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Establishing the plausibility of introducing and sustaining greater person centredness into the planning of services emphasised the need to take not only the perspectives of patients but also those of the professionals who deliver care. An important part of that process was in understanding what was already going on and what had brought to light what was good practice with regard to person centred planning with specific reference to mental health services.

This event came about because it was highlighted to the Trust that practitioners were not following the policy directive about recovery Orientated Services by undertaking what the authors referred to as arbitrary or "harmful" interventions. When reflecting on the issue of harm and recovery in relation to mental health services, a paper on the topic had been commissioned by the director of clinical services at the time of the literature review and the finding at the time of the event was that there was not a radical shift in the way in which mental health clinicians were thinking about recovery and recovery progress for individual patients. However, there was evidence that practitioners were less anxious to risk the patient by not introducing appropriate interventions. In some mental health service users’ experience, this could serve to perpetuate a cycle of demand for inappropriate level of care, which the clinician is reluctant to challenge, leading to further demand for inappropriate level of care. They were concerned that this resulted in poorer recovery experiences and poorer functional and recovery outcomes for their patients with a further result being that the service users had become exhausted and disempowered by the experience, as well as feeling this way themselves.

Whilst the literature review had been able to highlight the positive role of recovery in mental health practice, the document commissioned to report these findings had not specifically looked at how to translate that into practice. The event highlighted the need to intervene to enable greater person centred practice; this led to the Trust commissioning two reports. d2c66b5586

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