Recovery-oriented mental health practice in a community care unit: An exploratory study

Journal article

McKenna, Brian, Oakes, Jane, Fourniotis, Niki, Toomey, Nigel and Furness, Trentham. (2016). Recovery-oriented mental health practice in a community care unit: An exploratory study. Journal of Forensic Nursing. 12(4), pp. 167-175. https://doi.org/10.1097/JFN.0000000000000127
AuthorsMcKenna, Brian, Oakes, Jane, Fourniotis, Niki, Toomey, Nigel and Furness, Trentham
Abstract

A recovery-oriented model of care has become the major focus of mental health service delivery in the state of Victoria, Australia. However, there is a total absence of knowledge of recovery-oriented mental health practice in community care units (CCUs). Therefore, the aims of this exploratory study were to: (a) describe what aspects of the current model of care fit within the domains of recovery; and (b) describe the pragmatic processes that staff use to mold their care within the domains of recovery. Twenty-one key stakeholders provided informed voluntary consent to participate in one-to-one interviews. Six content domains evolved to include: (a) a common vision: “a continuous journey”; (b) promoting hope; (c) promoting autonomy and self-determination; (d) meaningful engagement; (e) holistic and personalized care; and (f) community participation and citizenship. The CCU appeared to be on a journey of transformation toward personal recovery. However, clinicians were grappling with an identified tension among personal recovery and clinical recovery. The tension among personal recovery and clinical recovery may be attributed to the psychosocial rehabilitation model of care, which was previously systemic in Victorian CCUs.

Keywordsmental illness; recovery-oriented practice; staff perspective; system transformation
Year2016
JournalJournal of Forensic Nursing
Journal citation12 (4), pp. 167-175
PublisherInternational Association of Forensic Nurses
ISSN1556-3693
Digital Object Identifier (DOI)https://doi.org/10.1097/JFN.0000000000000127
Scopus EID2-s2.0-85000399114
Open accessPublished as green open access
Research or scholarlyResearch
Page range167-175
Research GroupSchool of Nursing, Midwifery and Paramedicine
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Thom, Katey, Finlayson, Mary and Mckenna, Brian. (2011). Insanity, methamphetamine and psychiatric expertise in New Zealand courtrooms. Journal of Law and Medicine. 18(4), pp. 749 - 758.
Mental health and addiction services in the criminal justice system: Where do we sit?
McKenna, Brian. (2011). Mental health and addiction services in the criminal justice system: Where do we sit? International Journal of Mental Health Nursing. 20(2), pp. 75 - 76. https://doi.org/10.1111/j.1447-0349.2010.00738.x
In search of a national approach to professional supervision for mental health and addiction nurses : The New Zealand experience
McKenna, Brian, Thom, Katey, Howard, Fiona and Williams, Val. (2010). In search of a national approach to professional supervision for mental health and addiction nurses : The New Zealand experience. Contemporary Nurse: Health care across the lifespan. 34(2), pp. 267 - 276. https://doi.org/10.5172/conu.2010.34.2.267
Efficacy of a whole-body vibration intervention on functional performance of community-dwelling older adults
Furness, Trentham, Maschette, Wayne, Lorenzen, Christian, Naughton, Geraldine and Williams, Morgan. (2010). Efficacy of a whole-body vibration intervention on functional performance of community-dwelling older adults. Journal of Alternative & Complementary Medicine. 16(7), pp. 795 - 797. https://doi.org/10.1089/acm.2009.0366
Duly authorized officers' practices under mental health law in New Zealand: Are nurses meeting the requirements of the law?: Feature article
McKenna, Brian, Thom, Katey, O'Brien, Anthony John, Crene, Sally and Simpson, A.. (2009). Duly authorized officers' practices under mental health law in New Zealand: Are nurses meeting the requirements of the law?: Feature article. International Journal of Mental Health Nursing. 18(4), pp. 231 - 238. https://doi.org/10.1111/j.1447-0349.2009.00619.x
Community treatment orders and competence to consent
Milne, Duncan, O'Brien, Anthony John and McKenna, Brian. (2009). Community treatment orders and competence to consent. Australasian Psychiatry. 17(4), pp. 273 - 278. https://doi.org/10.1080/10398560902721572
Compulsory community mental health treatment: Literature review
O'Brien, Anthony John, McKenna, Brian and Kydd, Robert R.. (2009). Compulsory community mental health treatment: Literature review. International Journal of Nursing Studies. 46(9), pp. 1245 - 1255. https://doi.org/10.1016/j.ijnurstu.2009.02.006
Judging nursing practice: Implications of habeas corpus rulings for mental health nurses in New Zealand
Thom, Katey, O'Brien, Anthony John and McKenna, Brian. (2008). Judging nursing practice: Implications of habeas corpus rulings for mental health nurses in New Zealand. Psychiatry, Psychology and Law. 15(1), pp. 131 - 139. https://doi.org/10.1080/13218710701879558
Return to nursing programmes: Justifications for a mental health specific course
McKenna, Brian, Thom, Katey and O'Brien, Anthony John. (2008). Return to nursing programmes: Justifications for a mental health specific course. International Journal of Nursing Education Scholarship. 5(1), pp. 1 - 16. https://doi.org/10.2202/1548-923X.1618
The unintended impact of the therapeutic intentions of the New Zealand Mental Health Review Tribunal? Therapeutic jurisprudence perspectives
Diesfeld, Kate and McKenna, Brian. (2007). The unintended impact of the therapeutic intentions of the New Zealand Mental Health Review Tribunal? Therapeutic jurisprudence perspectives. Journal of Law and Medicine. 14(4), pp. 566 - 574.
Concerns about the use of TASERs on people with mental illness in New Zealand
O'Brien, Anthony John and McKenna, Brian. (2007). Concerns about the use of TASERs on people with mental illness in New Zealand. Journal of Forensic Nursing. 3(2), pp. 89 - 92. https://doi.org/10.1097/01263942-200706000-00008
Outcome of patients rehabilitated through a New Zealand Forensic Psychiatry Service: A 7.5 year retrospective study
Simpson, Sandy, Simpson, A., Jones, Roland Morgan, Evans, Ceri G. and McKenna, Brian. (2006). Outcome of patients rehabilitated through a New Zealand Forensic Psychiatry Service: A 7.5 year retrospective study. Behavioral Sciences and the Law. 24(6), pp. 833 - 843. https://doi.org/10.1002/bsl.740
Mentally abnormal homicide in New Zealand as defined by legal and clinical criteria: A national study
Simpson, A., Skipworth, Jeremy J., McKenna, Brian, Moskowitz, Andrew K. and Barry-Walsh, Justin B.. (2006). Mentally abnormal homicide in New Zealand as defined by legal and clinical criteria: A national study. Australian and New Zealand Journal of Psychiatry. 40(9), pp. 804 - 809. https://doi.org/10.1111/j.1440-1614.2006.01887.x
The therapeutic intent of the New Zealand Mental Health Review Tribunal
Diesfeld, Kate and McKenna, Brian. (2006). The therapeutic intent of the New Zealand Mental Health Review Tribunal. Psychiatry, Psychology and Law. 13(1), pp. 100 - 109. https://doi.org/10.1375/pplt.13.1.100
Best practice management strategies for mental health nurses during the clinical application of civil commitment: an overview
McKenna, Brian, Simpson, A. and Cloverdale, John H.. (2006). Best practice management strategies for mental health nurses during the clinical application of civil commitment: an overview. Contemporary Nurse. 21(1), pp. 62 - 70. https://doi.org/10.5172/conu.2006.21.1.62
Registered nurses as responsible clinicians under the New Zealand Mental Health (Compulsory Assessment and Treatment) Act 1992
McKenna, Brian, O'Brien, Anthony John, Dal Din, Toni and Thom, Kate. (2006). Registered nurses as responsible clinicians under the New Zealand Mental Health (Compulsory Assessment and Treatment) Act 1992. International Journal of Mental Health Nursing. 15(2), pp. 128 - 134. https://doi.org/10.1111/j.1447-0349.2006.00412.x
The role of mental illness in homicide-suicide in New Zealand, 1991 - 2000
Moskowitz, Andrew K., Simpson, A., McKenna, Brian, Skipworth, Jeremy J. and Barry-Walsh, Justin B.. (2006). The role of mental illness in homicide-suicide in New Zealand, 1991 - 2000. Journal of Forensic Psychiatry and Psychology. 17(3), pp. 417 - 430. https://doi.org/10.1080/14789940600761410
Outpatient commitment and coercion in New Zealand: A matched comparison study
McKenna, Brian, Simpson, A. and Cloverdale, John H.. (2006). Outpatient commitment and coercion in New Zealand: A matched comparison study. International Journal of Law and Psychiatry. 29(2), pp. 145 - 158. https://doi.org/10.1016/j.ijlp.2004.07.004
Gambling and problem gambling among recently sentenced women in New Zealand prisons
Abbott, Max W. and McKenna, Brian. (2005). Gambling and problem gambling among recently sentenced women in New Zealand prisons. Journal of Gambling Studies. 21(4), pp. 559 - 581. https://doi.org/10.1007/s10899-005-5563-5
Gambling and problem gambling among recently sentenced male prisoners in four New Zealand prisons
Abbott, Max W., McKenna, Brian and Giles, Lynne C.. (2005). Gambling and problem gambling among recently sentenced male prisoners in four New Zealand prisons. Journal of Gambling Studies. 21(4), pp. 537 - 558. https://doi.org/10.1007/s10899-005-5562-6
New nurses face endemic violence
McKenna, Brian, Poole, Suzette J., Smith, Naumai A. and Cloverdale, John H.. (2004). New nurses face endemic violence. Kai Tiaki: Nursing New Zealand. 10(5), pp. 12 - 14.
Homicide and mental illness in New Zealand, 1970-2000
Simpson, A., McKenna, Brian, Moskowitz, Andrew K., Skipworth, Jeremy J., Barry-Walsh, Justin B. and Simpson, Sandy. (2004). Homicide and mental illness in New Zealand, 1970-2000. British Journal of Psychiatry. 185(NOV), pp. 394 - 398. https://doi.org/10.1192/bjp.185.5.394
Patients' perceptions of coercion on admission to forensic psychiatric hospital: A comparison study
McKenna, Brian, Simpson, A. and Cloverdale, John H.. (2003). Patients' perceptions of coercion on admission to forensic psychiatric hospital: A comparison study. International Journal of Law and Psychiatry. 26(4), pp. 355 - 372. https://doi.org/10.1016/S0160-2527(03)00046-3
Horizontal violence: Experiences of Registered Nurses in their first year of practice
McKenna, Brian, Smith, Naumai A., Poole, Suzette J. and Cloverdale, John H.. (2003). Horizontal violence: Experiences of Registered Nurses in their first year of practice. Journal of Advanced Nursing. 42(1), pp. 90 - 96. https://doi.org/10.1046/j.1365-2648.2003.02583.x
Advanced 'prescribing' of nurses' emergency holding powers under New Zealand mental health legislation
Farrow, Tony L., McKenna, Brian and O'Brien, Anthony John. (2002). Advanced 'prescribing' of nurses' emergency holding powers under New Zealand mental health legislation. International Journal of Mental Health Nursing. 11(3), pp. 164 - 169.
Initiating committal proceedings 'just in case' with voluntary patients: a critique of nursing practice
Farrow, Tony L., McKenna, Brian and O'Brien, Anthony John. (2002). Initiating committal proceedings 'just in case' with voluntary patients: a critique of nursing practice. Nursing Praxis in New Zealand. 18(2), pp. 15 - 23.
Risk assessment of violence to others: time for action
McKenna, Brian. (2002). Risk assessment of violence to others: time for action. Nursing Praxis in New Zealand. 18(1), pp. 36 - 43.
An analysis of procedural justice during psychiatric hospital admission
McKenna, Brian, Simpson, A., Cloverdale, John H. and Laidlaw, Tannis M.. (2001). An analysis of procedural justice during psychiatric hospital admission. International Journal of Law and Psychiatry. 24(6), pp. 573 - 581. https://doi.org/10.1016/S0160-2527(00)00069-8
Debating forensic mental health nursing
McKenna, Brian and Poole, Suzette J.. (2001). Debating forensic mental health nursing. Kai Tiaki: Nursing New Zealand. 7(6), pp. 18 - 20.
What is the role of procedural justice in civil commitment?
McKenna, Brian, Simpson, A. and Cloverdale, John H.. (2000). What is the role of procedural justice in civil commitment? Australian and New Zealand Journal of Psychiatry. 34(4), pp. 671 - 676. https://doi.org/10.1046/j.1440-1614.2000.00744.x
Implications for training of violent acts by patients against psychiatry registrars
Gale, Christopher K., Simpson, A., McKenna, Brian and Cloverdale, John H.. (2000). Implications for training of violent acts by patients against psychiatry registrars. Australasian Psychiatry. 8(4), pp. 345 - 348. https://doi.org/10.1046/j.1440-1665.2000.00289.x
Patient perception of coercion on admission to acute psychiatric services: The New Zealand experience
McKenna, Brian, Simpson, A. and Laidlaw, Tannis M.. (1999). Patient perception of coercion on admission to acute psychiatric services: The New Zealand experience. International Journal of Law and Psychiatry. 22(2), pp. 143 - 153. https://doi.org/10.1016/S0160-2527(98)00039-9
To tell or not to tell?
McKenna, Brian. (1997). To tell or not to tell? Kai Tiaki: Nursing New Zealand. 3(4), pp. 28 - 29.