Characteristics of mental health recovery model implementation and managers’ and clinicians’ risk aversion
| Date | 08 January 2018 |
| Published date | 08 January 2018 |
| DOI | https://doi.org/10.1108/JMHTEP-05-2017-0039 |
| Pages | 22-33 |
| Author | Sally Crowe,Frank Deane |
| Subject Matter | Health & social care,Mental health,Mental health education |
Characteristics of mental health recovery
model implementation and managers’
and clinicians’risk aversion
Sally Crowe and Frank Deane
Abstract
Purpose –The purpose of this paper is to investigate the relationships between clinicians’and managers’
risk aversion and a range of variables related to the implementation of the Collaborative Recovery Model
(CRM). Positive risk taking is an integral component of the recovery process. Clinicians’risk aversion has the
potential to negatively impact on their implementation of recovery-oriented practices. The CRM provides an
evidence-based framework to assist consumers to participate in the recovery process. However, there is a
need for research to clarify the factors related to recovery that have impact on managers’and clinicians’risk
aversion, and ultimately on implementation of recovery practices.
Design/methodology/approach –A cross-sectional survey assessed clinicians’(n¼174) and managers’
(n ¼48) risk aversion and their self-reported learning experiences, commitment to using CRM, goal setting
attitudes and CRM implementation behaviour.
Findings –Clinicians who reported more risk aversion were significantly more likely to report positive
attitudes towards goal setting. Stepwise regression revealed that training experiences, goal setting attitudes
and commitment to CRM significantly predicted an increase in CRM implementation. Over and above this,
risk aversion predicted a small but significant increase in the self-reported use of CRM. Managers
experienced significantly less risk aversion than clinicians, with a negative relationship between risk aversion
and commitment to CRM principles.
Originality/value –This paper suggests that clinicians’risk aversion impacts upon their implementation of
the CRM, with managers less risk averse than clinicians.
Keywords Manager, Recovery, Risk aversion, Clinician, Collaborative recovery model, Positive risk taking
Paper type Research paper
Introduction
Positive risk taking (PRT) is viewed as a fundamental aspect of recovery-oriented services as it is
aligned with the principles of collaboration, enhancing strengths, motivation and goal-directed
behaviour (Felton and Stacey, 2008). However, clinicians’risk perceptions are likely to impact on
how they implement recovery-oriented care with consumers (Cleary and Dowling, 2009), with
those who are more risk averse having a more conservative approach to collaborative goal
setting (Holley et al., 2015; Robertson and Collinson, 2011). Morgan (2010) explained PRT is “not
a matter of whether we take a risk or not, it is a matter of how we take risks, and the process we
use in coming to our conclusions”(p.16). This process includes a careful analysis of why, when
and how the risk occurs, acknowledging that risk is always present, but the benefits may
outweigh the cost of inaction (Birch et al., 2011). The PRT literature highlights that the positive
and negative aspects of risk become fused in the context of mental health, resulting in calls for
risks to be differentiated into those to be minimised as an unacceptable potential for harm,
and those that are to be encouraged as an individual right to be experienced (Robertson and
Collinson, 2011; Shepherd et al., 2008). The importance of individuals being responsible for their
own goals is that they are intrinsically motivating when in line with personal values and beliefs
(Sheldon and Elliot, 1998), whereas treating mental illness by solely eliminating risks that may
Received 31 May 2017
Revised 24 August 2017
Accepted 5 September 2017
Sally Crowe and Frank Deane
are both based at the School of
Psychology, Illawarra Institute
for Mental Health, University of
Wollongong, Wollongong,
Australia.
PAGE22
j
THE JOURNAL OF MENTALHEALTH TRAINING, EDUCATION AND PRACTICE
j
VOL. 13 NO. 1 2018, pp.22-33, © Emerald Publishing Limited, ISSN 1755-6228 DOI 10.1108/JMHTEP-05-2017-0039
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