What is a Recovery College?
Recovery Colleges are a new approach to supporting people living with mental health problems. They are collaborative, strengths-based, person-centred, inclusive (i.e. available to all) and community-focused. A Recovery College provides support to students (mainly mental health service users but also family members, staff and other stakeholders) through adult education rather than through clinical approaches. You can find a recent update on Recovery Colleges here. The first Recovery College opened in England 2010, and there are now 77 across England (here), each working with up to 1,000 students at any time.
Recovery Colleges are also emerging internationally as an approach to supporting recovery. A survey (here) reported that Recovery Colleges (sometimes called Discovery Centres, Wellbeing Colleges, Empowerment Colleges or Recovery Academies) exist or are developing in 22 countries: Australia, Belgium, Bulgaria, Canada, Denmark, France, Germany, Hong Kong, Ireland, Israel, Italy, Japan, Netherlands, New Zealand, Norway, Poland, Singapore, Sri Lanka, Switzerland, Uganda, United Kingdom and United States of America. We are members of the Recovery College International Community of Practice, and you can download a report about the 2015 meeting here.
What is RECOLLECT?
RECOLLECT stands for Recovery Colleges Characterisation and Testing, and is a programme of research investigating Recovery Colleges. We have been awarded two National Institute of Health Research (NIHR) grants to further our understanding of Recovery Colleges in England: a programme development grant (reference RP-DG-0615-10008, 2017-2018) and a programme grant (reference 200605, 2020-2025).
What does RECOLLECT involve?
Our first grant addressed three questions:
- What are the defining characteristics of a Recovery College, and how does it differ from other medical and adult education approaches?
- How do Recovery Colleges work, and how do they benefit service users?
- Who uses Recovery Colleges?
Our second grant aims to address how Recovery Colleges can provide the most benefit to people who use mental health services. We will:
- Explore the characteristics of Recovery Colleges and how closely they follow the developed fidelity measure
- Establish the costs associated with Recovery Colleges
- Look at how Recovery Colleges impact student outcomes at 4, 8 and 12 months after joining
- Explore the relationship between a Recovery College’s fidelity score and student outcomes for those who have recently used mental health services
- Refine the previously developed change model for service user and students
- Asses the effectiveness and cost effectiveness of Recovery Colleges
- Examine the relationship between Recovery Colleges, student outcomes and resource use.
- Establish the wider (organisational and contextual) factors influencing fidelity and outcomes
- Finalise the programme theory of RECOLLECT
Following on from this, we will disseminate our findings through various networks, producing tailored dissemination events and materials, including:
- A report to NIHR
- Papers in academic and practitioner journals
- Conference presentations
- Briefing papers distributed to Recovery Colleges
- Policy briefings for commissioners
- Posters for Recovery Colleges, service users and carers highlighting key research findings
- Events to share findings with Commissioners and Trust managers.
Our second grant is a collaboration between the following institutions:
- King’s College London
- University of Nottingham
- University of Manchester
- South London and Maudsley NHS Foundation Trust
- Nottinghamshire Healthcare NHS Foundation Trust
- Peter Bates Associates
To maximise the scientific quality of the programme, support the fair and impartial evaluation of the impact of RCs, and contribute to dissemination of outputs, RECOLLECT has convened an International Advisory Board. Combined, this group have expertise in setting up international health service initiatives, conducting health service research, are global thought leaders, and have cross cutting research backgrounds in clinical, anthropological, educational and peer support initiatives. We would like to thank the following individuals for joining our International Advisory Boad:
- Cerdic Hall – Camden and Islington NHS Foundation Trust
- David Smelson – University of Massachusetts
- Donal Hoban – Mayo Recovery College
- Helen Killaspy – University College London
- Larry Davidson – Yale University
- Lisa Brophy – La Trobe University
- Rob Whitley – McGill University
- Sara Meddings – ImROC
- Trude Goril Klevan – University of South-Eastern Norway
- Vicky Stergiopoulos – University of Toronto
- Yuki Miyamoto – University of Tokyo
The RECOLLECT programme will be co-produced with individuals who have lived experience of mental health problems, whether or not they have chosen to use Recovery Colleges. We work with a Lived Experience Advisory Panel (LEAP) who input into what measures we use, co-design how we run the study and documentation for participants, interview participants, make sense of data, and assist with publicising findings. Lived experience is also represented throughout the project, including in the Programme Steering Committee, research team, and International Advisory Board.
If you would like to keep up with RECOLLECT, follow us on Twitter @RECOLLECT_Study
What have we found?
What is a Recovery College?
How do Recovery Colleges work, and how do they benefit service users?
We developed a framework for collaborative data analysis (here). We used this framework to co-develop a model of mechanisms of action and outcomes for students attending Recovery Colleges (here), and also investigated mechanisms of action and outcomes at other levels (here).
We have also published an overview paper about Recovery Colleges (here).
For more information, contact the RECOLLECT team at RECOLLECT@kcl.ac.uk