Journal article

REFOCUS-PULSAR recovery-oriented practice training in specialist mental health care: a stepped-wedge cluster randomised controlled trial

Graham Meadows, Lisa Brophy, Frances Shawyer, Joanne C Enticott, Ellie Fossey, Christine D Thornton, Penelope J Weller, Elisabeth Wilson-Evered, Vrinda Edan, Mike Slade



Recovery-oriented practice promotes the strengths and recovery potential of individuals. We aimed to establish whether individuals who access mental health services where staff have received the REFOCUS-PULSAR intervention, an adaptation of the UK's REFOCUS recovery-oriented staff intervention for use in Australia, show increased recovery compared with people using non-intervention services. Methods: We did a pragmatic, two-step, stepped-wedge, randomised controlled trial at 18 sites grouped into 14 clusters across public mental health services and mental health community support services in Victoria, Australia. Eligible staff were working part-time or full-time in a direct service role at o..

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Funding Acknowledgements

We thank Ermha, Mind Australia Limited, and Monash Health for supporting the project; the steering group and lived experience advisory panel for sharing their expertise; the REFOCUS-PULSAR trainers; and the team of PULSAR research and fieldwork staff for data collection. We thank all project participants who, in sharing their time and experience, made this study possible. This Article presents independent research that was funded by the Victorian Government through its Mental Illness Research Fund. MS is supported by the National Institute for Health Research Nottingham Biomedical Research Centre. The views expressed in this publication are those of the authors and do not necessarily reflect those of the Victorian Government, including the Department of Health and Human Services.