A new paradigm of youth recovery: Implications for youth mental health service provision

Abstract

The recovery model and practice orientation is promoted as a central feature of mental health service provision across the English speaking world. Yet the model relies on adult frameworks and its applicability to the youth recovery experience has not been established. The current qualitative study explored the common themes in the recovery experiences of 15 young people aged 18–23-years with severe mental health conditions from the Eastern Metropolitan Region of Melbourne, Australia. The aim of the study was to develop a thematic model of youth recovery utilising the experiences of young people with severe mental illness. These findings are then discussed in relation to common themes found in adult recovery research and in regard to the current understanding of young people and recovery. Qualitative data was inductively coded into a thematic model of youth recovery forming two overarching themes. The first was defined as ecological systems (ES) including three subthemes (personal, systemic, and macro). The second was defined as youth recovery processes drawing narratives from across the ES to form five subthemes (self‐belief and resilience; responsibility and personal agency; identity, awareness and acceptance; connection; and hope and positive expectations). The resulting themes revealed the critical importance of the ecological context in the personal recovery experiences of young people. It is contended that recovery in this stage of the lifespan is best conceptualised within this ecological framework. Implications for youth recovery conceptualisation and mental health service delivery are discussed.

Key words:

• adolescence
• ecological
• mental health
• psychological disorders
• recovery
• youth