{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T05:40:22Z","timestamp":1740980422011,"version":"3.38.0"},"reference-count":34,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,7,23]],"date-time":"2019-07-23T00:00:00Z","timestamp":1563840000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perspect Public Health"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec><jats:title>Aims:<\/jats:title><jats:p> Recovery approaches are identified as the overarching framework for improving mental health services for people with severe and enduring conditions. These approaches prioritise living well with long-term conditions, as evidenced by personal recovery outcomes. There is little research demonstrating how to support busy mental health teams, work in this way. This study assessed the impact of introducing a brief measure of recovery, the Hope, Agency and Opportunity (HAO), on the attitudes and behaviours of staff working in community mental health teams, to test whether routine use of such measures facilitates recovery-based practice. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> Linguistic analysis assumes that language is indicative of wider attitudes and behaviours. Anonymised clinical notes recorded by community mental health team clinicians were analysed for recovery and non-recovery language, over 30\u2009months. This covered periods before, during and after the introduction of the recovery measure. We used a single-case design ( N\u2009=\u20091 community mental health team) and hypothesised that clinicians would use recovery-focused language more frequently, and non-recovery-focused language less frequently, following the introduction of the measure, and that these changes would be maintained at 18-month follow-up. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> Visual inspection of the data indicated that recovery-focused language increased following the introduction of the HAO, though this was not maintained at follow-up. This pattern was not supported by statistical analyses. No clear pattern of change was found for non-recovery-focused language. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p> The introduction of a brief measure of recovery may have influenced staff attitudes and behaviours temporarily. Any longer term impact is likely to depend on ongoing commitment to the use of the measure, without which staff language, attitudes and behaviours return to previous levels. <\/jats:p><\/jats:sec>","DOI":"10.1177\/1757913919852121","type":"journal-article","created":{"date-parts":[[2019,7,23]],"date-time":"2019-07-23T15:14:26Z","timestamp":1563894866000},"page":"102-107","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Do recovery outcome measures improve clinical practice? A linguistic analysis of the impact of the Hope, Agency and Opportunity measure in community mental health teams"],"prefix":"10.1177","volume":"140","author":[{"given":"A","family":"Bowen","sequence":"first","affiliation":[{"name":"Psychology Department, University of Southampton, Shackleton Building, Highfield Campus, Southampton SO17 1BJ, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T","family":"Maguire","sequence":"additional","affiliation":[{"name":"Psychology Department, University of Southampton, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1579-7959","authenticated-orcid":false,"given":"K","family":"Newman-Taylor","sequence":"additional","affiliation":[{"name":"Psychology Department, University of Southampton, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,7,23]]},"reference":[{"key":"bibr1-1757913919852121","doi-asserted-by":"publisher","DOI":"10.1037\/h0095655"},{"key":"bibr2-1757913919852121","first-page":"85","volume-title":"Mental health nursing skills","author":"Repper J","year":"2009"},{"key":"bibr3-1757913919852121","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2008.59.12.1437"},{"key":"bibr4-1757913919852121","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60692-4"},{"key":"bibr5-1757913919852121","unstructured":"Department of Health. Annual Report of the Chief Medical Officer 2013: Public Mental Health Priorities: Investing in the Evidence. Available online at: https:\/\/mrc.ukri.org\/documents\/pdf\/chief-medical-officer-annual-report-2013\/ (2013, last accessed 24 March 2019)."},{"key":"bibr6-1757913919852121","doi-asserted-by":"publisher","DOI":"10.1037\/h0099565"},{"key":"bibr7-1757913919852121","doi-asserted-by":"crossref","unstructured":"Perkins R. Recovery: a journey of the mind and spirit. Clinical Psychology Forum 2015;268:38-43.","DOI":"10.53841\/bpscpf.2015.1.268.38"},{"key":"bibr8-1757913919852121","unstructured":"Department of Health. No Health without Mental Health: Implementation Framework. Available online at: https:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/216870\/No-Health-Without-Mental-Health-Implementation-Framework-Report-accessible-version.pdf (2012, last accessed 10 February 2018)."},{"key":"bibr9-1757913919852121","unstructured":"Department of Health. Closing the Gap: Priorities for Essential Change in Mental Health. Available online at: https:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/281250\/Closing_the_gap_V2_-_17_Feb_2014.pdf (2014, last accessed 10 February 2018)"},{"key":"bibr10-1757913919852121","unstructured":"National Institute for Health and Care Excellence. Looked-After Children and Young People. Available online at: https:\/\/www.nice.org.uk\/guidance\/ph28\/resources\/lookedafter-children-and-young-people-pdf-1996243726021 (2010, accessed 10 February 2018)."},{"key":"bibr11-1757913919852121","unstructured":"National Institute for Health and Care Excellence. Service User Experience in Adult Mental Health: Improving the Experience of Care for People Using Adult NHS Mental Health Services. Available online at: https:\/\/www.nice.org.uk\/guidance\/cg136\/resources\/service-user-experience-in-adult-mental-health-improving-the-experience-of-care-for-people-using-adult-nhs-mental-health-services-pdf-35109513728197 (2011, last accessed 10 February 2018)."},{"key":"bibr12-1757913919852121","unstructured":"National Institute for Health and Care Excellence. Older People: Independence and Mental Wellbeing. Available online at: https:\/\/www.nice.org.uk\/guidance\/ng32\/resources\/older-people-independence-and-mental-wellbeing-pdf-1837389003973 (2015, last accessed 10 February 2018)."},{"key":"bibr13-1757913919852121","unstructured":"British Association of Social Workers. The Role of the Social Worker in Adult Mental Health Services. Available online at: https:\/\/www.basw.co.uk\/resources\/role-social-worker-adult-mental-health-services (2014, last accessed 10 February 2018)."},{"key":"bibr14-1757913919852121","unstructured":"British Psychological Society. Commissioning and Delivering Clinical Psychology in Acute Adult Mental Health Care. Available online at: https:\/\/shop.bps.org.uk\/commissioning-and-delivering-clinical-psychology-in-acute-adult-mental-health-care.html (2012, last accessed 10 February 2018)"},{"key":"bibr15-1757913919852121","unstructured":"Royal College of Nursing. Frontline First: Turning Back the Clock? RCN Report on Mental Health Services in the UK. Available online at: https:\/\/www.rcn.org.uk\/professional-development\/publications\/pub-004772 (2014, last accessed 10 February 2018)."},{"key":"bibr16-1757913919852121","unstructured":"Royal College of Psychiatrists. Recovery for People with Severe and Complex Mental Health Problems in Northern Ireland. Available online at: https:\/\/www.rcpsych.ac.uk\/docs\/default-source\/improving-care\/better-mh-policy\/college-reports\/college-report-cr187.pdf?sfvrsn=9234b3c8_2 (2014, last accessed 10 February 2018)."},{"key":"bibr17-1757913919852121","unstructured":"Shepherd G, Boardman J, Rinaldi M, et al. Supporting recovery in mental health services: quality and outcomes. ImROC briefing paper 8. Available online at: https:\/\/www.centreformentalhealth.org.uk\/sites\/default\/files\/2018-09\/recovery_quality_outcomes_summary.pdf (2014, last accessed 24 March 2019)."},{"key":"bibr18-1757913919852121","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbl076"},{"key":"bibr19-1757913919852121","doi-asserted-by":"publisher","DOI":"10.1080\/17522439.2015.1115541"},{"key":"bibr20-1757913919852121","doi-asserted-by":"publisher","DOI":"10.1080\/13546805.2016.1147427"},{"key":"bibr21-1757913919852121","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-012-0475-z"},{"key":"bibr22-1757913919852121","doi-asserted-by":"publisher","DOI":"10.1037\/prj0000248"},{"key":"bibr23-1757913919852121","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2017.05.016"},{"key":"bibr24-1757913919852121","doi-asserted-by":"publisher","DOI":"10.1177\/1078390313489730"},{"key":"bibr25-1757913919852121","doi-asserted-by":"publisher","DOI":"10.1037\/prj0000178"},{"key":"bibr26-1757913919852121","doi-asserted-by":"publisher","DOI":"10.1016\/j.mhp.2019.01.005"},{"key":"bibr27-1757913919852121","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(15)00086-3"},{"key":"bibr28-1757913919852121","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-016-1257-9"},{"journal-title":"Discourse studies: a multidisciplinary introduction","year":"1997","author":"Van Dijk TA","key":"bibr29-1757913919852121"},{"key":"bibr30-1757913919852121","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2006.03710.x"},{"key":"bibr31-1757913919852121","doi-asserted-by":"publisher","DOI":"10.1111\/ijal.12064"},{"key":"bibr32-1757913919852121","doi-asserted-by":"publisher","DOI":"10.1080\/09638237.2017.1385746"},{"volume-title":"Single-case methods in clinical psychology: a practical guide","year":"2018","author":"Morley S","key":"bibr33-1757913919852121"},{"key":"bibr34-1757913919852121","doi-asserted-by":"publisher","DOI":"10.1037\/a0029312"}],"container-title":["Perspectives in Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1757913919852121","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1757913919852121","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1757913919852121","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T13:00:19Z","timestamp":1740920419000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1757913919852121"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,23]]},"references-count":34,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,3]]}},"alternative-id":["10.1177\/1757913919852121"],"URL":"https:\/\/doi.org\/10.1177\/1757913919852121","relation":{},"ISSN":["1757-9139","1757-9147"],"issn-type":[{"type":"print","value":"1757-9139"},{"type":"electronic","value":"1757-9147"}],"subject":[],"published":{"date-parts":[[2019,7,23]]}}}