To find how best to integrate religion/spirituality (R/S) into clinical care.

This was a qualitative study. 41 mental health patients of varying diagnoses in secondary care underwent semi-structured interviews describing their mental health and spiritual journeys and how these have interacted, before, during and after a period of acute illness. Grounded theory was used. Detailed coding was carried out and themes extracted.

Preliminary results from this project have already been reported, (submitted for publication). 5 main processes by which R/S interacted positively or negatively with mental health recovery were identified:

• • R/S experiences, (+ve or -ve),

• • Existential crisis, (-ve),

• • Influence of faith community, (+ve or -ve),

• • Finding a personally meaningful faith, (+ve),

• • Changing priorities to a more spiritual outlook, (+ve).

1. 1. Those who described themselves most as being in recovery tended to have more positive R/S experiences, support from a faith community, a personally meaningful faith and have changed their priorities. Most have also found clinical care helpful. However, often R/S was considered more helpful both for personal recovery and symptom relief. For others in this group, R/S enables living a satisfying life despite limitations of illness partially controlled by medication.

2. 2. Those who described themselves most as struggling with mental illness were much less likely to have a personally meaningful faith or had changed their priorities. They tended to have negative R/S experiences, persistent existential crisis and/or rejection from a faith community. Most of these people find both clinical care and R/S issues unhelpful. Some people were finding clinical care helpful but R/S barriers were blocking their recovery.

Spiritual health may be important for recovery from many mental health problems and needs to be addressed according to the 5 themes.

• • Possible R/S barriers identified, even if symptoms seem to be responding to clinical treatment.

• • Positive R/S experiences and/or support from a faith community used to help overcome R/S barriers.

• • Support made available to find a personally meaningful faith and change priorities.

• • Referral to spiritual care offered more frequently.