title: Competing priorities: staff perspectives on supporting recovery.
abstract: Recovery has come to mean living a life beyond mental illness, and recovery orientation is policy in many countries. The aims of this study were to investigate what staff say they do to support recovery and to identify what they perceive as barriers and facilitators associated with providing recovery-oriented support. Data collection included ten focus groups with multidisciplinary clinicians (n = 34) and team leaders (n = 31), and individual interviews with clinicians (n = 18), team leaders (n = 6) and senior managers (n = 8). The identified core category was Competing Priorities, with staff identifying conflicting system priorities that influence how recovery-oriented practice is implemented. Three sub-categories were: Health Process Priorities, Business Priorities, and Staff Role Perception. Efforts to transform services towards a recovery orientation require a whole-systems approach.
authors.affiliation: Institute of Psychiatry, King's College London, De Crespigny Park, Box P029, London, SE5 8AF, UK, clair.le_boutillier@kcl.ac.uk.
authors.forename: Clair
authors.initials: C
authors.lastname: Le Boutillier
authors.forename: Mike
authors.initials: M
authors.lastname: Slade
authors.forename: Vanessa
authors.initials: V
authors.lastname: Lawrence
authors.forename: Victoria J
authors.initials: VJ
authors.lastname: Bird
authors.forename: Ruth
authors.initials: R
authors.lastname: Chandler
authors.forename: Marianne
authors.initials: M
authors.lastname: Farkas
authors.forename: Courtenay
authors.initials: C
authors.lastname: Harding
authors.forename: John
authors.initials: J
authors.lastname: Larsen
authors.forename: Lindsay G
authors.initials: LG
authors.lastname: Oades
authors.forename: Glenn
authors.initials: G
authors.lastname: Roberts
authors.forename: Geoff
authors.initials: G
authors.lastname: Shepherd
authors.forename: Graham
authors.initials: G
authors.lastname: Thornicroft
authors.forename: Julie
authors.initials: J
authors.lastname: Williams
authors.forename: Mary
authors.initials: M
authors.lastname: Leamy
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D017144:Focus Groups; D017048:Health Care Costs; D006801:Humans; D001523:Mental Disorders / Q000534:rehabilitation*; D008605:Mental Health Services; D008875:Middle Aged; D017064:Process Assessment, Health Care; D024382:Professional Role; D000067250:Psychiatric Rehabilitation; D036301:Qualitative Research; D013222:State Medicine; D006113:United Kingdom; D055815:Young Adult