The PULSAR (Principles Unite Local Services Assisting Recovery) project was a training and research project funded by the Victorian State Government's Mental Illness Research Fund (MIRF). The project tested a practical approach to address the vital issue of how different types of services within a defined geographical area can be refocused to support recovery. It was expected to shed light on how clinical mental health, primary care and community support services can collaborate effectively and support people using mental health services to achieve their personal recovery goals.
Key findings from the secondary care PULSAR study were published in a paper in The Lancet Psychiatry in February 2019.
REFOCUS-PULSAR recovery-oriented practice training in specialist mental health care: a stepped-wedge cluster randomised controlled trial. Meadows, G., Brophy, L., Shawyer, F., Enticott, J. C., Fossey, E., Thornton, C. D., Weller, P. J., Wilson-Evered, E., Edan, V. & Slade, M., 1 Feb 2019, The Lancet Psychiatry. 6, 2, p. 103-114
The summary of the Research in Context section of this paper was:
‘Training health-care workers to deliver recovery-oriented care using the REFOCUS materials developed over time and adapted to local settings can positively affect the process of personal recovery for consumers.’
This research supported recovery-oriented practice involving community mental health services, primary care and the community managed sector. In the project we adapted a range of existing materials for the Australian setting so that the content and processes of training and development are sensitive to needs of the Victorian mental health care system, the local cultural and legal contexts. We used materials developed by our research partners in London, UK, and materials we have developed in Australia for similar work in the primary care sector. The modification for Primary Care also drew on work from Monash University in the development of recovery-oriented treatment plans, a project commissioned by the Commonwealth Department of health and Ageing and the Royal Australian College of general Practitioners. We delivered these interventions and evaluated the process in a carefully designed trial format. The aim of the work was to develop, evaluate, and make readily available a set of training materials and organisational change tools that would facilitate all these services to work together to successfully deliver recovery-oriented practice.
The findings were endorsed by a positive commentary published in the same Lancet issue - Rogers, E. S. (2019). Recovery-oriented practices need innovative research. The Lancet Psychiatry, 6(2), 82–83. https://doi.org/10.1016/S2215-0366(18)30476-0 - and a blog post on the Mental Elf, which reached thousands on Twitter (79,000 followers): https://www.nationalelfservice.net/mental-health/refocus-pulsar-recovery-training-in-specialist-mental-health-care/
- Meadows, G., Brophy, L., Shawyer, F., Enticott, J. C., Fossey, E., Thornton, C. D., Weller, P. J., Wilson-Evered, E., Edan, V., & Slade, M. (2019). REFOCUS-PULSAR recovery-oriented practice training in specialist mental health care: a stepped-wedge cluster randomised controlled trial. The Lancet Psychiatry, 6(2), 103-114. doi:10.1016/s2215-0366(18)30429-2
- Edan, V., Brophy, L., Weller, P. J., Fossey, E., & Meadows, G. (2019). The experience of the use of Community Treatment Orders following recovery-oriented practice training. International Journal of Law and Psychiatry, 64, 178-183. doi:10.1016/j.ijlp.2019.04.001
- Shawyer, F., Enticott, J. C., Brophy, L., Bruxner, A., Fossey, E., Inder, B., Julian, J., Kakuma, R., Weller, P., Wilson-Evered, E., Edan, V., Slade, M., & Meadows, G. N. (2017). The PULSAR Specialist Care protocol: a stepped-wedge cluster randomized control trial of a training intervention for community mental health teams in recovery-oriented practice. BMC Psychiatry, 17(1), 172. doi:10.1186/s12888-017-1321-3
- Enticott, J., Shawyer, F., Brophy, L., Russell, G., Fossey, E., Inder, B., Mazza, D., Vasi, S., Weller, P. J., Wilson-Evered, E., Edan, V., & Meadows, G. (2016). The PULSAR primary care protocol: a stepped-wedge cluster randomized controlled trial to test a training intervention for general practitioners in recovery-oriented practice to optimize personal recovery in adult patients. BMC Psychiatry, 16(1), 451. doi:10.1186/s12888-016-1153-6
- Edan, V., Meadows, G., Brophy, L., Weller, P., & Thornton, C. (2015). PULSAR research: making mental health services more recovery-orientated. Psychiatric Disability Services of Victoria (VICSERV) New Paradigm, 2015(Summer), 46-48.
Papers under submission
Enticott, J., Shawyer, F., Brophy, L., Russell, G., Mazza, D., Wilson-Evered, E., Slade, M., Edan, V., Meadows, G. REFOCUS-PULSAR recovery-oriented practice training in adult primary mental health care: Exploratory findings including from a pre-test-post-test evaluation. Frontiers in Psychiatry.
Kakuma, R., Uchenna Cajethan, O., Shawyer, F., Edan, V., Wilson-Evered, E., Meadows, G., & Brophy, L. (Under review). What is the cross-cultural relevance of The Questionnaire about the Process of Recovery (QPR)? International Journal of Migration, Health and Social Care.
PULSAR manual for Secondary Care.
PULSAR manual for Primary Care.
Contributions to the Royal Commission into Victoria’s Mental Health System
The PULSAR team, in formal submissions and invited witness statements to the Royal Commission into Victoria’s Mental Health System, recommended that the Victorian government invest in recovery-oriented practice training using the now evidence based PULSAR training. We also recommend that the government invest in high quality research in Victoria that has the potential for such high impact and translation into practice, such as PULSAR.
View our submissions here:
View our invited witness statements here:
Direct Care/Support Delivery participants
Agencies and people involved in the support of people with a mental illness who were associated with the PULSAR Recovery project include:
- Mind Australia
- Monash Health
- Primary Health Care - GP’s were directly engaged with the project with support through time by Medicare Locals and divisions.
The direct care participants are also key research participants in the project.
Original Project Investigators
Named investigators on the application with a list of the affiliation at the time:
|Prof. Graham Meadows||Principal Investigator: Southern Synergy (Adult Psychiatry Research, Training and Evaluation Centre), School of Psychiatry, Monash University|
|Mr Umit Agis||Director, Adult Mental Health Services, Southern Health|
|Adj Associate Prof. Jakqui Barnfield||Director of Nursing Mental Health, Southern Health|
|Dr. Joanne Brooker||Research Fellow, Faculty of Medicine, Nursing & Health Sciences, Monash University|
|Dr. Lisa Brophy||Director of Research, Mind Australia |
Senior Research Fellow at the Centre for Health Policy, Programs and Economics, Melbourne School of Population Health, The University of Melbourne
|Prof. David Clarke||Professor, School of Psychology and Psychiatry Head, Discipline of Psychiatry (Acting)|
Deputy Head of School (Acting)
Clinical Director, Community, Access & Partnerships, Mental Health Program, Southern Health
|Ms Vrinda Edan||Director Consumer and Carer Relations, Southern Health|
|Dr. Ellie Fossey||Senior Lecturer - Higher Degrees Research and Postgraduate Courses Coordinator, Department of Occupational Therapy, School of Allied Health, La Trobe University|
|Dr. Margaret Grigg||General Manager Research, Development and Advocacy, Mind Australia|
|Prof. Brett Inder||Professor, Department of Econometrics, Monash University|
|Mr John Julian||Southern Synergy, School of Psychiatry, Research Fellow and Senior Trainer, SPLASH, Monash University|
|Dr Ritsuko Kakuma||Senior Research Fellow, Centre for International Mental Health, Melbourne School of Population Health, The University of Melbourne|
|Prof. Danielle Mazza||Head, Department of General Practice, School of Primary Health Care, Monash University.|
|Associate Prof. Iraklis Harry Minas||Director, Centre for International Mental Health, Melbourne School of Population Health, The University of Melbourne|
|Prof. Brendan Murphy||Unit Head, Youth Mental Health, Early in life Mental Health Service (ELMHS)|
|Prof. Grant Russell||
Head of School of Primary Health Care |
Professor of General Practice Research, Monash University
|Prof. Mike Slade||
Professor of Health Services Research |
Consultant Clinical Psychologist, London REFOCUS team
|Ms Christine Thornton-Gaylard||Director Service Development, Eastern Regions Mental Health Association (ERMHA)|
|Dr. Penelope Weller||Senior Lecturer, Graduate School of Business and Law, RMIT University, Melbourne|
|Dr. Elisabeth Wilson-Evered||Associate Professor, School of Management and Information Systems, Faculty of Business and Law, Victoria University|
If you are not listed here and feel you have contributed to the PULSAR project please contact us e: firstname.lastname@example.org
Management and advisory structure
The PULSAR project developed a module based approach to undertaking the work, supported by an advisory structure to manage and guide its development.
Project Steering Group
Graham Meadows, Christine Thornton, Jakqui Barnfield, Margaret Grigg, Vrinda Edan.
Graham Meadows (Chair), Vrinda Edan, Jakqui Barnfield, Christine Thornton, Glen Prewett, Margaret Grigg.
Graham Meadows (Chair), Vrinda Edan, George Osman, Alys Boase, Glen Prewett, Margaret Grigg.
Graham Meadows (Chair), Vrinda Edan, Hugo Steinbergs, Alys Boase, George Osman, Shane Price.
Graham Meadows (Chair), Lisa Brophy, Vrinda Edan, Hugo Steinbergs, Alys Boase, Paula Hakesley, Shane Price, Frances Shawyer, Joanne Enticott, Graham Meadows, David Clarke, Michael Harrison.
PULSAR project was managed through a project steering group (Chair: Prof Graham Meadows), and Project Management Office managed by Professor Meadows. Each of the 4 modules has a task group and chairperson.
The module task groups and chairs are:
- Adaptation Module (Chair's: John Julian, Christine Thornton & Graham Meadows)
- Implementation Module (Chair: Penny Weller)
- Research module (Chair: Lisa Brophy)
- Dissemination module (Chair: Vrinda Edan)
PULSAR Lived Experience Advisory Panel (LEAP)
We acknowledge the contribution of the following people to our LEAP: Vrinda Edan (Chair), Ellie Fossey (co-chair), Salome Argyropoulos, Katrina Clarke, Priscilla Ennals, Michelle Kehoe, Julien McDonald, Peter McKenzie, Wendy Muller, Joanne Sheedy, Michael Sillekens and Lorelle Zemunik.
We acknowledge the work of the following contributors to the PULSAR project:
PULSAR research staff: Dr Frances Shawyer, Dr Joanne Enticott, Ms Annie Bruxner, Ms Kimberly Buck, Dr Lisa Chaffey, Ms Michelle Kehoe, Dr Mehmet Özmen, Dr Shiva Vasi.
PULSAR fieldwork staff: Mr Jaspal Bhogal, Ms Jennifer Bibb, Ms Zelal Bircan, Ms Kimberly Buck, Dr Lisa Chaffey, Ms Angela Chen, Ms Sharon Clifford, Mr Andrew Davis, Ms Jessie Fay, Ms Leanne Gordon, Ms Annemarie Hindle, Ms Jackie Jenkins, Ms Maria Katergaris, Ms Michelle Kehoe, Ms So-An Lao, Ms Milsa Kamusoko, Mr Julian Matthews, Ms Valentinna Mehdizadeh, Mr Tony Mowbray, Ms Sarah Mumford, Ms Kristi-Ann Villagonzalo, Ms Lorelle Zemunick.
PULSAR trainers: Ms Leonie Davey, Mr Richard Kasperczyk, Ms Michelle Kehoe, Ms Nita Mahbubani, Ms Lisa Reed, and Ms Zoe Smith.
PULSAR administration staff: Ms Sharon Clifford, Ms Debbie Lang and Ms Rachel Rodrigues.
Student Associates: Jeremy Lim & Bill Nguyen.
REFOCUS team: Dr Victoria Bird, Dr Mary Leamy, and other members of the REFOCUS team.
We have only listed names of those who have given permission to be included. If you are not listed here and feel you have contributed to the PULSAR project please contact us e: email@example.com
- May 2020 (pdf, 312 kb)
- June 2017 (pdf, 471 kb)
- April 2017 (pdf, 795 kb)
- January 2017 (pdf, 721 kb)
- October 2016 (pdf, 468 kb)
- July 2016 (pdf, 294 kb)
"PULSAR study on the cross-cultural relevance of a mental health recovery questionnaire (the QPR) - Executive summary"
Click here to download the summary (pdf.113 KB)
Contact for PULSAR project:
Phone: + 61 3 9902 9696