Evidence map›Paper›PMID 40195573›Full record

SynthesisInternational journal of mental health nursing2025

Carers' Understanding of Recovery-Oriented Practice in Mental Health Settings: A Systematic Review and Narrative Synthesis.

Birhanie Mekuriaw, Natalie Ann Cutler, Jo River

Abstract readSystematic Review
In one paragraph

Synthesis in International journal of mental health nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Beyond 'The Squeaky Wheel': The Passion, Precarity and Potential of the Family/Carer Lived Experience Workforce in the Queensland Mental Health System.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  4. Article
  5. Article
  6. 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

3 authors.

Birhanie MekuriawFaculty of Health, University of Technology Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0002-0600-0234
Natalie Ann CutlerFaculty of Health, University of Technology Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0001-9764-5769
Jo RiverFaculty of Health, University of Technology Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0002-5270-4013

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recovery-oriented practice is a contemporary and internationally accepted approach to mental health care. Moving away from privileging 'clinical recovery', it recognises and supports 'personal recovery', defined as living a meaningful life. Family and carers' (carers) understanding, and support of recovery-oriented practice is crucial to the provision of comprehensive and continuous mental health care. Few studies exist on carers' knowledge and experiences of recovery-oriented practice. We conducted a systematic review to explore carers' understanding of recovery-oriented practice in mental health settings. A narrative synthesis was undertaken using both deductive and inductive approaches, guided by the established framework for recovery-oriented practice by Le Boutillier and colleagues. Findings indicated that carers have a grasp of the principles and aims of recovery-oriented care, which aligned with the selected framework. However, carers' comprehension also identified shortcomings in how recovery-oriented practices were currently implemented in mental health services. Extending the work of Le Boutillier and colleagues, this review found that carers experienced a 'disillusionment with mental health services'. While carers were keen to be involved and support recovery, they often felt excluded by mental health workers and the broader mental health system. This sense of exclusion led to carers feeling unsupported and disinclined to engage with the service, and this adversely affected their well-being. Findings suggest that operationalising recovery-oriented practice requires more genuine involvement of carers in decision-making forums such as care planning meetings, and formal feedback mechanisms be made available to integrate their perspectives into service development.

Indexed as

CaregiversMental DisordersMental Health ServicesHumanscaregiversmental health recoverymental health servicesqualitative researchsystematic review

Identifiers

PMID40195573
PMCPMC11976143

What OpenQuestion holds

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Registered trials

None linked

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.