Looking back, looking forward: recovery journeys in a high secure hospital

Mckeown, Mick orcid iconORCID: 0000-0003-0235-1923, Jones, Fiona, Foy, Paul, Wright, Karen Margaret orcid iconORCID: 0000-0003-0693-7294 and Blackmon, Michael Oakes (2016) Looking back, looking forward: recovery journeys in a high secure hospital. International Journal Of Mental Health Nursing, 25 (3). pp. 234-242. ISSN 1445-8330

[thumbnail of Author Accepted Manuscript]
PDF (Author Accepted Manuscript) - Accepted Version
Available under License Creative Commons Attribution Non-commercial No Derivatives.


Official URL: http://doi.org/10.1111/inm.12204


A qualitative study of staff and service users’ views of recovery was undertaken in a UK high secure hospital working to implement recovery practices. 30 staff and 25 service users participated in semi-structured interviews or focus groups. Thematic analysis identified four broad accounts of how recovery was made sense of in the high secure environment: the importance of meaningful occupation; valuing relationships; recovery journeys and dialogue with the past; and recovery as personal responsibility. These themes are discussed with an emphasis on service user strategies of cooperation or resistance, respectively advancing or impeding progress through the system. In this context the notion of cooperation is, for many, commensurate with compliance with a dominant medical model. The policy framing of recovery opens up contemplation of treatment alternatives, more participatory approaches to risk management, and emphasise the value of relational skills, but may not elude the overarching bio-psychiatric episteme.

Repository Staff Only: item control page