationships comprise coaching skills training for staff, developing a shared team understanding of recovery, exploring staff values, a Partnership Project with people who use the service and raising patient expectations. Working practices comprise the following: understanding values and treatment preferences; assessing strengths; and supporting goal-striving. The REFOCUS model describes the causal pathway from the REFOCUS intervention to improved recovery.

Conclusions: The REFOCUS intervention is an empirically supported pro-recovery intervention for use in mental health services. It will be evaluated in a multisite cluster randomised controlled trial (ISRCTN02507940).

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RP-PG-0707-10040/DH_/Department of Health/United Kingdom

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Development of the REFOCUS intervention to increase mental health team support for personal recovery

Affiliations

Development of the REFOCUS intervention to increase mental health team support for personal recovery

Authors

Affiliations

Abstract

Publication types

MeSH terms

Associated data

Grants and funding

LinkOut - more resources

Full Text Sources

Medical