Evidence map›Paper›PMID 34915963›Full record

ReviewBJPsych open2021

Personal recovery and its challenges in forensic mental health: systematic review and thematic synthesis of the qualitative literature.

Mette Senneseth, Charlotte Pollak, Ragnar Urheim, Caroline Logan, Tom Palmstierna

Abstract readReview
In one paragraph

Review in BJPsych open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  10. Humanization of care in forensic mental health wards: a qualitative study.International journal of qualitative studies on health and well-being · 2025
    Review
  11. Review
  12. International developments in the provision of recovery-oriented care in forensic mental health services.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025
    Article
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  20. The meaning of the recovery process and its stages for people attending a mental health day hospital: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Mette SennesethCentre for Research and Education in Forensic Psychiatry, Haukeland University Hospital, Norway; and Department of Welfare and Participation, Western Norway University of Applied Sciences, Norway.ORCID https://orcid.org/0000-0002-0668-6598
Charlotte PollakDepartment of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, Solna, Sweden; and Stockholm Forensic Psychiatric Clinic, Region Stockholm, Sweden.ORCID https://orcid.org/0000-0002-7582-0383
Ragnar UrheimCentre for Research and Education in Forensic Psychiatry, Haukeland University Hospital, Norway.
Caroline LoganCentre for Research and Education in Forensic Psychiatry, Haukeland University Hospital, Norway; and Edenfield Centre, Greater Manchester Mental Health NHS Foundation Trust, Prestwich Hospital, UK.
Tom PalmstiernaCentre for Research and Education in Forensic Psychiatry, Haukeland University Hospital, Norway; Department of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, Solna, Sweden; and Stockholm Forensic Psychiatric Clinic, Region Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere has been a call for a framework to guide recovery-oriented practices in forensic mental health services.

aimsThis study aims to examine personal recovery and its challenges in forensic mental health settings in relation to the established framework for personal recovery in mental illness: connectedness, hope, identity, meaning and empowerment (CHIME).

methodThis study is an updated and expanded systematic review and thematic synthesis of the qualitative literature. A systematic search of six electronic databases (Web of Science, Medline, PsycINFO, CINAHL, EMBASE and SocIndex) was carried out in January 2019, using the terms [Recover*] AND [Forensic OR Secure] AND [Patient* OR Offend* OR Service User*]. Only studies that included service user's own perceptions and were published from 2014 onward were included in the review. Data were examined with thematic synthesis and subsequently analysed in relation to the CHIME framework.

resultsTwenty-one studies were included in the review. Findings suggest that some adjustments to the original CHIME framework are needed for it to be more relevant to forensic populations, and that an additional recovery process regarding feeling safe and being secure (safety and security) could be added to CHIME, providing the CHIME-Secure framework (CHIME-S). Specific challenges and barriers for forensic recovery were identified and found to represent the opposite of the recovery processes defined by CHIME (e.g. hopelessness).

conclusionsWe present the CHIME-S as a framework for the personal recovery processes of forensic mental health service users. The CHIME-S may guide the recovery-oriented work of forensic mental health services.

Indexed as

forensic mental health servicesin-patient treatmentPsychiatric nursingpsychiatry and lawqualitative research

Identifiers

PMID34915963
PMCPMC8715254

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.