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Cambridge University Press, British Journal of Psychiatry, 6(199), p. 445-452, 2011

DOI: 10.1192/bjp.bp.110.083733

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Conceptual framework for personal recovery in mental health: Systematic review and narrative synthesis

Journal article published in 2011 by Mary Leamy, Victoria Bird, Clair Le Boutillier, Julie Williams ORCID, Mike Slade
This paper is available in a repository.
This paper is available in a repository.

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Abstract

BackgroundNo systematic review and narrative synthesis on personal recovery in mental illness has been undertaken.AimsTo synthesise published descriptions and models of personal recovery into an empirically based conceptual framework.MethodSystematic review and modified narrative synthesis.ResultsOut of 5208 papers that were identified and 366 that were reviewed, a total of 97 papers were included in this review. The emergent conceptual framework consists of: (a) 13 characteristics of the recovery journey; (b) five recovery processes comprising: connectedness; hope and optimism about the future; identity; meaning in life; and empowerment (giving the acronym CHIME); and (c) recovery stage descriptions which mapped onto the transtheoretical model of change. Studies that focused on recovery for individuals of Black and minority ethnic (BME) origin showed a greater emphasis on spirituality and stigma and also identified two additional themes: culturally specific facilitating factors and collectivist notions of recovery.ConclusionsThe conceptual framework is a theoretically defensible and robust synthesis of people's experiences of recovery in mental illness. This provides an empirical basis for future recovery-oriented research and practice.