The mechanisms and processes of connection: developing a causal chain model capturing impacts of receiving recorded mental health recovery narratives.

BACKGROUND: Mental health recovery narratives are a core component of recovery-oriented interventions such as peer support and anti-stigma campaigns. A substantial number of recorded recovery narratives are now publicly available online in different modalities and in published books. Whilst the benefits of telling one's story have been investigated, much less is known about how recorded narratives of differing modalities impact on recipients. A previous qualitative study identified connection to the narrator and/or to events in the narrative to be a core mechanism of change. The factors that influence how individuals connect with a recorded narrative are unknown. The aim of the current study was to characterise the immediate effects of receiving recovery narratives presented in a range of modalities (text, video and audio), by establishing the mechanisms of connection and the processes by which connection leads to outcomes. METHOD: A study involving 40 mental health service users in England was conducted. Participants were presented with up to 10 randomly-selected recovery narratives and were interviewed on the immediate impact of each narrative. Thematic analysis was used to identify the mechanisms of connection and how connection leads to outcome. RESULTS: Receiving a recovery narrative led participants to reflect upon their own experiences or those of others, which then led to connection through three mechanisms: comparing oneself with the narrative and narrator; learning about other's experiences; and experiencing empathy. These mechanisms led to outcomes through three processes: the identification of change (through attending to narrative structure); the interpretation of change (through attending to narrative content); and the internalisation of interpretations. CONCLUSIONS: This is the first study to identify mechanisms and processes of connection with recorded recovery narratives. The empirically-based causal chain model developed in this study describes the immediate effects on recipients. This model can inform selection of narratives for use in interventions, and be used to support peer support workers in recounting their own recovery narratives in ways which are maximally beneficial to others

The VOICES typology of curatorial decisions in narrative collections of the lived experiences of mental health service use, recovery or madness: qualitative study

Background: Collections of lived experience narratives are increasingly used in health research and medical practice. However there is limited research concerning the decision-making processes in curating narrative collections, and of the work that curators do as they build and publish collections. Objective: The objectives of this study were to develop a typology of curatorial decisions involved in curating narrative collections presenting lived experiences of mental health service use, recovery or madness, and to document approaches selected by curators in relation to identified curatorial decision. Methods: A preliminary typology was developed by synthesising the results of a systematic review with insights gained through an iterative consultation with an experienced curator of multiple recovery narrative collections. The preliminary typology informed the topic guide for semi-structured interviews with a maximum variation sample of 30 curators from 7 different countries. All participants had experience of curating narrative collections of the lived experiences of mental health service use, recovery or madness. Thematic analysis through constant comparison was conducted by a multidisciplinary team. Results: The final typology identified six themes, giving the acronym VOICES: Values and motivations, Organisation, Inclusion and exclusion, Control and collaboration, Ethics and legal, Safety and wellbeing. 26 sub-themes relating to curation decisions were identified. Conclusions: The VOICES typology identifies key decisions to consider when curating narrative collections about the lived experiences of mental health service use, recovery or madness. The VOICES typology might be used as a theoretical basis for a good practice resource, to support curators in their efforts to balance the challenges and sometimes conflicting imperatives involved in collecting, organising and sharing narratives. Future research might seek to document the usage of such a tool by curators, and hence examine how best to use VOICES to support decision making

Administrative Managers – A Critical Link

Institutional responses to changes in the higher education environment have caused movements in the roles and identities of administrative managers in UK universities. These shifts have highlighted the problem for individuals of balancing traditional public service considerations of administration with institutional innovation and development. Administrative managers find themselves not only acting as independent arbiters, giving impartial advice on the basis of professional expertise, but also becoming involved in political judgements about institutional futures. They increasingly undertake an interpretive function between the various communities of the university and its external partners. As the boundaries of the university have become more permeable, administrative and academic management have inter-digitated, and hybrid roles have developed. In undertaking increasingly complex functions, therefore, administrative managers play a critical role in linking the academic and executive arms of governance in the university