Using recovery-focused PROMs in mental health care: what helps and what gets in the way? A scoping review

Recovery-focused person/patient reported outcome measures (PROMs), are important for recovery-oriented services, but workers have been slow to embed them within practice. Little is known about factors that influence workers use of these measures. To synthesise peer reviewed literature regarding the enablers and barriers mental health workers report to using recovery-focused PROMs in practice. Five databases were searched. Data were extracted from publications meeting the inclusion criteria, tabulated, and presented graphically. A qualitative thematic analysis was also conducted. Only six of 30 recovery-focused PROMs had any published work reporting staff experiences of using them. Aspects influencing PROM use included: organisational and structural factors; value alignment; tool psychometrics; perceived relevance to practice and people accessing service; whether staff deemed tools to be useful and meaningful, and ease of use and access. More work is needed to address worker needs if recovery-focused tools are to be used routinely to collaboratively support people to explore their own recovery-related strengths and priorities. Both tool specific aspects, and organisational structures, that can support or hinder workers to use these tools in routine and recovery-oriented ways. The PRISMA extension for Scoping Reviews (PRISMA-ScR) was followed. Prospero does not accept protocols for scoping reviews.