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The literature calls for occupational therapists to lead practice change to greater recovery\u2010orientation, including facilitating people's self\u2010determination. However, systemic challenges thwart translation of policy into practice and therapists report a lack of confidence in implementing recovery\u2010oriented principles. This study aimed to understand the strategies that mental health occupational therapists employ to support people's self\u2010determination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were collected through an international on\u2010line questionnaire principally comprising two open\u2010ended questions designed to elicit deep reflective personal accounts. Participants were asked about an experience in which they supported a person's self\u2010determination and the factors that either facilitated or hindered this experience. Qualitative data were analysed using inductive thematic analysis, guided by constant comparative methods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Thirty\u2010four therapists, predominantly from Australia (<jats:italic>n<\/jats:italic>\u2009=\u200930), participated. Therapists described supporting self\u2010determination as a multifaceted process that involved: (1) working on myself, (2) working with the person, and (3) working with others. They emphasised that the combined use of various strategies across these three areas of work was important to support people's self\u2010determination. Further, awareness of and addressing issues of power in their practice was key.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study supports the translation of recovery\u2010oriented principles into practice by revealing the nuanced strategies implemented by occupational therapists striving to support self\u2010determination. Participants employed diverse strategies to empower people to take the \u2018driver's seat\u2019 in their mental health recovery journey. Insights from this study will support other occupational therapists to actualise recovery\u2010oriented principles and better support self\u2010determination in their practice. To effectively implement self\u2010determination strategies, therapists must reflect on and address existing power differentials within mental health services, particularly between themselves and the people they support.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1440-1630.12913","type":"journal-article","created":{"date-parts":[[2023,10,20]],"date-time":"2023-10-20T12:08:08Z","timestamp":1697803688000},"page":"88-101","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Supporting self\u2010determination in mental health recovery: Strategies employed by occupational therapists"],"prefix":"10.1111","volume":"71","author":[{"given":"Jasmine","family":"Fawor","sequence":"first","affiliation":[{"name":"Discipline of Occupational Therapy, Centre for Disability Research and Policy, Faculty of Medicine and Health The University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6877-9239","authenticated-orcid":false,"given":"Nicola","family":"Hancock","sequence":"additional","affiliation":[{"name":"Discipline of Occupational Therapy, Centre for Disability Research and Policy, Faculty of Medicine and Health The University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5639-6476","authenticated-orcid":false,"given":"Justin Newton","family":"Scanlan","sequence":"additional","affiliation":[{"name":"Discipline of Occupational Therapy, Centre for Disability Research and Policy, Faculty of Medicine and Health The University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debra Ellen","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Discipline of Occupational Therapy, Centre for Disability Research and Policy, Faculty of Medicine and Health The University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,20]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Australian Health Ministers' Advisory Council. 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