A Mixed-Methods Study of the Recovery Concept, “A Meaningful Day,” in Community Mental Health Services for Individuals with Serious Mental Illnesses
- 968 Downloads
The recovery concept encompasses overcoming or managing one’s illness, being physically and emotionally healthy, and finding meaningful purpose through work, school, or volunteering, which connects one to others in mutually fulfilling ways. Using a mixed-methods approach, we studied the emphasis on “a meaningful day” in the new Opening Doors to Recovery (ODR) program in southeast Georgia. Among 100 participants, we measured the meaningful day construct using three quantitative items at baseline (hospital discharge) and at 4-, 8-, and 12-month follow-up, finding statistically significant linear trends over time for all three measures. Complementary qualitative interviews with 30 individuals (ODR participants, family members, and ODR’s Community Navigation Specialists and program leaders) revealed themes pertaining to companionship, productivity, achieving stability, and autonomy, as well as the concern about insufficient resources. The concept of “a meaningful day” can be a focus of clinical attention and measured as a person-centered outcome for clients served by recovery-oriented community mental health services.
KeywordsCommunity mental health Meaningful day Recovery Serious mental illness
This study was supported by a grant from the Bristol-Myers Squibb Foundation to the last author.
Compliance with Ethical Standards
Conflict of interest
The authors report no financial conflicts of interest.
This research involved human subjects and was approved by all relevant institutional review boards (IRBs). The study was conducted, and informed consent obtained, following IRB-approved processes. All authors acknowledge responsibility for their contribution to this study and this article.
- Beauchamp, T. L., & Childress, J. (2001). Principles of biomedical ethics. Oxford, UK: Oxford University Press.Google Scholar
- Bledsoe, S. E., Lukens, E., Onken, S., Bellamy, J. L., & Cardillo-Geller, L. (2008). Mental illness, evidence-based practice, and recovery: Is there compatibility between service-user-identified recovery-facilitating and -hindering factors and empirically supported interventions? Best Practice In Mental Health, 4(2), 34–58.Google Scholar
- Compton, M. T., Kelley, M. E., Pope, A., Smith, K., Broussard, B., Reed, T. A., et al. (2015). Opening doors to recovery: Recidivism and recovery among persons with serious mental illnesses and repeated hospitalizations. Psychiatric Services. doi: 10.1176/appi.ps.201300482.
- Deegan, P.E. (1996). Recovery and the conspiracy of hope. In: Sixth annual mental health services conference of Australia and New Zealand, 1996.Google Scholar
- Hopkins, G. (2005). Better days. Community Care, 1597, 42–43.Google Scholar
- Lecrubier, Y., Sheehan, D. V., Weiller, E., Amorim, P., Bonora, I., Harnett Sheehan, K., et al. (1997). The Mini International Neuropsychiatric Interview (MINI). A short diagnostic structured interview: Reliability and validity according to the CIDI. European Psychiatry, 12(5), 224–231.CrossRefGoogle Scholar
- Myers, N. (2015). Recovery's edge: An ethnography of mental health care and moral agency. Nashville, TN: Vanderbilt University Press.Google Scholar
- Nudel, C. (2009). Firewalkers: Madness, beauty and mystery. Charlottesville, VA: VOCAL.Google Scholar
- Overall, J. E., & Gorham, D. R. (1962). The brief psychiatric rating scale. Psychological Reports, 10, 799–812.Google Scholar
- Ridgway, P., McDiarmid, D., Davidson, L., Bayes, J., & Ratzlaff, S. (2002). Pathways to recovery: A strengths recovery self help workbook. Auburn Hills, MI: Data Production Corporation.Google Scholar
- Russinova, Z. (1999). Providers’ hope-inspiring competence as a factor optimizing psychiatric rehabilitation outcomes. Journal of Rehabilitation, 65, 50–57.Google Scholar
- Saks, E. (2007). The center cannot hold: My journey through madness. New York: Hyperion.Google Scholar
- Schiller, L., & Bennet, A. (1996). The quiet room: A journey out of the torment of madness. New York: Warner Books Edition.Google Scholar