Social Psychiatry and Psychiatric Epidemiology

, Volume 46, Issue 2, pp 127–136

One size fits all: or horses for courses? Recovery-based care in specialist mental health services

  • Penelope Turton
  • Alexia Demetriou
  • William Boland
  • Stephen Gillard
  • Michael Kavuma
  • Gillian Mezey
  • Victoria Mountford
  • Kati Turner
  • Sarah White
  • Ewa Zadeh
  • Christine Wright
Original Paper



The ‘recovery approach’ to the management of severe mental health problems has become a guiding vision of service provision amongst many practitioners, researchers, and policy makers as well as service users.


This qualitative pilot study explored the meaning of ‘recovery’ with users of three specialist mental health services (eating disorders, dual diagnosis, and forensic) in 18 semi-structured interviews.


The relevance of themes identified in mainstream recovery literature was confirmed; however, the interpretation and relative weight of these themes appeared to be affected by factors that were specific to the diagnosis and treatment context. ‘Clinical’ recovery themes were also seen as important, as were aspects of care that reflect core human values, such as kindness.


Recovery Specialist mental health service Eating disorder Dual diagnosis Forensic 


  1. 1.
    Allott P (2005) Recovery. In: Sallah D, Clark M (eds) Research and development in mental health; theory, framework and models. Elsevier Science Ltd, OxfordGoogle Scholar
  2. 2.
    Anthony WA (1993) Recovery from mental illness: the guiding vision of the mental health service system in the 1990s. Psychosoc Rehabil J 16:11–23Google Scholar
  3. 3.
    Berkman ND, Lohr KN, Bulik CM (2007) Outcomes of eating disorders: a systematic review of the literature. Int J Eat Disord 40:293–309CrossRefPubMedGoogle Scholar
  4. 4.
    Björk T, Ahlström G (2008) The patient’s perspective of having recovered from an eating disorder. Health Care Women Int 29:926–944CrossRefPubMedGoogle Scholar
  5. 5.
    Bogenschutz M (2007) 12-Step approaches for the dually-diagnosed: mechanisms of change. Alcohol: Clin Exp Res 31(S3):64–66Google Scholar
  6. 6.
    Brooker C, Ullmann B (2008) Out of sight, out of mind. The state of mental healthcare in prison. Policy Exchange, LondonGoogle Scholar
  7. 7.
    Brooks A, Penn P (2003) Comparing treatments for dual diagnosis: twelve-step and self management and recovery training. Am J Drug Alcohol Abuse 29(2):359–383CrossRefPubMedGoogle Scholar
  8. 8.
    Brown GW, Bifulco AT, Andrews B (1990) Self-esteem and depression: IV. Effect on course and recovery. Soc Psychiatry Psychiatric Epidemiol 25(5):244–249CrossRefGoogle Scholar
  9. 9.
    Brown W, Kandirikirira N (2006) Recovering mental health in Scotland. Report on narrative investigation of mental health recovery. Scottish Recovery NetworkGoogle Scholar
  10. 10.
    Bulik CM, Berkman ND, Brownley KA, Sedway JA, Lohr KN (2007) Anorexia nervosa treatment; A systematic review of randomized controlled trials. Int J Eat Disord 40:310–320CrossRefPubMedGoogle Scholar
  11. 11.
    Chamberlin J (1978) On our own: patient-controlled alternatives to the mental health system. McGraw-Hill, New YorkGoogle Scholar
  12. 12.
    Davidson L, O’Connell MJ, Tondora J, Lawless M, Evans AC (2005) Recovery in serious mental illness: a new wine or just a new bottle? Prof Psychol: Res Pract 36(5):480–487CrossRefGoogle Scholar
  13. 13.
    Deegan PE (1988) Recovery: the lived experience of rehabilitation. Psychosoc Rehabil J 11(4):11–19Google Scholar
  14. 14.
    Deegan P (1996) Recovery as a journey of the heart. Psychosoc Rehabil J 19(3):91–97Google Scholar
  15. 15.
    Department of Health (2001) The journey to recovery—the government’s vision for mental health care. Department of Health, LondonGoogle Scholar
  16. 16.
    Drake R et al (2006) Ten-year recovery outcomes for clients with co-occurring schizophrenia and substance use disorders. Schizophr Bull 32(3):464–473CrossRefPubMedGoogle Scholar
  17. 17.
    Essock E, Sederer L (2009) Editorial: understanding and measuring recovery. Schizophr Bull 35(2):279–281CrossRefPubMedGoogle Scholar
  18. 18.
    Federici A, Kaplan AS (2008) The patient’s account of relapse and recovery in anorexia nervosa: a qualitative study. Eur Eat Disord Rev 16:1–10CrossRefPubMedGoogle Scholar
  19. 19.
    Gagne C, White W, Anthony W (2007) Recovery: a common vision for the fields of mental health & addictions. Psychiatric Rehabil 31:32–37CrossRefGoogle Scholar
  20. 20.
    Jarman M, Walsh S (1999) Evaluating recovery from anorexia nervosa and bulimia nervosa: Integrating lessons learned from research and clinical practice. Clin Psychol Rev 19:773–788CrossRefPubMedGoogle Scholar
  21. 21.
    Keski-Rahknonen A, Tozzi F (2005) The process of recovery in eating disorder sufferers’ own words: an internet based study. Int J Eat Disord 37:S80–S86CrossRefGoogle Scholar
  22. 22.
    Koivumaa-Honkanen H, Tuovinen TK, Honkalampi K, Antikainen R, Hintikka J, Haatainen K, Viinamaki H (2008) Mental health and wellbeing in a 6-year follow-up of patients with depression: assessments of patients and clinicians. Social Psychiatry Psychiatr Epidemiol 43(9):688–696CrossRefGoogle Scholar
  23. 23.
    Laudet A (2007) What does recovery mean to you? Lessons from the recovery experience for research and practice. J Subst Abuse Treat 33:243–256CrossRefPubMedGoogle Scholar
  24. 24.
    Lincoln Y, Guba E (1985) Naturalistic enquiry. Sage, Thousand OaksGoogle Scholar
  25. 25.
    Magura S et al (2007) Effects of “dual Focus” Mutual aid on self-efficacy for recovery and quality of life. Adm Policy Ment Health Ment Health Serv Res 34:1–12CrossRefGoogle Scholar
  26. 26.
    Noiseux S, Ricard N (2008) Recovery as perceived by people with schizophrenia, family members and health professionals: a grounded theory. Int J Nurs Stud 45(8):1148–1162CrossRefPubMedGoogle Scholar
  27. 27.
    Roberts G, Dorkins E, Wooldridge J, Hewis E (2008) Detained—what’s my choice? Part 1. Discussion. Adv Psychiatr Treat 14:172–180CrossRefGoogle Scholar
  28. 28.
    Roberts G, Wolfson P (2004) The rediscovery of recovery. Adv Psychiatr Treat 10:37–47CrossRefGoogle Scholar
  29. 29.
    Scheibelhofer E (2008) Combining narration-based interviews with topical interviews: methodological reflections on research practices. Int J Soc Res Methodol 11(5):403–416CrossRefGoogle Scholar
  30. 30.
    Social Care Institute for Excellence (2007) Care Service Improvement Partnership, the Royal College of Psychiatrists and the Social Care Institute for Excellence. Joint Position Paper 08. A common purpose: recovery in future mental health services. Social Care Institute for Excellence, LondonGoogle Scholar
  31. 31.
    Spaniol L, Koehler M (1994) The experience of recovery. Center for Psychiatric Rehabilitation, BostonGoogle Scholar
  32. 32.
    Strauss A, Corbin J (1998) Basics of qualitative research. Techniques and procedures for developing grounded theory, 2nd edn. Sage PublicationsGoogle Scholar
  33. 33.
    Thomson L, Bogue J, Humphreys M, Owens D, Johnstone E (1997) The State Hospital survey: a description of psychiatric patients in conditions of special security in Scotland. J Forensic Psychiatry 8(2):263–284CrossRefGoogle Scholar
  34. 34.
    Vanderlinden J, Buis H, Pieters G, Probst M (2007) Which elements of eating disorders are necessary ‘Ingredients’ in the recovery process?—a comparison between the patient’s and therapist’s view. Eur Eat Disord Rev 15(5):357–365CrossRefPubMedGoogle Scholar
  35. 35.
    Vogel H et al (1998) Double trouble in recovery: self-help for people with dual diagnosis. Psychiatr Rehabil J 21(4):356–364Google Scholar
  36. 36.
    Von Holle A, Pinheiro AP, Thornton LM, Klump KL, Berrettini WH et al (2008) Temporal patterns of recovery across eating disorder subtypes. Aust N Z J Psychiatry 42:108–117CrossRefGoogle Scholar
  37. 37.
    Youngson R (2008) Compassion in healthcare; the missing dimension of healthcare reform. NHS confederation futures debate 2. The voice of leadership, May 2008Google Scholar
  38. 38.
    Ziedonis D, Stern R (2001) Dual recovery therapy for schizophrenia and substance abuse. Psychiatr Ann 31(4):255–264Google Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Penelope Turton
    • 1
  • Alexia Demetriou
    • 1
  • William Boland
    • 1
  • Stephen Gillard
    • 1
  • Michael Kavuma
    • 1
  • Gillian Mezey
    • 1
  • Victoria Mountford
    • 1
  • Kati Turner
    • 1
  • Sarah White
    • 1
  • Ewa Zadeh
    • 1
  • Christine Wright
    • 1
  1. 1.Division of Mental HealthSt George’s University of LondonLondonUK

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