Abstract
The history of mental health care has been marked by various struggles in maintaining the dignity of service users. Some reform movements have started to use educational strategies aimed at the beliefs and attitudes of professionals, as well as changing the way that practice is carried out. This paper intends to systematically review and synthesize studies assessing awareness and training activities for mental health professionals covering aspects related to recovery, empowerment, and in general, rights-based care to achieve full citizenship of mental health services users. We reviewed 26 articles and were able to include 14 of them in meta-analytic calculations. Our results at the qualitative level show an evolution of the literature towards better quality designs and focus on aspects related to the impact and maintenance of the effects of these training activities. Meta-analytic calculations found high heterogeneity but no risk of biases and low-to moderate effect sizes with a statistically significant impact on beliefs and attitudes but not on practices. The importance of this information in improving and advancing these educational activities is addressed.
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References
Ahmed, A. O., Serdarevic, M., Mabe, P. A., & Buckley, P. F. (2013). Triumphs and challenges of transforming a state psychiatric hospital in Georgia. International Journal of Mental Health Promotion, 15(2), 68–75. https://doi.org/10.1080/14623730.2013.820575.
Anthony, W. A. (1993). Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal, 16(4), 11–23. https://doi.org/10.1037/h0095655.
Bachrach, L. L. (1993). The biopsychosocial legacy of deinstitutionalization. Psychiatric Services, 44(6), 523–546. https://doi.org/10.1176/ps.44.6.523.
Basset, T. (2007). Psychosis revisited: A recovery-based workshop for mental health workers, service users and carers (2nd ed.). London: Pavilion.
Beck, A. T., Steer, R. A., Kovacs, M., & Garrison, B. (1985). Hopelessness and eventual suicide: A 10-year prospective study of patients hospitalized with suicidal ideation. American Journal of Psychiatry, 142(5), 559–563. https://doi.org/10.1176/ajp.142.5.559.
Bedregal, L. E., O’Connell, M., & Davidson, L. (2006). The recovery knowledge inventory: Assessment of mental health staff knowledge and attitudes about recovery. Psychiatric Rehabilitation Journal, 30(2), 96–103. https://doi.org/10.2975/30.2006.96.103.
Begg, C. B., & Mazumdar, M. (1994). Operating characteristics of a rank correlation test for publication bias. Biometrics, 50(4), 1088. https://doi.org/10.2307/2533446.
Bhanbhro, S., Gee, M., Cook, S., Marston, L., Lean, M., & Killaspy, H. (2016). Recovery-based staff training intervention within mental health rehabilitation units: a two-stage analysis using realistic evaluation principles and framework approach. BMC Psychiatry, 16(1), 292. https://doi.org/10.1186/s12888-016-0999-y.
Bird, V., Leamy, M., Boutillier, C. Le, Williams, J., & Slade, M. (2011). REFOCUS. Promoting recovery in community mental health services. London: Rethink.
Borenstein, M., Hedges, L. V., Higgins, J. P., & Rothstein, H. R. (2009). Multiple outcomes or time-points within a study. In M. Borenstein, L. V. Hedges, J. P. Higgins, & H. R. Rothstein (Eds.), Introduction to meta-analysis (pp. 225–238). Chichester, UK: Wiley. https://doi.org/10.1002/9780470743386.ch24.
Borkin, J. R., Steffen, J. J., Ensfield, L. B., Krzton, K., Wishnick, H., Wilder, K., et al. (2000). Recovery attitudes questionnaire: Development and evaluation. Psychiatric Rehabilitation Journal, 24(2), 95–102. https://doi.org/10.1037/h0095112.
Bracken, P., & Thomas, P. (2001). Postpsychiatry: a new direction for mental health. BMJ (Clinical Research Ed.), 322(7288), 724–727. https://doi.org/10.1136/bmj.322.7288.724.
Byrne, L., Happell, B., Welch, T., & Moxham, L. J. (2013). “Things you can’t learn from books”: Teaching recovery from a lived experience perspective. International Journal of Mental Health Nursing, 22(3), 195–204. https://doi.org/10.1111/j.1447-0349.2012.00875.x.
Byrne, M. K., Sullivan, N. L., & Elsom, S. J. (2006). Clinician optimism: Development and psychometric analysis of a scale for mental health clinicians. The Australian Journal of Rehabilitation Counselling, 12(1), 11–20. https://doi.org/10.1375/jrc.12.1.11.
Caldwell, S., Liu, Y., Fedor, D. B., & Herold, D. M. (2009). Why are perceptions of change in the “Eye of the Beholder”? The Journal of Applied Behavioral Science, 45(3), 437–459. https://doi.org/10.1177/0021886309336068.
Campbell, J., & Gallagher, R. (2007). A literature review and documentary analysis on recovery training in mental health practice. Glasgow: NHS Education for Scotland, AskClyde, Scottish Recovery Network.
Casper, E. S., Oursler, J., Schmidt, L. T., & Gill, K. J. (2002). Measuring practitioners’ beliefs, goals, and practices in psychiatric rehabilitation. Psychiatric Rehabilitation Journal, 25(3), 223–234. https://doi.org/10.1037/h0095020.
Chen, S.-P., Krupa, T., Lysaght, R., McCay, E., & Piat, M. (2013). The development of recovery competencies for in-patient mental health providers working with people with serious mental illness. Administration and Policy in Mental Health and Mental Health Services Research, 40(2), 96–116. https://doi.org/10.1007/s10488-011-0380-x.
Chen, S.-P., Krupa, T., Lysaght, R., McCay, E., & Piat, M. (2014). Development of a recovery education program for inpatient mental health providers. Psychiatric Rehabilitation Journal, 37(4), 329–332. https://doi.org/10.1037/prj0000082.
Chinman, M. J., Young, A. S., Rowe, M., Forquer, S., Knight, E., & Miller, A. (2003). An instrument to assess competencies of providers treating severe mental illness. Mental Health Services Research, 5(2), 97–108. https://doi.org/10.1023/A:1023281527952.
Comstock, D. L., Hammer, T. R., Strentzsch, J., Cannon, K., Parsons, J., & Salazar, G., II. (2008). Relational-cultural theory: A framework for bridging relational, multicultural, and social justice competencies. Journal of Counseling & Development, 86(3), 279–287. https://doi.org/10.1002/j.1556-6678.2008.tb00510.x.
Cook, J. A., Jonikas, J. A., & Razzano, L. (1995). A randomized evaluation of consumer versus nonconsumer training of state mental health service providers. Community Mental Health Journal, 31(3), 229–238. https://doi.org/10.1007/BF02188749.
Cook, S., Mundy, T., Killaspy, H., Taylor, D., Freeman, L., Craig, T., et al. (2016). Development of a staff training intervention for inpatient mental health rehabilitation units to increase service users’ engagement in activities. British Journal of Occupational Therapy, 79(3), 144–152. https://doi.org/10.1177/0308022615600175.
Copeland, M. E. (2002). Wellness recovery action plan. Occupational Therapy in Mental Health, 17(3–4), 127–150. https://doi.org/10.1300/J004v17n03_09.
Crowe, T. P., Deane, F. P., Oades, L. G., Caputi, P., & Morland, K. G. (2006). Effectiveness of a collaborative recovery training program in Australia in promoting positive views about recovery. Psychiatric Services, 57(10), 1497–1500. https://doi.org/10.1176/appi.ps.57.10.1497.
De Rijdt, C., Stes, A., van der Vleuten, C., & Dochy, F. (2013). Influencing variables and moderators of transfer of learning to the workplace within the area of staff development in higher education: Research review. Educational Research Review, 8, 48–74. https://doi.org/10.1016/j.edurev.2012.05.007.
Deane, F. P., Goff, R. O., Pullman, J., Sommer, J., & Lim, P. (2018). Changes in mental health providers’ recovery attitudes and strengths model implementation following training and supervision. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-018-9885-9.
Doughty, C., Tse, S., Duncan, N., & McIntyre, L. (2008). The wellness recovery action plan (WRAP): Workshop evaluation. Australasian Psychiatry, 16(6), 450–456. https://doi.org/10.1080/10398560802043705.
Eklund, M., Gunnarsson, A. B., Sandlund, M., & Leufstadius, C. (2014). Effectiveness of an intervention to improve day centre services for people with psychiatric disabilities. Australian Occupational Therapy Journal, 61(4), 268–275. https://doi.org/10.1111/1440-1630.12120.
Enticott, J. C., Shawyer, F., Brophy, L., Russell, G., Fossey, E., Inder, B., … Meadows, G. (2016). The PULSAR primary care protocol: A stepped-wedge cluster randomized controlled trial to test a training intervention for general practitioners in recovery-oriented practice to optimize personal recovery in adult patients. BMC Psychiatry, 16(1), 451. https://doi.org/10.1186/s12888-016-1153-6
Felton, G. S., Wallach, H. F., & Gallo, C. L. (1974). Training mental health workers to better meet patient needs. Psychiatric Services, 25(5), 299–302. https://doi.org/10.1176/ps.25.5.299.
Gabbidon, J., Clement, S., van Nieuwenhuizen, A., Kassam, A., Brohan, E., Norman, I., et al. (2013). Mental Illness: Clinicians’ attitudes (MICA) scale—psychometric properties of a version for healthcare students and professionals. Psychiatry Research, 206(1), 81–87. https://doi.org/10.1016/j.psychres.2012.09.028.
Gee, M., Bhanbhro, S., Cook, S., & Killaspy, H. (2017). Rapid realist review of the evidence: Achieving lasting change when mental health rehabilitation staff undertake recovery-oriented training. Journal of Advanced Nursing. https://doi.org/10.1111/jan.13232.
Gilburt, H., Slade, M., Bird, V., Oduola, S., & Craig, T. K. J. (2013). Promoting recovery-oriented practice in mental health services: A quasi-experimental mixed-methods study. BMC Psychiatry, 13(1), 1–10. https://doi.org/10.1186/1471-244X-13-167.
Goldman, H. H., & Morrissey, J. P. (1985). The alchemy of mental health policy: Homelessness and the fourth cycle of reform. American Journal of Public Health, 75(7), 727–731. https://doi.org/10.2105/AJPH.75.7.727.
Goulet, M.-H., Larue, C., & Dumais, A. (2017). Evaluation of seclusion and restraint reduction programs in mental health: A systematic review. Aggression and Violent Behavior, 31(6), 413–424. https://doi.org/10.1016/j.avb.2017.01.019.
Gronholm, P. C., Henderson, C., Deb, T., & Thornicroft, G. (2017). Interventions to reduce discrimination and stigma: The state of the art. Social Psychiatry and Psychiatric Epidemiology. https://doi.org/10.1007/s00127-017-1341-9.
Grusky, O., Tierney, K., & Spanish, M. T. (1989). Which community mental health services are most important? Administration and Policy in Mental Health, 17(1), 3–16. https://doi.org/10.1007/BF00710743.
Hansson, L., Jormfeldt, H., Svedberg, P., & Svensson, B. (2013). Mental health professionals’ attitudes towards people with mental illness: Do they differ from attitudes held by people with mental illness? International Journal of Social Psychiatry, 59(1), 48–54. https://doi.org/10.1177/0020764011423176.
Hebson, G., & Cox, A. (2011). The gendered implications of corporate value change. Gender, Work and Organization, 18(2), 182–201. https://doi.org/10.1111/j.1468-0432.2009.00509.x.
Henderson, C., Noblett, J., Parke, H., Clement, S., Caffrey, A., Gale-Grant, O., … Thornicroft, G. (2014). Mental health-related stigma in health care and mental health-care settings. The Lancet Psychiatry, 1(6), 467–482. https://doi.org/10.1016/S2215-0366(14)00023-6
Hervey, N. (1986). Advocacy or folly: the Alleged Lunatics’ Friend Society, 1845–63. Medical History, 30(3), 245–275. https://doi.org/10.1017/S0025727300045701.
Higgins, A., Callaghan, P., deVries, J., Keogh, B., Morrissey, J., Nash, M., … Carter, T. (2012). Evaluation of mental health recovery and wellness recovery action planning education in Ireland: A mixed methods pre-postevaluation. Journal of Advanced Nursing, 68(11), 2418–2428. https://doi.org/10.1111/j.1365-2648.2011.05937.x
Higgins, J. P., & Green, S. (2011). Cochrane handbook for systematic reviews of interventions. Chichester: Wiley.
Higgins, J. P., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003). Measuring inconsistency in meta-analyses. BMJ, 327(7414), 557–560. https://doi.org/10.1136/bmj.327.7414.557.
Jackson-Blott, K., Hare, D., Davies, B., & Morgan, S. (2019). Recovery-oriented training programmes for mental health professionals: A narrative literature review. Mental Health & Prevention, 13, 113–127. https://doi.org/10.1016/j.mhp.2019.01.005.
Jacobson, N., & Curtis, L. (2000). Recovery as policy in mental health services: Strategies emerging from the states. Psychiatric Rehabilitation Journal, 23(4), 333–341. https://doi.org/10.1037/h0095146.
Kassam, A., Glozier, N., Leese, M., Henderson, C., & Thornicroft, G. (2010). Development and responsiveness of a scale to measure clinicians’ attitudes to people with mental illness (medical student version). Acta Psychiatrica Scandinavica, 122(2), 153–161. https://doi.org/10.1111/j.1600-0447.2010.01562.x.
Killaspy, H., Cook, S., Mundy, T., Craig, T., Holloway, F., Leavey, G., … King, M. (2013). Study protocol: Cluster randomised controlled trial to assess the clinical and cost effectiveness of a staff training intervention in inpatient mental health rehabilitation units in increasing service users’ engagement in activities. BMC Psychiatry, 13(1), 216. https://doi.org/10.1186/1471-244X-13-216
Killaspy, H., King, M., Holloway, F., Craig, T. J., Cook, S., Mundy, T.,…, Bhanbhro, S. (2017). The rehabilitation effectiveness for activities for life (REAL) study: A national programme of research into NHS inpatient mental health rehabilitation services across England. Programme Grants for Applied Research, 5(7), 1–284. https://doi.org/10.3310/pgfar05070
Killaspy, H., Marston, L., Green, N., Harrison, I., Lean, M., Cook, S., … King, M. (2015). Clinical effectiveness of a staff training intervention in mental health inpatient rehabilitation units designed to increase patients’ engagement in activities (the rehabilitation effectiveness for activities for life [REAL] study): Single-blind, cluster-. The Lancet Psychiatry, 2(1), 38–48. https://doi.org/10.1016/S2215-0366(14)00050-9
Lamb, H. R. (1984). Deinstitutionalization and the homeless mentally ill. Hospital & Community Psychiatry, 35(9), 899–907. https://doi.org/10.1176/ps.35.9.899.
Leamy, M., Clarke, E., Le Boutillier, C., Bird, V., Janosik, M., Sabas, K., … Slade, M. (2014). Implementing a complex intervention to support personal recovery: A qualitative study nested within a cluster randomised controlled trial. PLoS ONE, 9(5), 1–10. https://doi.org/10.1371/journal.pone.0097091
Lean, M., Leavey, G., Killaspy, H., Green, N., Harrison, I., Cook, S., … King, M. (2015). Barriers to the sustainability of an intervention designed to improve patient engagement within NHS mental health rehabilitation units: a qualitative study nested within a randomised controlled trial. BMC Psychiatry, 15, 209. https://doi.org/10.1186/s12888-015-0592-9
Mabe, P. A., Ahmed, A. O., Duncan, G. N., Fenley, G., & Buckley, P. F. (2014). Project GREAT: Immersing physicians and doctorally-trained psychologists in recovery-oriented care. Professional Psychology: Research and Practice, 45(5), 347–356. https://doi.org/10.1037/a0037705.
Mabe, P. A., Rollock, M., & Duncan, G. N. (2016). Teaching clinicians the practice of recovery-oriented care. In N. N. Singh, J. W. Barber, & S. Van Sant (Eds.), Handbook of recovery in inpatient psychiatry (pp. 81–97). Cham: Springer International Publishing. https://doi.org/10.1007/978-3-319-40537-7_4.
Mancini, A. D. (2008). Self-determination theory: a framework for the recovery paradigm. Advances in Psychiatric Treatment, 14(5), 358–365. https://doi.org/10.1192/apt.bp.107.004036.
Mancini, A. D., & Finnerty, M. (2005). Recovery-oriented practices index (ROPI). New York: State Office of Mental Health.
Mansouri, M., & Lockyer, J. (2007). A meta-analysis of continuing medical education effectiveness. Journal of Continuing Education in the Health Professions, 27(1), 6–15. https://doi.org/10.1002/chp.88.
Meehan, T., & Glover, H. (2009). Using the recovery knowledge inventory (RKI) to assess the effectiveness of a consumer-led recovery training program for service providers. Psychiatric Rehabilitation Journal, 32(3), 223–226. https://doi.org/10.2975/32.3.2009.223.226.
Mittman, B. S. (2004). Creating the evidence base for quality improvement collaboratives. Annals of Internal Medicine, 140(11), 897. https://doi.org/10.7326/0003-4819-140-11-200406010-00011.
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Journal of Clinical Epidemiology, 62(10), 1006–1012. https://doi.org/10.1016/j.jclinepi.2009.06.005.
Mueser, K. T. (2006). The illness management and recovery program: Rationale, development, and preliminary findings. Schizophrenia Bulletin, 32(Supplement 1), S32–S43. https://doi.org/10.1093/schbul/sbl022.
National Collaborating Centre for Methods and Tools. (2008). Quality assessment tool for quantitative studies. Hamilton, ON: McMaster University.
Nilsson, I., Argentzell, E., Sandlund, M., Leufstadius, C., & Eklund, M. (2011). Measuring perceived meaningfulness in day centres for persons with mental illness. Scandinavian Journal of Occupational Therapy, 18(4), 312–320. https://doi.org/10.3109/11038128.2010.522592.
O’Connell, M., Tondora, J., Croog, G., Evans, A., & Davidson, L. (2005). From rhetoric to routine: Assessing perceptions of recovery-oriented practices in a state mental health and addiction system. Psychiatric Rehabilitation Journal, 28(4), 378–386. https://doi.org/10.2975/28.2005.378.386.
Oades, L., Deane, F., Crowe, T., Lambert, W. G., Kavanagh, D., & Lloyd, C. (2005). Collaborative recovery: an integrative model for working with individuals who experience chronic and recurring mental illness. Australasian Psychiatry, 13(3), 279–284. https://doi.org/10.1111/j.1440-1665.2005.02202.x.
Peebles, S. A., Mabe, P. A., Fenley, G., Buckley, P. F., Bruce, T. O., Narasimhan, M., … Williams, E. (2009). Immersing practitioners in the recovery model: An educational program evaluation. Community Mental Health Journal, 45(4), 239–245. https://doi.org/10.1007/s10597-009-9212-9
Pollard, L., Gelbard, Y., Levy, G., & Gelkopf, M. (2008). Examining attitudes, beliefs and knowledge of effective practices in psychiatric rehabilitation in a hospital setting. Psychiatric Rehabilitation Journal, 32(2), 124–127. https://doi.org/10.2975/32.2.2008.124.127.
Ponce, A. N., Clayton, A., Gambino, M., & Rowe, M. (2016). Social and clinical dimensions of citizenship from the mental health-care provider perspective. Psychiatric Rehabilitation Journal, 39(2), 161–166. https://doi.org/10.1037/prj0000194.
R Core Team. (2018). R: A language and environment for statistical computing. Vienna: R Foundation for Statistical Computing. Recuperado de https://www.r-project.org/
Repique, R. J. R., Vernig, P. M., Lowe, J., Thompson, J. A., & Yap, T. L. (2016). Implementation of a recovery-oriented training program for psychiatric nurses in the inpatient setting: A mixed-methods hospital quality improvement study. Archives of Psychiatric Nursing, 30(6), 722–728. https://doi.org/10.1016/j.apnu.2016.06.003.
Repper, J., & Breeze, J. (2007). User and carer involvement in the training and education of health professionals: A review of the literature. International Journal of Nursing Studies, 44(3), 511–519. https://doi.org/10.1016/j.ijnurstu.2006.05.013.
Robins, R. W., Fraley, C. R., & Krueger, R. F. (2007). Handbook of research methods in personality psychology. New York: Guilford Publications.
Rose, N. S. (1989). Governing the soul: The shaping of the private self. New York: Taylor & Francis/Routledge.
Rundell, T. (2007). Perceptions of risky goals amongst people with schizophrenia and their support staff. (Postgraduate diploma). Central Queensland University.
Salgado, J. D., Deane, F. P., Crowe, T. P., & Oades, L. G. (2010). Hope and improvements in mental health service providers’ recovery attitudes following training. Journal of Mental Health, 19(3), 243–248. https://doi.org/10.3109/09638230903531126.
Salyers, M. P., Godfrey, J. L., McGuire, A. B., Gearhart, T., Rollins, A. L., & Boyle, C. (2009). Implementing the illness management and recovery program for consumers with severe mental illness. Psychiatric Services, 60(4), 483–490. https://doi.org/10.1176/ps.2009.60.4.483.
Schuster, J.-P., Hoertel, N., & Limosin, F. (2011). The man behind Philippe Pinel: Jean-Baptiste Pussin (1746–1811)—psychiatry in pictures. The British Journal of Psychiatry, 198(3), 241–241. https://doi.org/10.1192/bjp.198.3.241a.
Schwarzer, G., Carpenter, J. R., & Rücker, G. (2015). Meta-analysis with R. Cham: Springer International Publishing. https://doi.org/10.1007/978-3-319-21416-0.
Sedgwick, P., & Marston, L. (2013). Meta-analyses: standardised mean differences. BMJ, 347(dec06 1), f7257–f7257. https://doi.org/10.1136/bmj.f7257.
Shawyer, F., Enticott, J. C., Brophy, L., Bruxner, A., Fossey, E., Inder, B., … Meadows, G. N. (2017). The PULSAR specialist care protocol: A stepped-wedge cluster randomized control trial of a training intervention for community mental health teams in recovery-oriented practice. BMC Psychiatry, 17(1), 172. https://doi.org/10.1186/s12888-017-1321-3
Silverstein, S. M., & Bellack, A. S. (2008). A scientific agenda for the concept of recovery as it applies to schizophrenia. Clinical Psychology Review, 28(7), 1108–1124. https://doi.org/10.1016/j.cpr.2008.03.004.
Singh, N. N., Barber, J. W., & Van Sant, S. (2016). In: N. N. Singh, J. W. Barber, & S. Van Sant, (Eds.), Handbook of recovery in inpatient psychiatry. Cham: Springer International Publishing. https://doi.org/10.1007/978-3-319-40537-7
Slade, M., Amering, M., Farkas, M., Hamilton, B., O’Hagan, M., Panther, G., … Whitley, R. (2014). Uses and abuses of recovery: Implementing recovery-oriented practices in mental health systems. World Psychiatry, 13(1), 12–20. https://doi.org/10.1002/wps.20084
Slade, M., Bird, V., Clarke, E., Le Boutillier, C., McCrone, P., Macpherson, R., … Leamy, M. (2015). Supporting recovery in patients with psychosis through care by community-based adult mental health teams (REFOCUS): A multisite, cluster, randomised, controlled trial. The Lancet Psychiatry, 2(6), 503–514. https://doi.org/10.1016/S2215-0366(15)00086-3
Snyder, C. R., Sympson, S. C., Ybasco, F. C., Borders, T. F., Babyak, M. A., & Higgins, R. L. (1996). Development and validation of the State Hope Scale. Journal of Personality and Social Psychology, 70(2), 321–335. https://doi.org/10.1037/0022-3514.70.2.321.
Strating, M. M. H., Broer, T., van Rooijen, S., Bal, R. A., & Nieboer, A. P. (2012). Quality improvement in long-term mental health: results from four collaboratives. Journal of Psychiatric and Mental Health Nursing, 19(5), 379–388. https://doi.org/10.1111/j.1365-2850.2011.01802.x.
Substance Abuse and Mental Health Services Administration. (2012). SAMHSA’ s working definition of recovery.
Sweeney, P. D., & Mcfarlin, D. B. (1997). Process and outcome: Gender differences in the assessment of justice. Journal of Organizational Behavior, 18(1), 83–98. https://doi.org/10.1002/(SICI)1099-1379(199701)18:1%3c83:AID-JOB779%3e3.0.CO;2-3.
Tsai, J., Salyers, M. P., & Lobb, A. L. (2010). Recovery-oriented training and staff attitudes over time in two state hospitals. Psychiatric Quarterly, 81(4), 335–347. https://doi.org/10.1007/s11126-010-9142-2.
Tsai, J., Salyers, M. P., & McGuire, A. B. (2011). A cross-sectional study of recovery training and staff attitudes in four community mental health centers. Psychiatric Rehabilitation Journal, 34(3), 186–193. https://doi.org/10.2975/34.3.2011.186.193.
Way, B. B., Stone, B., Schwager, M., Wagoner, D., & Bassman, R. (2002). Effectiveness of the New York State office of mental health core curriculum: Direct care staff training. Psychiatric Rehabilitation Journal, 25(4), 398–402. https://doi.org/10.1037/h0094997.
Williams, V., Deane, F. P., Oades, L. G., Crowe, T. P., Ciarrochi, J., & Andresen, R. (2016). A cluster-randomised controlled trial of values-based training to promote autonomously held recovery values in mental health workers. Implementation Science, 11(1), 13. https://doi.org/10.1186/s13012-015-0363-5.
Wilrycx, G., Croon, M. A., van den Broek, A. H. S., & van Nieuwenhuizen, C. (2012). Mental health recovery: Evaluation of a recovery-oriented training program. The Scientific World Journal, 2012, 1–8. https://doi.org/10.1100/2012/820846.
Young, A. S., Chinman, M., Forquer, S. L., Knight, E. L., Vogel, H., Miller, A., … Mintz, J. (2005). Use of a consumer-led intervention to improve provider competencies. Psychiatric Services, 56(8), 967–975. https://doi.org/10.1176/appi.ps.56.8.967
Zuaboni, G., Hahn, S., Wolfensberger, P., Schwarze, T., & Richter, D. (2017). Impact of a mental health nursing training-programme on the perceived recovery-orientation of patients and nurses on acute psychiatric wards: Results of a pilot study. Issues in Mental Health Nursing, 38(11), 907–914. https://doi.org/10.1080/01612840.2017.1359350.
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We would like to thank all people and organisations involved in the cultural change that the Recovery in mental health movement involves.
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FJEO has received funding from the European Union’s Framework Programme for Research and Innovation Horizon 2020 (2014–2020) under the Marie Skłodowska-Curie Grant Agreement No 654808. HGM is supported by a predoctoral contract (FPU15/01721) given by the Spanish Ministry of Education, Culture and Sports. None of these agencies had any role in the study design, collection, analysis or interpretation of the data, writing the manuscript, or the decision to submit the paper for publication.
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FJEO designed the study, wrote the protocol, conducted literature searches and provided summaries of research studies. HGM extracted data from individual studies to carry the meta-analytic calculations. Both authors assessed risk of bias in individual studies. Author FJEO conducted the statistical analysis. FJEO wrote the first draft of the manuscript. Both authors contributed to and have approved the final manuscript.
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Eiroa-Orosa, F.J., García-Mieres, H. A Systematic Review and Meta-analysis of Recovery Educational Interventions for Mental Health Professionals. Adm Policy Ment Health 46, 724–752 (2019). https://doi.org/10.1007/s10488-019-00956-9
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DOI: https://doi.org/10.1007/s10488-019-00956-9