title: Recovery-based staff training intervention within mental health rehabilitation units: a two-stage analysis using realistic evaluation principles and framework approach.
abstract: Long-term change in recovery-based practice in mental health rehabilitation is a research priority.
  
  
  
  We used a qualitative case study analysis using a blend of traditional 'framework' analysis and 'realist' approaches to carry out an evaluation of a recovery-focused staff training intervention within three purposively selected mental health rehabilitation units. We maximised the validity of the data by triangulating multiple data sources.
  
  
  
  We found that organisational culture and embedding of a change management programme in routine practice were reported as key influences in sustaining change in practice. The qualitative study generated 10 recommendations on how to achieve long-term change in practice including addressing pre-existing organisational issues and synergising concurrent change programmes.
  
  
  
  We propose that a recovery-focused staff training intervention requires clear leadership and integration with any existing change management programmes to facilitate sustained improvements in routine practice.
authors.affiliation: Centre for Health & Social Care Research, Sheffield Hallam University, Montgomery House 32 Collegiate Crescent, Sheffield, S10 2BP, UK. s.bhanbhro@shu.ac.uk.
authors.forename: Sadiq
authors.identifier: 0000-0003-0771-8130
authors.initials: S
authors.lastname: Bhanbhro
authors.affiliation: Centre for Health & Social Care Research, Sheffield Hallam University, Montgomery House 32 Collegiate Crescent, Sheffield, S10 2BP, UK.
authors.forename: Melanie
authors.initials: M
authors.lastname: Gee
authors.affiliation: Centre for Health & Social Care Research, Sheffield Hallam University, Montgomery House 32 Collegiate Crescent, Sheffield, S10 2BP, UK.
authors.forename: Sarah
authors.initials: S
authors.lastname: Cook
authors.affiliation: Departments of Primary Care and Population Health and Priment Clinical Trials Unit, University College London, London, UK.
authors.forename: Louise
authors.initials: L
authors.lastname: Marston
authors.affiliation: Division of Psychiatry, University College London, London, UK.
authors.forename: Melanie
authors.initials: M
authors.lastname: Lean
authors.affiliation: Division of Psychiatry, University College London, London, UK.
authors.forename: Helen
authors.initials: H
authors.lastname: Killaspy
mesh_terms: D006282:Health Personnel / Q000193:education*; D006801:Humans; D015279:Organizational Culture; D009936:Organizational Innovation; D000067250:Psychiatric Rehabilitation / Q000193:education*; D036301:Qualitative Research