‘My journey through the system’: a grounded theory of service user-perceived experiences of recovery in forensic mental health services

Journal article


Lovell, T., Gardner-Elahi, C. and Callanan, M. 2020. ‘My journey through the system’: a grounded theory of service user-perceived experiences of recovery in forensic mental health services. Journal of Forensic Psychiatry & Psychology. 31 (2), pp. 292-310. https://doi.org/10.1080/14789949.2020.1725591
AuthorsLovell, T., Gardner-Elahi, C. and Callanan, M.
Abstract

The ‘Recovery Approach’ is widely regarded as the guiding principle for mentalhealth service delivery in the UK. Forensic services face unique challenges in applying this approach. Numerous studies have explored themes associated with recovery in these settings but it is unclear how themes relate to each other.

This study set out to build a theoretical model of service user experiences of recovery in forensic mental health settings. Semi-structured interviews were conducted with 16 service users about their recovery.

Grounded Theory methodology, with a constructivist epistemology, was used to analyse the data. A cyclical model was developed, with five-core recovery processes that interrelated; these were the environment, connectedness, hope for the future, who I am and empowerment. These occurred in three phases of 1) feeling safe and secure, 2) moving forward, and 3) empowerment. These processes were encompassed by two additional themes of arriving at the hospital and changes over time. This study is the first to provide a clear model of service user experiences of recovery in this setting.

KeywordsRecovery; Forensic mental health; Service users; Grounded theory
Year2020
JournalJournal of Forensic Psychiatry & Psychology
Journal citation31 (2), pp. 292-310
PublisherTaylor & Francis
ISSN1478-9957
Digital Object Identifier (DOI)https://doi.org/10.1080/14789949.2020.1725591
Official URLhttps://doi.org/10.1080/14789949.2020.1725591
Publication dates
Print10 Feb 2020
Publication process dates
Accepted30 Jan 2020
Deposited28 Apr 2020
Accepted author manuscript
Output statusPublished
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https://repository.canterbury.ac.uk/item/8v2v5/-my-journey-through-the-system-a-grounded-theory-of-service-user-perceived-experiences-of-recovery-in-forensic-mental-health-services

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