title: Recovery practice in community mental health teams: national survey.
abstract: There is consensus about the importance of 'recovery' in mental health services, but the link between recovery orientation of mental health teams and personal recovery of individuals has been underresearched.
  
  
  
  To investigate differences in team leader, clinician and service user perspectives of recovery orientation of community adult mental health teams in England.
  
  
  
  In six English mental health National Health Service (NHS) trusts, randomly chosen community adult mental health teams were surveyed. A random sample of ten patients, one team leader and a convenience sample of five clinicians were surveyed from each team. All respondents rated the recovery orientation of their team using parallel versions of the Recovery Self Assessment (RSA). In addition, service users also rated their own personal recovery using the Questionnaire about Processes of Recovery (QPR).
  
  
  
  Team leaders (n = 22) rated recovery orientation higher than clinicians (n = 109) or patients (n = 120) (Wald(2) = 7.0, P = 0.03), and both NHS trust and team type influenced RSA ratings. Patient-rated recovery orientation was a predictor of personal recovery (b = 0.58, 95% CI 0.31-0.85, P<0.001). Team leaders and clinicians with experience of mental illness (39%) or supporting a family member or friend with mental illness (76%) did not differ in their RSA ratings from other team leaders or clinicians.
  
  
  
  Compared with team leaders, frontline clinicians and service users have less positive views on recovery orientation. Increasing recovery orientation may support personal recovery.
authors.affiliation: M. Leamy, PhD, E. Clarke, MBBS, C. Le Boutillier, MSc, V. Bird, PhD, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London; R. Choudhury, MBBS, R. MacPherson, MBBS, gether NHS Foundation Trust, Gloucester; F. Pesola, PhD, K. Sabas, BSc, J. Williams, PhD, P. Williams, MSc, M. Slade, PhD, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK mary.leamy@kcl.ac.uk.
authors.forename: M
authors.initials: M
authors.lastname: Leamy
authors.affiliation: M. Leamy, PhD, E. Clarke, MBBS, C. Le Boutillier, MSc, V. Bird, PhD, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London; R. Choudhury, MBBS, R. MacPherson, MBBS, gether NHS Foundation Trust, Gloucester; F. Pesola, PhD, K. Sabas, BSc, J. Williams, PhD, P. Williams, MSc, M. Slade, PhD, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
authors.forename: E
authors.initials: E
authors.lastname: Clarke
authors.affiliation: M. Leamy, PhD, E. Clarke, MBBS, C. Le Boutillier, MSc, V. Bird, PhD, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London; R. Choudhury, MBBS, R. MacPherson, MBBS, gether NHS Foundation Trust, Gloucester; F. Pesola, PhD, K. Sabas, BSc, J. Williams, PhD, P. Williams, MSc, M. Slade, PhD, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
authors.forename: C
authors.initials: C
authors.lastname: Le Boutillier
authors.affiliation: M. Leamy, PhD, E. Clarke, MBBS, C. Le Boutillier, MSc, V. Bird, PhD, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London; R. Choudhury, MBBS, R. MacPherson, MBBS, gether NHS Foundation Trust, Gloucester; F. Pesola, PhD, K. Sabas, BSc, J. Williams, PhD, P. Williams, MSc, M. Slade, PhD, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
authors.forename: V
authors.initials: V
authors.lastname: Bird
authors.affiliation: M. Leamy, PhD, E. Clarke, MBBS, C. Le Boutillier, MSc, V. Bird, PhD, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London; R. Choudhury, MBBS, R. MacPherson, MBBS, gether NHS Foundation Trust, Gloucester; F. Pesola, PhD, K. Sabas, BSc, J. Williams, PhD, P. Williams, MSc, M. Slade, PhD, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
authors.forename: R
authors.initials: R
authors.lastname: Choudhury
authors.affiliation: M. Leamy, PhD, E. Clarke, MBBS, C. Le Boutillier, MSc, V. Bird, PhD, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London; R. Choudhury, MBBS, R. MacPherson, MBBS, gether NHS Foundation Trust, Gloucester; F. Pesola, PhD, K. Sabas, BSc, J. Williams, PhD, P. Williams, MSc, M. Slade, PhD, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
authors.forename: R
authors.initials: R
authors.lastname: MacPherson
authors.affiliation: M. Leamy, PhD, E. Clarke, MBBS, C. Le Boutillier, MSc, V. Bird, PhD, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London; R. Choudhury, MBBS, R. MacPherson, MBBS, gether NHS Foundation Trust, Gloucester; F. Pesola, PhD, K. Sabas, BSc, J. Williams, PhD, P. Williams, MSc, M. Slade, PhD, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
authors.forename: F
authors.initials: F
authors.lastname: Pesola
authors.affiliation: M. Leamy, PhD, E. Clarke, MBBS, C. Le Boutillier, MSc, V. Bird, PhD, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London; R. Choudhury, MBBS, R. MacPherson, MBBS, gether NHS Foundation Trust, Gloucester; F. Pesola, PhD, K. Sabas, BSc, J. Williams, PhD, P. Williams, MSc, M. Slade, PhD, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
authors.forename: K
authors.initials: K
authors.lastname: Sabas
authors.affiliation: M. Leamy, PhD, E. Clarke, MBBS, C. Le Boutillier, MSc, V. Bird, PhD, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London; R. Choudhury, MBBS, R. MacPherson, MBBS, gether NHS Foundation Trust, Gloucester; F. Pesola, PhD, K. Sabas, BSc, J. Williams, PhD, P. Williams, MSc, M. Slade, PhD, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
authors.forename: J
authors.initials: J
authors.lastname: Williams
authors.affiliation: M. Leamy, PhD, E. Clarke, MBBS, C. Le Boutillier, MSc, V. Bird, PhD, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London; R. Choudhury, MBBS, R. MacPherson, MBBS, gether NHS Foundation Trust, Gloucester; F. Pesola, PhD, K. Sabas, BSc, J. Williams, PhD, P. Williams, MSc, M. Slade, PhD, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
authors.forename: P
authors.initials: P
authors.lastname: Williams
authors.affiliation: M. Leamy, PhD, E. Clarke, MBBS, C. Le Boutillier, MSc, V. Bird, PhD, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London; R. Choudhury, MBBS, R. MacPherson, MBBS, gether NHS Foundation Trust, Gloucester; F. Pesola, PhD, K. Sabas, BSc, J. Williams, PhD, P. Williams, MSc, M. Slade, PhD, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
authors.forename: M
authors.initials: M
authors.lastname: Slade
mesh_terms: D000328:Adult; D003156:Community Mental Health Services / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D004739:England; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation*; D008875:Middle Aged; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data*; D010348:Patient Care Team / Q000706:statistics & numerical data*; D000071066:Patient Reported Outcome Measures; D013222:State Medicine