HNO6010 Recovery-Oriented Mental Health Research Report 2 Sample
Assignment Brief
Overview
Contemporary mental health services include consumer-centred models, recovery-oriented approaches, and collaboration with consumers and carers. They also focus on consumer rights, autonomy and self-determination, together with partnerships and collaborative decision-making. In Australia, contemporary mental health services are guided by the National Standards in mental health services and 5th National Mental Health and Suicide Prevention Plan.
This assessment builds on your learning in Assessment 1 by supporting you to develop an annotated bibliography that focuses on current mental health services in Australia and beyond.
To do this, locate, review and analyse at least ten relevant key academic, clinical, or policy resources related to the management of mental illness within a consumer-centred, recovery-oriented framework, with at least one article for each of the following areas (a–f):
a. consumer-centred, recovery-oriented approaches to mental health service delivery in Australia;
b. the evolution of the mental health consumer movement, including consumer rights, consumer autonomy and self-determination;
c. partnerships, collaborative decision-making, and/or strength-based models to support recovery from mental illness;
d. the role of the National Standards in mental health services and/or recovery-oriented frameworks in promoting mental health and reducing mental illness;
e. the stigma encountered by many people with mental illness; and
f. the challenges encountered by practitioners when working with a recovery-oriented framework.
You will also summarise your findings, highlighting the challenges that face consumers, carers and practitioners who utilise a recovery-oriented framework.
Task
1. Author a concise summary of each of the resources identified that demonstrates your robust understanding of contemporary mental health services, including consumer-centred models, recovery-oriented approaches, and collaboration with consumers and carers; together with the related issues or challenges and solutions. (210 words per resource)
o Download the A2 Annotated bibliography template (DOCX 34 KB) and fill it in for each of your resources. Only the annotated bibliography in the template will contribute towards your word count.
o Include a concise summary of each of the resources identified. (100 words/resource)
o Include an analysis of the critical issues or challenges discussed in the resources, together with solutions for overcoming these issues. (110 words)
2. Write a summary derived from your annotations as a whole, critiquing the major considerations for practitioners delivering consumer-centred, recovery-oriented mental health services. (400 words).
Solution
Article 1
Title: D. “Acute mental health responses during the COVID-19 pandemic in Australia”
APA reference list entry: “Newby, J. M., O’Moore, K., Tang, S., Christensen, H., & Faasse, K. (2020). Acute mental health responses during the COVID-19 pandemic in Australia. PloS one, 15(7), e0236562.https://doi.org/10.1371/journal.pone.0236562.”
Abstract: This article investigates the acute mental impacts of Covid-19 in 5070. The results mainly showed that 78% reported worsened mental health with high levels of depression, anxiety and stress. The key concerns such as uncertainty, loneliness and financial worries. In this case, individuals with prior mental health conditions experienced greater distress. The precautionary behaviours were adopted but linked to increased stress and anxiety. The main findings of the paper mainly emphasised the necessity for accessible digital mental health interventions and further longitudinal research to assess “long-term mental health” outcomes. It mainly shows mental to develop the acute mental health responses during the pandemic in an effective way.
Annotated Bibliography
Article 2
Title: F. “The mental health of Australian elite athletes”
APA reference list entry: “Gulliver, A., Griffiths, K.M., Mackinnon, A., Batterham, P.J. and Stanimirovic, R., 2015. The mental health of Australian elite athletes. Journal of Science and Medicine in Sport, 18(3), pp.255-261.https://doi.org/10.1016/j.jsams.2014.04.006”
Abstract: This paper mainly examines the universality of mental health issues among Australian elite athletes that focus on “psychological distress” as well as common mental disorders. Data was gathered from 224 athletes from “national sporting organisations’ through a cross-sectional survey was conducted. The results revealed that 46.4% of athletes showed symptoms of at least one mental health issue. The most common disorders include “depression” (27.2%), “eating disorders” (22.8%) and “psychological distress” (16.5%). It also injured athletes who experienced significantly “higher levels of depression” and generalised “anxiety disorder”. The findings mainly align with international research on athletes and community samples for Queensland university assignment help.
Annotated Bibliography
Article 3
Title: B. “Relationships between burnout, turnover intention, job satisfaction, job demands and job resources for mental health personnel in an Australian mental health service”
APA reference list entry: “Scanlan, J. N., & Still, M. (2019). Relationships between burnout, turnover intention, job satisfaction, job demands and job resources for mental health personnel in an Australian mental health service. BMC health services research, 19, 1-11. https://doi.org/10.1186/s12913-018-3841-z”
Abstract: This article explored the relationships between burnout and job satisfaction among “mental health personnel” with about 1,100 clinical staff in an Australian service. In this case, with the help of the Job Demands-Resources model, the survey identified that turnover intention, burnout and job satisfaction were strongly interconnected. Moreover, job resources such as recognition, feedback, and participation were linked to improved outcomes. On the other hand, demands of job such as emotional demands, shift work were associated with higher burnout. The findings provide a foundation for strategies intended to reduce burnout and turnover and improve job satisfaction within mental health services.
Annotated Bibliography
Article 4
Title: B. Social Prescribing for Individuals Living with Mental Illness in an Australian Community Setting: A Pilot Study
APA reference list entry: Aggar, C., Thomas, T., Gordon, C., Bloomfield, J., & Baker, J. (2021). Social Prescribing for Individuals Living with Mental Illness in an Australian Community Setting: A Pilot Study. Community Mental Health Journal, 57(1), 189-195. https://doi.org/10.1007/s10597-020-00631-6
Abstract: In this article, social prescribing, or “community referral”, connects individuals to “local non-clinical health and social support services”. The evidence from international studies shows that it enhances the quality of life and reduces healthcare burdens. This study evaluates the first “social prescribing pilot program” for individuals with mental illnesses in Australia that was implemented in Sydney in 2016-2017. In this case, at baseline and after six months, 13 participants were assessed. Moreover, the results showed significant improvements in health status, quality of life and other outcomes. The program also aligns with Australian health policy, emphasising “community care” and can be scalable, especially in remote areas.
Annotated Bibliography
Article 5
Title: C. Consumers' understanding and expectations of a community-based recovery-oriented mental health rehabilitation unit: a pragmatic grounded theory analysis.
APA reference list entry: Parker, S., Dark, F., Newman, E., Hanley, D., McKinlay, W., & Meurk, C. (2019). Consumers' understanding and expectations of a community-based recovery-oriented mental health rehabilitation unit: a pragmatic grounded theory analysis. Epidemiology and psychiatric sciences, 28(4), 408-417..https://doi.org/10.1017/S2045796017000749.
Abstract: The study mainly highlights the significance of the perspectives of the consumer in mental health rehabilitation. It reveals that housing insecurity and homelessness were a primary reason for engagement with services rather than a desire for rehabilitation. In this case, consumers understood the function of the services but did not see rehabilitation support as the main reason for attendance. The study suggests that the novelty of the rehabilitation context can have influenced this. The findings emphasise the necessity for employees to enhance consumer awareness of evidence-based rehabilitation. It also highlights the potential of partnerships and collaborative decision-making in promoting recovery.
Annotated Bibliography
Article 6
Title: C. Mental health outcome measures in the Australian context: what is the problem represented to be?
APA reference list entry: Oster, C., Dawson, S., Kernot, J., & Lawn, S. (2023). Mental health outcome measures in the Australian context: what is the problem represented to be?. BMC psychiatry, 23(1), 24.https://doi.org/10.1186/s12888-022-04459-0
Abstract: This paper critically highlights the use of “Routine Outcome Measures” (ROM) in Australian public mental health services. In this case, using Carol Bacchi’s approach, the analysis identifies two key problem representations: the need for mental health outcome measures to address service quality and accountability and the focus on improving individual biopsychosocial functioning. The study argues that framing mental health outcomes in these terms overlooks wider socioeconomic factors which impact mental health. It emphasises the significance of considering social determinants, mental health funding, and recovery-oriented care to meet consumer needs. It advocates for wider governmental involvement in mental health policy reforms.
Annotated Bibliography
Article 7
Title: E. Development of an Australian FASD Indigenous Framework: Aboriginal Healing-Informed and Strengths-Based Ways of Knowing, Being and Doing
APA reference list entry: Hewlett, N., Hayes, L., Williams, R., Hamilton, S., Holland, L., Gall, A., ... & Reid, N. (2023). Development of an Australian FASD Indigenous Framework: aboriginal healing-informed and strengths-based ways of knowing, being and doing. International journal of environmental research and public health, 20(6), 5215.https://doi.org/10.3390/ijerph20065215
Abstract: The article was about the development of an “Australian Fetal Alcohol Disorder” (FASD) Indigenous framework that was created through collaboration between Aboriginal and non-Aborginal peoples from 2021 to 2023. The framework emphasises culturally responsive, strength-based and healing-informed approaches to FASD knowledge and support services for Aboriginal people. The paper also combined Aboriginal practices such as yarning and dadirri with Western medical models, integrating both cultural pearls of wisdom to create a new holistic approach to FASD. This collaborative effort intends to improve equity, justice and healing for “aboriginal families” impacted by FASD.
Annotated Bibliography
Article 8
Title: A. The experience of healthcare professionals implementing recovery-oriented practice in mental health inpatient units: A qualitative evidence synthesis
APA reference list entry: Chatwiriyaphong, R., Moxham, L., Bosworth, R., & Kinghorn, G. (2024). The experience of healthcare professionals implementing recovery?oriented practice in mental health inpatient units: A qualitative evidence synthesis. Journal of Psychiatric and Mental Health Nursing, 31(3), 287-302.DOI: 10.1111/jpm.12985
Abstract: The paper explores the experiences of professionals in healthcare with “recovery-oriented care” in mental health inpatient units by analysing qualitative research from 2000 to 2021. In this case, the main four key themes that emerged are creating a safe and hopeful space. It promotes healing and supports connectedness and challenges to implementing “recovery-oriented care”. Healthcare professionals viewed recovery-oriented care positively. It emphasised “therapeutic”, “holistic” and “person-centred” approaches. On the other hand, limited knowledge and uncertainty regarding recovery concepts were identified for effective implementation. This study suggests that “recovery-oriented practices” should focus on consumer and family engagement and continuity of care to support personal recovery.
Annotated Bibliography
Article 9
Title: A. Factors affecting knowledge of recovery-oriented practice among mental health nursing and medical staff working on acute mental health inpatient units.
APA reference list entry: Hardy, J., Parker, S., Hughes, I., & Anand, M. (2022). Factors affecting knowledge of recovery?oriented practice amongst mental health nursing and medical staff working on acute mental health inpatient units. International Journal of Mental Health Nursing, 31(5), 1228-1238.http://dx.doi.org/10.1111/inm.13032
Abstract: This study examines the knowledge and attitudes of clinical staff in an Australian serious inpatient mental health unit towards recovery-oriented practice. With the help of the “Recovery Knowledge Inventory” (RKI), which measures recovery knowledge and attitudes, 74 employee members (44 nurses, 30 doctors) completed an online survey. Moreover, results showed that medical employees had slightly higher RKI scores than nursing staff, but the difference was not clinically significant. Inspite of the higher scores than seen in international studies, the recovery knowledge and attitudes were similar to those observed in previous in this case, Australian studies indicate the necessity for further improvement in recovery knowledge among clinicians.
Annotated Bibliography
Article 10
Title: B. Use of restrictive practices in approved mental health centres in Ireland: consideration of five years of national data
APA reference list entry: Lucey, J. V., Kiernan, G., Farrelly, J., Downey, A., & Stepala, P. (2024). Use of restrictive practices in approved mental health centres in Ireland: consideration of five years of national data. Irish Journal of Psychological Medicine, 1-6.https://doi.org/10.1017/ipm.2024.32
Abstract: The study evaluates and examines the use of Community Treatment Orders (CTOs) in Victoria, Australia, from 2000 to 2017, addressing whether CTO use decreased and whether it met legal mandates. The results show a 3.5% decrease in CTO assignments and a 5.9% increase in initial hospitalisations from 2010-2017. CTO patients had greater treatment needs than non-CTO patients yet had shorter hospital stays and more time in the community before rehospitalisation. On the other hand, patient-to-case manager ratios and housing status impacted outcomes, with higher ratios and marginal housing leading to longer stays and reduced community tenure.
Annotated Bibliography
Discussion
Contemporary mental health services in Australia mainly emphasise different aspects, such as digital interventions, mental health support for vulnerable groups and recovery-oriented care for both patients and mental health professionals. These services mainly align with the National Standards for Mental Health Services. However, different limitations in the current practices and challenges in improving mental health care in Australia are evident in both articles. Newby et al. (2020) highlighted the acute mental health responses during the pandemic that reveal 78% of participants experienced worsened mental health with significant increases in depression, anxiety and stress. However, this focus on digital intervention does not address the need for enhance suicide prevention training for frontline employees.
On the other hand, Krysinska et al. (2016) mainly found insufficient evidence on the impact of gatekeeper training, which is a common intervention strategy in suicide prevention programs. This aligns with findings in different articles where the main focus was improving mental health support through digital intervention or professional support. There was limited attention to enhancing the suicide prevention skills of frontline employees. Mental health services must assess and refine training programs for employees to ensure better outcomes in suicide prevention, particularly through evidence-based programs.
Apart from that, Khanthavudh et al. (2023) highlighted the significance of culturally adapted recovery-oriented interventions such as consideration of local norms, family roles and cultural practices (Lucey et al. 2021). This points to a gap in the studies of Frost et al. (2017), where frameworks for recovery. Future research and practices must emphasise culturally sensitive Therefore, both Khanthavudh et al. (2023) and Frost et al. (2017) discuss challenges in the implementation of recovery-oriented practices, such as a poor understanding of recovery concepts, lack of resources, and organisational barriers. These articles provided reveal similar limitations in the mental health workforce. In this case, the most of the healthcare develop to maintain this kind of recovery-oriented framework.
This suggests that more needs to be done to enhance training, resources, and organisational support to reduce barriers to recovery-focused care. On the other hand, Berg et al. (2020) and Krysinska et al. (2016) emphasise the significance of holistic care and tailored treatment for individuals in mental health crises, such as those experiencing suicidal ideation. On the other hand, many of the studies in the provided articles, such as those by Newby et al. (2020) and Aggar et al. (2021), primarily focus on digital interventions or specific interventions (e.g., social prescribing), which may not always integrate holistic, face-to-face psychosocial support. The limitations mainly suggest the necessity for more comprehensive, integrated models that combine digital tools with traditional care practices to provide a holistic approach to mental health treatment. The studies mainly highlight key areas for improvement in Australian mental health services such as, necessity for better suicide prevention training, culturally adapted recovery-oriented interventions, workforce support and the integration of holistic care approaches.
References
Aggar, C., Thomas, T., Gordon, C., Bloomfield, J., & Baker, J. (2021). Social Prescribing for Individuals Living with Mental Illness in an Australian Community Setting: A Pilot Study. Community Mental Health Journal, 57(1), 189-195. https://doi.org/10.1007/s10597-020-00631-6
Berg, S. H., Rørtveit, K., Walby, F. A., & Aase, K. (2020). Safe clinical practice for patients hospitalised in mental health wards during a suicidal crisis: qualitative study of patient experiences. BMJ open, 10(11), e040088. doi:10.1136/ bmjopen-2020-040088
Chatwiriyaphong, R., Moxham, L., Bosworth, R., & Kinghorn, G. (2024). The experience of healthcare professionals implementing recovery?oriented practice in mental health inpatient units: A qualitative evidence synthesis. Journal of Psychiatric and Mental Health Nursing, 31(3), 287-302.DOI: 10.1111/jpm.12985
Dawson, L., River, J., McCloughen, A., & Buus, N. (2021). ‘Should it fit? Yes. Does it fit? No’: Exploring the organisational processes of introducing a recovery-oriented approach to mental health in Australian private health care. Health, 25(3), 376-394. https://doi.org/10.1177/1363459319889107
Frost, B.G., Tirupati, S., Johnston, S., Turrell, M., Lewin, T.J., Sly, K.A. and Conrad, A.M., 2017. An Integrated Recovery-oriented Model (IRM) for mental health services: evolution and challenges. BMC psychiatry, 17, pp.1-17.DOI 10.1186/s12888-016-1164-3
Gulliver, A., Griffiths, K.M., Mackinnon, A., Batterham, P.J. and Stanimirovic, R., 2015. The mental health of Australian elite athletes. Journal of Science and Medicine in Sport, 18(3), pp.255-261.https://doi.org/10.1016/j.jsams.2014.04.006
Hardy, J., Parker, S., Hughes, I., & Anand, M. (2022). Factors affecting knowledge of recovery?oriented practice amongst mental health nursing and medical staff working on acute mental health inpatient units. International Journal of Mental Health Nursing, 31(5), 1228-1238.http://dx.doi.org/10.1111/inm.13032
Hewlett, N., Hayes, L., Williams, R., Hamilton, S., Holland, L., Gall, A., ... & Reid, N. (2023). Development of an Australian FASD Indigenous Framework: aboriginal healing-informed and strengths-based ways of knowing, being and doing. International journal of environmental research and public health, 20(6), 5215.https://doi.org/10.3390/ijerph20065215
Khanthavudh, C., Grealish, A., Tzouvara, V., Huang, J., & Leamy, M. (2023). Implementation and evaluation of recovery-oriented practice interventions for people with mental illness in Asia: An integrative review. International Journal of Nursing Studies, 104591.https://doi.org/10.1016/j.ijnurstu.2023.104591
Krysinska, K., Batterham, P. J., Tye, M., Shand, F., Calear, A. L., Cockayne, N., & Christensen, H. (2016). Best strategies for reducing the suicide rate in Australia. Australian & New Zealand Journal of Psychiatry, 50(2), 115-118.DOI: 10.1177/0004867415620024
Oster, C., Dawson, S., Kernot, J., & Lawn, S. (2023). Mental health outcome measures in the Australian context: what is the problem represented to be?. BMC psychiatry, 23(1), 24.https://doi.org/10.1186/s12888-022-04459-0
Parker, S., Dark, F., Newman, E., Hanley, D., McKinlay, W., & Meurk, C. (2019). Consumers' understanding and expectations of a community-based recovery-oriented mental health rehabilitation unit: a pragmatic grounded theory analysis. Epidemiology and psychiatric sciences, 28(4), 408-417..https://doi.org/10.1017/S2045796017000749.
Newby, J. M., O’Moore, K., Tang, S., Christensen, H., & Faasse, K. (2020). Acute mental health responses during the COVID-19 pandemic in Australia. PloS one, 15(7), e0236562.https://doi.org/10.1371/journal.pone.0236562
Scanlan, J. N., & Still, M. (2019). Relationships between burnout, turnover intention, job satisfaction, job demands and job resources for mental health personnel in an Australian mental health service. BMC health services research, 19, 1-11. https://doi.org/10.1186/s12913-018-3841-z
Segal, S. P., Rimes, L., & Badran, L. (2023). Need for treatment, a less restrictive alternative to hospitalization, and treatment provision: The utility of community treatment orders. Schizophrenia Bulletin Open, 4(1), sgac071.https://doi.org/10.1093/schizbullopen/sgac071
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