Recovery perspectives and narratives of hope of young people experiencing psychosis

Recovery focus has shifted in recent years towards understanding the impact of mental health difficulties on the wider individual context. This includes focus on social inclusion, engendering hope and peer support. For adolescents, psychosis and mental health treatment may interrupt typical developmental tasks such as individuation and successful stage progression. The aim of this research was to expand understanding of how young people with psychosis experience hope. This included how hope was experienced in specific domains and to which factors young people attributed changes in their hopefulness. The study employed a qualitative non-experimental design, using a semi-structured interview schedule developed in accordance with narrative methodology. Ten young people between 16 - 26 years old were interviewed. The experience of hope as an overarching strand throughout the narratives had three common elements; a sense of belonging, the importance of information and the significance of planning and occupation in relation to hope. Work was often a goal within domain-specific hope, and friendships seemed to be less apparent. The study concludes that for some young people, psychosis can act as a turning point towards hopeful thinking. Information can both promote and hinder hope and the importance of meeting others with lived experience in engendering hopeful thinking and greater social inclusion should be considered when working with young people.