Using a conceptual framework to explore the dimensions of recovery and their relationship to service user choice and self-determination
Abstract
The concept of recovery is widely applied within service delivery in the field of mental health. The dimensions of recovery were explored using a singular conceptual framework known as Hodges’ model, which is shown to be suited to this particular task. This arises from the model’s structure, in that it encompasses the individual-group and a care domain specific to the political aspects of both health and social care. The evidence was found by relating recovery to the model’s care domains, which is also relevant to the experience of mental health service users and developments over the past decade in mental health service provision. Particular attention is given to the ‘Recovery Star’. This can be used as a key-working and outcomes tool. The discussion is also placed in a context of the current socio-economic climate, notably the ‘politics of recovery’ at a time of austerity.
With thanks to the editors, referees and to Gerry Bennison and Dawn Talbot for assisting in the beginning of this paper including their directions on the Recovery STAR; and for very helpful advice on the final drafts provided by Dr. Andrew Shepherd, and Prof. George Kernohan.
May 8 - 9, 2014 - Tokyo, Japan NEWS: The paper submission deadline has been extended to February 22, 2014
You are warmly invited to participate in the 4th MindCare 2014 symposium which is focused on the use of technologies in favor of maintaining and improving mental wellbeing. It will be hosted at the University of Tokyo. The symposium will bring together top researchers and practitioners from various technological, medical and psychological disciplines.
KEYNOTE SPEAKERS MindCare 2014 will feature two state-of-the-art keynote speeches given by:
Neema Moraveji - Director of Calming Technology Lab, Stanford University, USA
Manabu Honda - Director of the Department of Functional Brain Research, National Center of Neurology and Psychiatry, Tokyo, Japan
The accepted papers will be published in Springer's LNICST series and will appear in the SpringerLink - one of the largest digital online libraries which covers a myriad of scientific disciplines. In addition, the accepted papers will be available in EU digital library (EUDL) and indexed in Scopus and EI as well as submitted for indexing in ISI Proceedings. Selected papers will be given a possibility to be extended for a journal publication.
Special Theme: "Linked Open Data" http://ercim-news.ercim.eu/en96/special/ Guest editors: Irini Fundulaki (Institute of Computer Science, FORTH) and Sören Auer (University of Bonn and Fraunhofer IAIS)
Keynote: "Linked Data: The Quiet Revolution" by Wendy Hall
Thank you for your interest in ERCIM News. Feel free to forward this message to others who might be interested.
Best regards, Peter Kunz ERCIM News central editor
-------------------------------------------------- An initiative for the ERCIM members: Call for Participation - identifying the emerging grand challenges in ICST http://kwz.me/74
Following publication in the BMJ, in October 2013, of a proposed declaration of transparency a number of journals have now expressed their support for the transparency declaration and now ask lead authors to sign a declaration affirming that:
"this manuscript is an honest, accurate, and transparent account of the study being reported; that no important aspects of the study have been omitted; and that any discrepancies from the study as planned (and, if relevant, registered) have been explained".
The following journals have now expressed their support:
Diagnostic and Statistical Manual of Mental Disorders (DSM-5) 'salience' ‘Salience syndrome’ replaces ‘schizophrenia’ in DSM-V and ICD-11: psychiatry’s evidence-based entry into the 21st century?J. Van Os
bereavement medical, bio-psycho-social, recovery model self-efficacy self-stigma
At present, with the support of a co-author, I am editing a paper on Hodges' model and the scope of nursing. The text some 6000 words was submitted to a journal last April and rejected, but as ever feedback is golden and the comments are being used to revise. The referees have set a challenge as amongst several points I tease out where the inherent theoretical perspectives lie in Hodges' model and how their identification within h2cm helps to define the scope of nursing.
Another paper in final draft - 4400 words - concerns the model and case formulation. At last I've arrived at this topic. Hodges' model is basically a simple drawing with care concepts superimposed. Cognitive behavioural therapy [CBT] and cognitive analytical therapy [CAT] make use of case formulation and CAT utilizes what are called sequential diagrammatic formulations.
The old website pages were written rather on the fly. They almost comprise a 'to-do-list' of thoughts and findings to revisit and check. Of two old pages one dealt with possible ideas and sources that might inform the structure of Hodges' model; the other page theory.
On the latter page I learned of SDRs - the sequential diagrammatic reformulations used in CAT and related this to the care domains of h2cm -
It feels good to be able to address this theme at long last.
In just over a week I'm looking f/w to a three day break in the Lakes. Weather permitting some walking and a few runs, a bike ride, writing and Drupal - which I have put down of late...
The quote below from Griffiths et al. highlights what might be described as health in the round. As the authors address: the rapid growth of online social networking for health, health care systems are experiencing an inescapable increase in complexity - they contrast disease-centred health care with patient-centred. In so doing they distinguish the mechanistic tendencies in health care systems with the humanistic. For me reading this section of the paper was a circumnavigation of health and social care domains of Hodges' model:
Good communication between doctors and patients has been widely recognised by professional bodies in North America (AAMC, 1999) and Europe (GMC, 2009) as essential to the delivery of health care and appears to contribute to healing (Street, Makoul, Arora, & Epstein, 2009). Stewart (2001) has argued for a shift away from disease-centred biomedicine to a more holistic patient-centred alternative. This approach encompasses: exploring the patient’s reason for consulting; developing an understanding of their context; finding common ground in problem characterisation and management; supporting health promotion; and enabling the doctor-patient relationship to continue (Stewart et al., 2003). Patient-centred practice reflects (Bensing, 2000) a set of social and political ideas about the nature of the doctor patient relationship (Mead & Bower, 2000), which, it could be argued, forms a complex system (Situngkir, 2004). p.2237.
I am pleased to announce that the Advances in Nursing Science app for the iPad is now available! The app is free, and for a limited time, all of the content of the current issue of ANS is free as well.
Our dynamic app optimizes the best in digital technology to create a print-like reading experience with article-sharing features, multi-media links, and more.
* Easy-to-read full-text articles that you can share via email * Text and image resizing with "pinch and zoom" * Store or delete downloaded issues * Speedy issue-browsing capability * Notification when a new issue is available * Links to Advances in Nursing Science online to view supplemental content and browse the archives. Also visit our ANS blogwhere we feature current articles with messages from the authors, as well as hints for writing and publishing, discussions of current issues in nursing journal publishing, and information about ANS.
We look forward to seeing you online! Visit us at www.advancesinnursingscience.com to quickly access all of our online resources!
This week, we celebrate open access week – an event aimed at bringing attention to this rapidly emerging form of scientific publication and its ethical imperatives.
Traditionally, knowledge breakthroughs and scientific discoveries are shared through publication in academic journals. Peer-reviewed and highly competitive, careers are made and broken on the number and impact of these publications.
With the complex, long-standing hierarchy of journal ranking, scientific publishing is big business. From a distance, one might assume that scientific publications aim to maximise the dissemination of ideas, break down barriers to science and make knowledge accessible to the masses – but this is not actually the case.
The publication process
When a scientist, whether in the field, the laboratory or the hospital, makes a discovery, she puts her ideas into an academic paper and submits it to a journal. The journal’s editors decide whether it’s relevant to the scope of the publication, and if it is, they (usually) send it on to a small group of the researcher’s peers.
These are other specialists in the field who will read and give feedback on the paper. If they think the work is worthwhile, and they have no changes to suggest (which is seldom), then the paper will be published in a future issue of that journal.
At this point, no one has paid for anything. The authors don’t pay to submit the article, the journal doesn’t pay for the scientists’ work and the peer reviewers are voluntary. Even the editors are often unpaid, unless they can integrate this service into their professional work.
Journals seek remuneration through subscriptions or once-off access fees by the user – often in the order of US$30 per paper. Those of us lucky enough to have an affiliation to a university, or live in Denmark where the government spends many millions on subscriptions for the entire population can access scientific knowledge free of charge.
Open access
Open access publication differs in one very important way from “traditional” academic publishing. Instead of the individual paying to access an article, or buying a subscription, researchers pay for the publication of their work, often out of their research funds.
In the order of US$1,000-$2,500 per publication, this article processing fee is payable when and if the paper is accepted – and it’s routinely waived for researchers from low and middle-income nations. This means that while the editorial and peer review process are the same as above, access to the published work is free forever and available openly (hence, open access) online.
The traditional publishing paradigm can be regressive and exclusive. Think for a moment how it works: I am a researcher, I do research in developing countries. What if I was to go there; take the time, resources, ideas or even blood samples from thousands of local people; take the information back to my university; access all the scientific knowledge I need in order to develop the work; and then publish my findings in journals for which there’s an access fee of one week’s wages for the people involved in my study.
Sure I might be able to send them a copy, but for the vast majority of people in that community, science remains out of reach. Now, these study participants may also have no internet access for open access sourcing, but many now do and at least the barrier to knowledge is not put up by the scientific community itself.
Similarly, in high-income nations, it’s still the wealthy, the highly educated or those at higher-education institutions who have greatest access to the vast majority of published science. How is this just?
And what happens when we add an additional layer of ethical consideration: that these researchers and their work is often is paid for by society, by taxpayers, through public funding. How can we then justify publishing it in academic media inaccessible to the vast majority who paid for it?
We can’t just blame researchers or the research community for this – and we’re not saying that because we’re researchers. Academic performance and assessment, in the large part, is determined by the amount and impact of one’s publications. The older “traditional” journals have greater histories and so researchers are almost coerced into publishing with these journals.
Some good news
The good news is that things are changing. In the first decade of the 21st century, we have seen an explosion in open access publications. During this time, we’ve observed a ten-fold increase in publications (almost 200,000 at 2011) and more than a six-fold increase in the number of open access journals, to almost 5,000.
Things are clearly moving in the right direction, but this impressive number still accounts for only around 20% of all publishing.
Simultaneously, global leaders have acknowledged the ethical dilemmas of our current system and backed open access. The European Union, for example, is currently piloting a project to encourage all EU-funded research to place their results in an open-access repository or publish them in open access journals.
And some nations, including the United Kingdom, Denmark and Australia, are either planning or implementing policies making publication of publicly-funded research in open access journals mandatory.
Research should be about furthering knowledge for all. And there’s no reason why open access publication shouldn’t be routine.
There are also strong economic arguments for investing in a knowledge economy. We are confident that with enough support, we will see more nations, companies and organisations mandating open access publication – a move that’s likely to bring social and economic benefits.
And who knows, maybe we’ll also begin to see the “traditional” academic journals change their business model and one day make knowledge open to all.
Dr Alessandro Demaio is PhD Fellow in Global Health with the Copenhagen School of Global Health at the University of Copenhagen. In addition, he is a Director of the Global Steering Committee for the Young Professional Chronic Disease Network and NCD Action. For The Conversation, Alessandro expresses his own views only. Bertil F. Dorch is currently senior executive adviser to the university librarian at Copenhagen University Library Services (part of The Royal Library, Denmark), and have previously been Head of Center for Research Support Services as well as a research scientist at University of Copenhagen (The Niels Bohr Institute), within the field of astrophysics. Fred Hersch does not work for, consult to, own shares in or receive funding from any company or organisation that would benefit from this article, and has no relevant affiliations.
My laptop is four years old next month and a refurb at that. The DVD and webcam no longer work. The Apple store in Manchester helped me update the OS to Snow Leopard and I'll catch up with the rest of the cat pack soon.
It seems I've 'summer cleaned', deleting files and older Drupal installs, the rain making me think it's April. Drupal 7.14 and version 8 are insitu. Drupal 8 would not install, MAMP's version of PHP being too old. I'm sure I checked the site, but must have missed the MAMP update which is now running. Trying to resolve this issue one really useful find c/o PHPNW is the package manager HomeBrew.
This weekend I'll upload my first Drupal test site. It's for a family member not a client, but this does not mean that the passing of time - months, years... has gone unnoticed. It's a pretty basic site, nothing elaborate. Three pages: About me, DJ-ing, and an Enquiry form. The enquiry form has been created using the Webform module.
I want the user form to be clean, without the tab options (view, edit...) being displayed. I removed them using Tab Tamer. There may be an easier way to do this - over riding, for example but it is all learning. The development effort is still not helped by picking Drupal up, putting it down...
The 'client' then wanted comments added to the form. Searching around the content types, module configurations ... was getting frustrating, a search brought me to the Drupal community and voila: success! Comments added to form. User requirements have shifted further ;-) the Sound Engineering page is to be reinstated. At least it's just a case of re-enabling it (I think) and tweaking the menu. This experience reminded me of tips from local Drupal meetings and Drupalcons: keeping a record of changes. If a new h2cm site is to be created then a log will be essential. If there is a new version of the DJ site then I will definitely use a responsive theme.
Drupalcon Munich is fast approaching. I've checked the schedule and created my personal itinerary. With Drupal 8 on the horizon for late 2013 the core conversations should be popular. I'm really looking forward to it. There are no BoFs (birds of a feather) sessions planned as yet on education or mental health. Anyone interested? I'll see if I can submit something.
On the papers front; when the details are known the bibliography entry will be fully completed:
I am still keen to explore the possibility of a symposium session next May as per previous posts. Likewise if there are any teaching opportunities in Australia to share Hodges' model and help to fund the (ad)venture please let me know.
I have booked a holiday for Friday 22 June because as their website announces - Oxford Drupal 'Education' Camp is happening!
Venue: St Catherine’s College, Oxford.
I'm hoping to meet people from other Drupal events and specifically from Drupalcamp Cambridge. Although Drupal is far from a dedicated educational platform - either for authoring materials and managing learners / learning - there are many contributed modules that can be adapted and extended.
One of the three papers mentioned last week will be published by an online journal in June. News of the other two must wait, one is an end-of-year prospect. Although an abstract and preparation for the ICN Congress (if accepted!) is a non trivial undertaking, further writing must fit in with future web developments. This Drupalcamp will help bring several threads together.
You might have noticed a slight hiatus in posts recently, in fact over the past six weeks or so. During that time I was working on a paper following the November's CARDI conference when two others popped up again out of the academic ether.
I've probably whined on before about how I write, but don't benefit from like-minded people to read stuff and bounce ideas off. It's not that my nursing and multidisciplinary colleagues are not academically inclined: far from it. There's people taking time to travel to Lancaster, Preston and Manchester to pursue good stuff. It is about mindset though for the many (and having a cussed question). That means being in the groove, finding your rubric, whatever you want to call it. The other week I was trying to encourage a colleague to do the Master's thing; because if you (we!) don't soon then it ain't going to happen.
One paper a co-written effort has been ongoing for quite sometime (must be years). Another paper highlights my idiosyncratic style when working solo (I bet my two current co-authors might agree to that) quite a few referees have. The latest co-authored effort 6,000+ words has actually come together quite quickly over the past six weeks. There was an abortive start when extending a poster was abandoned for a forthcoming journal special topic issue. Once a target publication was identified things took shape rapidly. Nothing like a deadline to charge the batteries. No doubt there will be changes to follow, but it's a fitter piece of work on submission than I could have produced alone. I'm sparing you the specifics for obvious reasons, but when there's progress you'll have the details here. In the meantime thanks George and thanks for staying the course Mike! Extending the h2cm bibliography is never easy, but then academic writing is not intended to be.
Of course I need to leave Open Office and pick up Drupal in earnest. With the matrimonial home now a matter of many happy memories - one thing I miss is a key in the door to a place of my own.
Since summer 2008 I would have been lost without family support - thanks mum! I'd also be lost without Sue where I spend most of my time*: thanks to you too Sue!
Space to work in a consistent way though just isn't there presently. Yes, I know what this means. "You're NO genius!" If Drupal was going to happen, you'd make it happen: whatever!
The laser treatment last month worked fine: brilliant ;-) in fact. My poor left eye, is now my best. They didn't do the right, it wasn't as bad as they thought (suddenly though I notice the problem there too).
I'm really looking f/w to Sweden next month and Conceptual Spaces at Work. That trip's not about presenting - going to learn.
I've been watching SVG for many years and notice that the SVG Open series of conferences is changing its name to The Graphical Web.