<p>There is today a broad consensus about the conceptualisation of recovery in adults facing mental health challenges: a personal journey grounded in societal connectedness, hope, constructing a life with meaning and purpose, empowerment, and autonomous management of symptoms based on their acceptance. However, recent findings show that this conception cannot be automatically transposed to adolescents. Based on a scoping review methodology, this paper examines the application of the recovery model to adolescents mental health through the identification of strengths, weaknesses and knowledge gaps. Studies that investigated the adaptation of the recovery model to adolescents (age-range: 12–18) were selected and mapped, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). A deductive thematic analysis was conducted to see which components apply to adolescents (<i>strengths</i>) and which do not or hardly apply (<i>weaknesses</i>). An inductive thematic analysis was conducted to identify <i>knowledge gaps</i>. 13 studies identified as relevant were mapped and analysed. Main strengths identified were importance given to connections, to hope and to empowerment. Main weaknesses were the idea of a personal journey, importance given to autonomous management of symptoms, to identity and to building a life project with meaning and purpose. Knowledge gaps were how to adapt to developmental challenges, how to integrate multiple actors in the decision-making process, how to increase adolescents’ participation and how to foster resilience. When applying the recovery model to adolescents, it is essential to account for their specific needs. Recovery should be re-conceptualized rather than grounded in adult-centric theoretical frameworks. Integrating resilience as a core component can further support adolescents in the process of recovery from mental illness, while navigating through developmental challenges.</p>

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Strengths, Weaknesses and Knowledge-Gaps in the Application of the Recovery Model to Adolescent Mental Health: A Scoping Review

  • Raffaella Di Schiena,
  • Etienne Joiret,
  • Justine Marneffe,
  • Bruno Piccinin

摘要

There is today a broad consensus about the conceptualisation of recovery in adults facing mental health challenges: a personal journey grounded in societal connectedness, hope, constructing a life with meaning and purpose, empowerment, and autonomous management of symptoms based on their acceptance. However, recent findings show that this conception cannot be automatically transposed to adolescents. Based on a scoping review methodology, this paper examines the application of the recovery model to adolescents mental health through the identification of strengths, weaknesses and knowledge gaps. Studies that investigated the adaptation of the recovery model to adolescents (age-range: 12–18) were selected and mapped, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). A deductive thematic analysis was conducted to see which components apply to adolescents (strengths) and which do not or hardly apply (weaknesses). An inductive thematic analysis was conducted to identify knowledge gaps. 13 studies identified as relevant were mapped and analysed. Main strengths identified were importance given to connections, to hope and to empowerment. Main weaknesses were the idea of a personal journey, importance given to autonomous management of symptoms, to identity and to building a life project with meaning and purpose. Knowledge gaps were how to adapt to developmental challenges, how to integrate multiple actors in the decision-making process, how to increase adolescents’ participation and how to foster resilience. When applying the recovery model to adolescents, it is essential to account for their specific needs. Recovery should be re-conceptualized rather than grounded in adult-centric theoretical frameworks. Integrating resilience as a core component can further support adolescents in the process of recovery from mental illness, while navigating through developmental challenges.