Study of recovery-focused mental health care planning and coordination in England and Wales
The NIHR Health Services and Delivery Research (HS&DR) Programme is funding a cross-national comparative study of recovery-focused mental health care planning and coordination.
The concept of recovery in mental health was initially developed by service users and refers to ‘a way of living a satisfying, hopeful, and contributing life even with limitations caused by illness,’ while developing new purpose or meaning.
There are differences between the care systems in England and Wales. In England the care programme approach (CPA) is guidance while in Wales care and treatment planning is subject to legislation. In both countries patients are assigned a care coordinator and given a personalised written care plan, but the Welsh legislation stipulates a recovery and outcome led process. A philosophy of recovery and involvement to promote personalised care is expected in England but required in Wales. Very little research has been carried out on the effectiveness of care planning approaches generally, and little is known about the differences in systems of care between both countries and whether this is focused around patient recovery.
This study will investigate how care is planned and organised in England and Wales, and whether it focuses on patient recovery. It will also investigate if care planning is, or could be, conducted in a personalised way by working in partnership with service users and carers.
The research team, which includes service user researchers, is led by Professor Alan Simpson of City University London, who said: “We plan to work closely with six community mental health services to explore service users’ and staff perceptions of recovery oriented practices, and examine how the care needs of people with severe mental illness are assessed, planned and coordinated. We hope this study into the complex practice of CPA care co-ordination will generate a new understanding of a crucial area of practice, by focussing not merely on the outcome but also the process and context of care planning”.
The research team will review local policies and audits about care planning, and review existing care plans. Interviews will also be carried out with over 100 services users, carers and care coordinators. In addition 400 service users will be asked to complete three questionnaires about recovery, empowerment and therapeutic relationships. Around 200 care coordinators will also be asked to complete a questionnaire about recovery.
View the project page.