Exploring the Dimensions of Recovery and User Experience

Main Article Content

Peter Jones


The concept of recovery is widely applied within service delivery in the field of mental health. The dimensions of recovery were explored using a singular conceptual framework known as Hodges’ model, which is shown to be suited to this particular task. This arises from the model’s structure, in that it encompasses the individual-group and a care domain specific to the political aspects of both health and social care. The evidence was found by relating recovery to the model’s care domains, which is also relevant to the experience of mental health service users and developments over the past decade in mental health service provision. Particular attention is given to the ‘Recovery Star’. This can be used as a key-working and outcomes tool. The discussion is also placed in a context of the current socio-economic climate, notably the ‘politics of recovery’ at a time of austerity.

Article Details

Regular Articles
Author Biography

Peter Jones, Lancashire Care NHS Foundation Trust & Lancaster University Graduate Student

Community Mental Health Nurse Older Adults, Intermediate Support Team, Ribbleton Hospital, Preston, Lancashire, UK


Health and Social Care Act 2012. Available at: http://www.legislation.gov.uk/ukpga/2012/7/pdfs/ukpga_20120007_en.pdf (last accessed: 1 January 2014).

Final report of the Mid Staffordshire NHS Foundation Trust Public Inquiry. Chaired by Robert Francis QC. HC 947. London: The Stationery Office. 6 February 2013.

Heginbotham C (2012): Values-Based Commissioning of Health and Social Care (Values-Based Practice). Cambridge, Cambridge University Press.

NHS.uk. About the National Health Service (NHS) in England - NHS Choices. (2013-01-28). Available at: http://www.nhs.uk/NHSEngland/thenhs/about/Pages/overview.aspx (last accessed 1 January 2014)

Sharry J, Madden B, Darmody M (2012): Becoming a Solution Detective: A Strengths-Based Guide to Brief Therapy. Routledge.

Corrigan P (2006): Impact of consumer-operated services on empowerment and recovery of people with psychiatric disabilities. Psychiatric Services. 57 (10): 1493-6.

Maulik PK, Eaton WW, Bradshaw CP (2009): The Role of Social Network and Support in Mental Health Service Use: Findings from the Baltimore ECA Study. Psychiatric Services. 60(9): 1222–1229.

Antonovsky A (1987): Unraveling The Mystery of Health - How People Manage Stress and Stay Well. San Francisco, Jossey-Bass Publishers.

Canguilhem G (1991): The Normal and the Pathological, trans. Fawcett CR, & Cohen RS. New York: Zone Books.

NIMHE: National Institute for Mental Health in England (2005): Guiding Statement on Recovery. Available at: http://www.nimhe.org.uk (last accessed: 1 January 2014)

Schrank B, Slade M (2007): Editorial: Recovery in psychiatry. The Psychiatrist 31: 321-325 doi: 10.1192/pb.bp.106.013425

Davidson L, O’Connell MJ, Tondora J, et al. (2005): Recovery in serious mental illness: a new wine or just a new bottle? Professional Psychology: Research and Practice, 36, 480-487.

Pilgrim D (2008): 'Recovery' and current mental health policy. Chronic Illness, 4: 295-304.

Skills for Health (2011): Peer support roles in the mental health workforce - examples of current practice. Bristol. Available at: http://www.skillsforhealth.org.uk/component/docman/doc_view/1845-peer-support-report09-2011.html (last accessed: 1 January 2014)

Repper J (2013): Peer Support Workers: Theory and Practice. Centre for Mental Health and Mental Health Network, NHS Confederation.

Gillard SG, Edwards C, Gibson SL, et al. (2013): Introducing peer worker roles into UK mental health service teams: a qualitative analysis of the organizational benefits and challenges. BMC Health Services Research. 13:188.

Becker CM, Glascoff MA, Felts WM (2010): "Salutogenesis 30 Years Later: Where do we go from here?" International Electronic Journal of Health Education. 13, 25-32.

Dodge K, Krantz B, Kenny PJ (2010): How can we begin to measure recovery? Substance Abuse Treatment, Prevention, and Policy. 5:31. doi:10.1186/1747-597X-5-31.

McMillan J, Anderson L (1997): Knowledge and power in the clinical setting. Bioethics Jul-Oct; Vol. 11 (3-4), pp. 265-70.

Hughes E (1958): Men and their work. New York: Free Press.

Hodges B (1997): Hodges’ Health Career Model, Available at:

http://www.p-jones.demon.co.uk/hcm.htm (last accessed: 1 January 2014)

Duffy P, Baldwin H (2013): Recovery post treatment: plans, barriers and motivators, Substance Abuse Treatment, Prevention, and Policy. 8:6. doi:10.1186/1747-597X-8-6

Doyle M, Jones P (2013): Hodges' Health Career Model and its role and potential application in forensic mental health nursing. Journal of Psychiatric and Mental Health Nursing. 20: 7, 631–640.

Barker P, Buchanan-Barker P (2005): The Tidal Model: A Guide for Mental Health Professionals. London: Brunner-Routledge.

Alban-Metcalfe J, Black J (2013): Making leaders of staff and patients, Health Service Journal. 123, 6351, 26-27.

Social Care Institute for Excellence (2007): A common purpose: recovery in future mental health services. London: Social Care Institute for Excellence.

Dickens G, Weleminsky J, Onifade Y, et al. (2012): Recovery Star: validating user recovery. The Psychiatrist Online 2012. 36:45-50.

Mental Health Providers Forum; Recovery Star. Available at: http://www.mhpf.org.uk/resources/publications/the-mental-health-recovery-star-user-guide (last accessed 1 January 2014)

The Lancet Global Health, Early Online Publication, 2 August 2013


Corrigan PW, Larson JE, Rüsch N (2009): Self-stigma and the “why try” effect: impact on life goals and evidence-based practices. World Psychiatry. 8(2): 75–81.

Osborne H (2011): Health Literacy from A to Z, Second Edition. Jones & Bartlett Learning.

Neary N (2013): Viewpoint: 10 jargon phrases used for my autistic son, 24 July 2013, BBC news: OUCH blog: Available at: http://www.bbc.co.uk/news/blogs-ouch-23423541 (last accessed 1 January 2014)

Burns T, Rose D (2013): The British Journal of Psychiatry (2013)

, 88–89. doi: 10.1192/bjp.bp.112.120816

Tomlinson J (2012): We must join forces with our patients, BMJ: 2012; 345:e7047

Carlisle D (2013): Time to go back to the 3Rs, Health Service Journal. 7 June. 123, 6354, 14-15.

Kitwood T (1997): Dementia Reconsidered: the Person Comes First. Buckingham, Open University Press.

Lynch T (2011): SELFHOOD, Limerick, Mental Health Publishing.

Carr S (2011): Enabling risk and ensuring safety: self-directed support and personal budgets, Journal of Adult Protection. 13: 3, 122-136.

Samele C, Wallcraft J, Naylor C, et al. (2007): Research Priorities for Service User and Carer-Centred Mental Health Services: Overview Report, National Coordinating Centre for the Service Delivery and Organisation (NCCSDO).

Rose D (2013): Patient and public involvement in health research: Ethical imperative and/or radical challenge? Journal of health psychology. 1461-7277.

Neilson B, Rossiter N (2008): Precarity as a Political Concept, or, Fordism as Exception, in: Theory, Culture & Society 7–8: 51–72.

House of Lords (2013): Library Note. Debate on 10 October: Parity of Esteem for Mental and Physical Health. Available at: http://www.parliament.uk/briefing-papers/lln-2013-024/debate-on-10-october-parity-of-esteem-for-mental-and-physical-health (last accessed 1 January 2014)

Paris J, Phillips J (2013): Making the DSM-5: Concepts and Controversies, London: Springer.

Jones P (2008): Exploring Serres’ Atlas, Hodges’ Knowledge Domains and the Fusion of Informatics and Cultural Horizons, IN Kidd T, Chen I (eds.) Social Information Technology Connecting Society and Cultural Issues, Idea Group Publishing, Inc. Chapter 7, pp.96-109.