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dc.contributor.authorParker, Stephen
dc.contributor.authorMeurk, Carla
dc.contributor.authorNewman, Ellie
dc.contributor.authorFletcher, Clayton
dc.contributor.authorSwinson, Isabella
dc.contributor.authorDark, Frances
dc.date.accessioned2022-03-21T05:12:39Z
dc.date.available2022-03-21T05:12:39Z
dc.date.issued2018
dc.identifier.issn1445-8330
dc.identifier.doi10.1111/inm.12461
dc.identifier.urihttp://hdl.handle.net/10072/413396
dc.description.abstractThis study explores how consumers expect community-based residential mental health rehabilitation to compare with previous experiences of care. Understanding what consumers hope to receive from mental health services, and listening to their perspectives about what has and has not worked in previous care settings, may illuminate pathways to improved service engagement and outcomes. A mixed-methods research design taking a pragmatic approach to grounded theory guided the analysis of 24 semi-structured interviews with consumers on commencement at three Community Care Units (CCUs) in Australia. Two of these CCUs were trialling a staffing model integrating peer support work with clinical care. All interviews were conducted by an independent interviewer within the first 6 weeks of the consumer's stay. All participants expected the CCU to offer an improvement on previous experiences of care. Comparisons were made to acute and subacute inpatient settings, supported accommodation, and outpatient care. Consumers expected differences in the people (staff and co-residents), the focus of care, physical environ, and rules and regulations. Participants from the integrated staffing model sites articulated the expected value of a less clinical approach to care. Overall, consumers’ expectations aligned with the principles articulated in policy frameworks for recovery-oriented practice. However, their reflections on past care suggest that these services continue to face significant challenges realizing these principles in practice. Paying attention to the kind of working relationship consumers want to have with mental health services, such as the provision of choice and maintaining a practical and therapeutic supportive focus, could improve their engagement and outcomes.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherWiley
dc.relation.ispartofpagefrom1650
dc.relation.ispartofpageto1660
dc.relation.ispartofissue6
dc.relation.ispartofjournalInternational Journal of Mental Health Nursing
dc.relation.ispartofvolume27
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode52
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsNursing
dc.subject.keywordsPsychiatry
dc.subject.keywordsqualitative research
dc.titleUnderstanding consumers' initial expectations of community-based residential mental health rehabilitation in the context of past experiences of care: A mixed-methods pragmatic grounded theory analysis
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationParker, S; Meurk, C; Newman, E; Fletcher, C; Swinson, I; Dark, F, Understanding consumers' initial expectations of community-based residential mental health rehabilitation in the context of past experiences of care: A mixed-methods pragmatic grounded theory analysis, International Journal of Mental Health Nursing, 2018, 27 (6), pp. 1650-1660
dcterms.dateAccepted2018-03-05
dc.date.updated2022-03-21T05:09:00Z
dc.description.versionAccepted Manuscript (AM)
gro.rights.copyright© 2018 Australian College of Mental Health Nurses Inc. This is the peer reviewed version of the following article: Understanding consumers' initial expectations of community-based residential mental health rehabilitation in the context of past experiences of care: A mixed-methods pragmatic grounded theory analysis, International Journal of Mental Health Nursing, 2018, 27 (6), pp. 1650-1660, which has been published in final form at https://doi.org/10.1111/inm.12461. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.
gro.hasfulltextFull Text
gro.griffith.authorParker, Stephen D.


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