title: The transformation from custodial to recovery-oriented care: a paradigm shift that needed to happen.
abstract: As custodial mental health services are beginning to adopt a recovery-oriented model of care, it is imperative that successes in the transformation to recovery are captured. The aim of this illustrative case study was to describe the organizational procedure that enabled the systematic transformation of a custodial mental health service to a service with a self-professed recovery orientation as its model of service delivery. One-to-one interviews with key stakeholders and a document analysis were completed to thoroughly describe the transformation of the service. Four major themes arose from the data: (a) "We had this whole paradigm shift that needed to happen;" (b) "Think recovery," the development of a manualized guide; (c) "Stepping out my recovery;" adaptation of the service guide to the secure care context; and (d) developing the culture. The "developing the culture" major theme was subcategorized to consist of (a) the right people, (b) education, (c) reflective learning, and (d) leadership. The themes provided insights to assist mental health nurses to understand the processes involved in systems transformation. However, the major successes of the service, although only recently evaluated, commenced over a decade ago and yet continue to evolve.
authors.affiliation: Author Affiliations: 1School of Nursing, Midwifery and Paramedicine, Australian Catholic University; and 2NorthWestern Mental Health, The Royal Melbourne Hospital.
authors.forename: Brian
authors.initials: B
authors.lastname: McKenna
authors.forename: Trentham
authors.initials: T
authors.lastname: Furness
authors.forename: Deepa
authors.initials: D
authors.lastname: Dhital
authors.forename: Malcolm
authors.initials: M
authors.lastname: Park
authors.forename: Fiona
authors.initials: F
authors.lastname: Connally
mesh_terms: D001315:Australia; D062309:Community Integration; D006801:Humans; D007407:Interviews as Topic; D007857:Leadership; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services / Q000458:organization & administration*; D017146:Models, Organizational; D009740:Nursing Staff / Q000193:education; D015279:Organizational Culture; D011568:Psychiatric Nursing