Facilitating and hindering factors of personal recovery in the context of Soteria—A qualitative study among people with (early episode) psychosis

Pien Leendertse*, Fadi Hirzalla, David van den Berg, Stynke Castelein, Cornelis Lambert Mulder

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

3 Citations (Scopus)
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Objective: The objective of this study was to gain insight into patients' experiences of how personal recovery (PR) is facilitated or hindered in the context of an early episode psychosis setting (Soteria). We thereby aimed to contribute to the understanding of how care settings may promote or hinder the process of PR in people with (acute) psychosis. Method: This study used a qualitative method, consisting of semi-structured in-depth interviews with people who had been admitted to a Soteria house in the Netherlands. Interview transcripts were analyzed following the Grounded Theory approach. Results: Five themes emerged from the data illustrating how Soteria facilitated or impeded PR. The experience of togetherness in contact with staff and peers, feeling at home, and being active facilitated PR, while the emphasis put on medication by staff was experienced as hindering, and attention to spirituality was missed. Conclusion: In addition to the literature that identified factors associated with PR in psychosis, the current study gives a sense of how this can be put into practice. By offering treatment within a normalizing, holding environment, with emphasis on equality, close contact, optimism, active structured days, open-mindedness toward spirituality, and the role of medication, PR can be facilitated without detracting from guideline-based treatment aimed at symptomatic recovery. Similarities with existing concepts are discussed.

Original languageEnglish
Article number1051446
JournalFrontiers in Psychiatry
Publication statusPublished - 4 Jan 2023

Bibliographical note

Funding Information:
PL received funding (without any requirements) from Emergis Institute for Mental Health Care and Youz Institute for Mental Health Care. This study received no specific grant from any funding agency, commercial or not-for-profit sectors.

Publisher Copyright:
Copyright © 2023 Leendertse, Hirzalla, van den Berg, Castelein and Mulder.

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