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Consumers' understanding and expectations of a community-based recovery-oriented mental health rehabilitation unit: a pragmatic grounded theory analysis

Published online by Cambridge University Press:  04 December 2017

Stephen Parker Open the ORCID record for Stephen Parker [Opens in a new window] ,
Frances Dark ,
Ellie Newman ,
Dominic Hanley ,
William McKinlay  and
Carla Meurk
Stephen Parker*
Affiliation:
Rehabilitation ACU, Metro South Addiction and Mental Health Service (MSAMHS), Brisbane, Australia University of Queensland, School of Public Health, Herston, Australia
Frances Dark
Affiliation:
Rehabilitation ACU, Metro South Addiction and Mental Health Service (MSAMHS), Brisbane, Australia University of Queensland, School of Public Health, Herston, Australia
Ellie Newman
Affiliation:
Rehabilitation ACU, Metro South Addiction and Mental Health Service (MSAMHS), Brisbane, Australia
Dominic Hanley
Affiliation:
Rehabilitation ACU, Metro South Addiction and Mental Health Service (MSAMHS), Brisbane, Australia
William McKinlay
Affiliation:
Rehabilitation ACU, Metro South Addiction and Mental Health Service (MSAMHS), Brisbane, Australia
Carla Meurk
Affiliation:
University of Queensland, School of Public Health, Herston, Australia Policy and Epidemiology Group, Queensland Centre for Mental Health Research, Wacol, Australia
*
*Address for correspondence: Stephen Parker, 128 Main Street, Redland Bay, Queensland 4165, Australia. (Email: stephen.parker@health.qld.gov.au)
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Abstract

Aims.

Incorporating consumer perspectives into mental health services design is important in working to deliver recovery-oriented care. One of the challenges faced in mental health rehabilitation services is limited consumer engagement with the available support. Listening to consumers’ expectations of mental health services, and what they hope to achieve, provides an opportunity to examine the alignment between existing services and the priorities and preferences of the people who use them. We explored consumer understandings and expectations of three recovery-oriented community-based residential mental-health rehabilitation units using semi-structured interviews; two of these units were trialling a staffing model integrating peer support with clinical care.

Methods.

Twenty-four consumers completed semi-structured interviews with an independent interviewer during the first 6 weeks of their stay at the rehabilitation unit. Most participants had a primary diagnosis of schizophrenia or a related psychotic disorder (87%). A pragmatic approach to grounded theory guided the analysis, facilitating identification of content and themes, and the development of an overarching conceptual map.

Results.

The rehabilitation units were considered to provide a transformational space and a transitional place. The most common reason given for engagement was housing insecurity or homelessness rather than the opportunity for rehabilitation engagement. Differences in expectations did not emerge between consumers entering the clinical and integrated staffing model sites.

Conclusions.

Consumers understand the function of the rehabilitation service they are entering. However, receiving rehabilitation support may not be the key driver of their attendance. This finding has implications for promoting consumer engagement with rehabilitation services. The absence of differences between the integrated and clinical staffing models may reflect the novelty of the rehabilitation context. The study highlights the need for staff to find better ways to increase consumer awareness of the potential relevance of evidence-based rehabilitation support to facilitating their recovery.

Keywords

Qualitative researchrehabilitationresidential servicesschizophreniaservice-user perspectives
Type
Original Articles
Information
Epidemiology and Psychiatric Sciences , Volume 28 , Issue 4 , August 2019 , pp. 408 - 417
Copyright
Copyright © Cambridge University Press 2017 

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