Conceptual Framework for Personal Recovery in Mental Health: Systematic Review and Narrative Synthesis

Br J Psychiatry. 2011 Dec;199(6):445-52. doi: 10.1192/bjp.bp.110.083733.

Abstract

Background: No systematic review and narrative synthesis on personal recovery in mental illness has been undertaken.

Aims: To synthesise published descriptions and models of personal recovery into an empirically based conceptual framework.

Method: Systematic review and modified narrative synthesis.

Results: Out of 5208 papers that were identified and 366 that were reviewed, a total of 97 papers were included in this review. The emergent conceptual framework consists of: (a) 13 characteristics of the recovery journey; (b) five recovery processes comprising: connectedness; hope and optimism about the future; identity; meaning in life; and empowerment (giving the acronym CHIME); and (c) recovery stage descriptions which mapped onto the transtheoretical model of change. Studies that focused on recovery for individuals of Black and minority ethnic (BME) origin showed a greater emphasis on spirituality and stigma and also identified two additional themes: culturally specific facilitating factors and collectivist notions of recovery.

Conclusions: The conceptual framework is a theoretically defensible and robust synthesis of people's experiences of recovery in mental illness. This provides an empirical basis for future recovery-oriented research and practice.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Adaptation, Psychological
  • Attitude to Health*
  • Concept Formation
  • Ethnic Groups
  • Female
  • Humans
  • Male
  • Mental Disorders / rehabilitation*
  • Mental Health*
  • Minority Groups / psychology
  • Models, Psychological
  • Recovery of Function*
  • Research Design
  • Self Concept
  • Spirituality