The aims of this study were (a) to undertake the first systematic review of the available literature on personal recovery and (b) to use a modified narrative synthesis to develop a new conceptual framework for recovery. 8 No systematic review and synthesis of personal recovery in mental illness has been undertaken. Reference Silverstein and Bellack5, Reference Warner6 Current approaches to understanding personal recovery are primarily based on qualitative research Reference Davidson, Schmutte, Dinzeo and Andres-Hyman7 or consensus methods. Reference Davidson, Tondora, Lawless, O'Connell and Rowe3, Reference Slade4 Comprehensive reviews of the recovery literature have concluded that there is a need for conceptual clarity on recovery. Reference Government2 The implications of a recovery orientation for working practice are unclear, and guidelines for developing recovery-oriented services are only recently becoming available. For example, the mental health plan for England 2009–2019 has the ‘expectation that services to treat and care for people with mental health problems will be… based on the best available evidence and focused on recovery, as defined in discussion with the service user’. Reference Anthony1 A recovery orientation is mental health policy in most Anglophone countries. Personal recovery has been defined as ‘a deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills and/or roles… a way of living a satisfying, hopeful and contributing life even with the limitations caused by illness’.
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