One ring to rule them all: Applications of the CHIME framework of mental health recovery

Authors

  • Robert Hurst Associate Lecturer in Psychology, Psychotherapy and Counselling at the University of Bolton. https://orcid.org/0000-0002-0054-6703
  • Lisa Ogilvie Visiting research fellow, University of Greater Manchester https://orcid.org/0000-0001-7718-052X
  • Ijeabalum Asike PhD Student, University of Greater Manchester
  • Andrew Voyce University of Greater Manchester
  • Jerome Carson Professor of Psychology, University of Greater Manchester https://orcid.org/0000-0002-7596-116X

DOI:

https://doi.org/10.1921/swssr20252593

Keywords:

mental health recovery, addiction recovery, lupus, recovery narratives, CHIME framework

Abstract

The CHIME Model has become the dominant model of mental health recovery. The model has been grounded in the lived experience literature of people recovering from mental health problems. Four of the components were first articulated by Australian researchers. These were Hope, Identity, Meaning and Empowerment. English researchers added Connection, thus forming the acronym CHIME. In this paper we show how we have added to this basic model. Robert and Jerome were the first to describe C-CHIME, with the C reflecting Creativity. This was also Jerome’s experience in mental health services, that often those people who recovered most, had creative talents, such as photography, artistic skills, filmmaking, or poetry. Lisa and Jerome discovered that a critical element in recovering from addiction was the concept of Growth. For someone to give up an all-consuming addiction, something needs to replace this in their lives. This could be education or developing a new career. Ije found that there were additional critical elements in her recovery from lupus. She felt that Pain, Acceptance, Adaptation and again Growth, were key in addition to the core elements of CHIME. Andrew Voyce briefly describes his own long journey of recovery that took place over a 20-year period. He illustrates how CHIME can be harnessed to explain his own recovery. Finally, we look at how practitioners might apply the CHIME model and its variants in their clinical practice. We note the lack of an assessment that might just guide this process, but which could also serve as an outcome measure.

Author Biographies

Robert Hurst, Associate Lecturer in Psychology, Psychotherapy and Counselling at the University of Bolton.

Robert Hurst is an Associate Lecturer in Psychology, Psychotherapy and Counselling at the University of Bolton. He is also a practicing counsellor. Robert’s other research interests include meaning in life, mental health recovery, and creativity.

Lisa Ogilvie, Visiting research fellow, University of Greater Manchester

Dr Lisa Ogilvie is a visiting research fellow at the University of Greater Manchester, and a qualified counsellor and chartered psychologist working for a drug and alcohol treatment centre. Her specialist area of research and practise is addiction recovery, in particular realising the pluralistic advancement of positive psychology in this field. Lisa is also interested in narrative research, exploring the lived experience of addiction and recovery, to which end she curates a series of addiction recovery stories for the Emerald journal Advances in Dual Diagnosis. Orcid: https://orcid.org/0000-0001-7718-052X

Ijeabalum Asike, PhD Student, University of Greater Manchester

Ijeabalum Asike is a PhD student at the University of Greater Manchester. She is a qualified Psychotherapist and has her private practice. Ijeabalum’s research is focused on the Lived experience of Black people with Lupus. She also has lupus and is investigating the factors that enable people with lupus to flourish. She has adapted the CHIME framework to include factors such as Pain, Acceptance, Adaptation, and Growth (PAAG). This is called PAAG-CHIME. Email ima1epss@bolton,ac.uk Orcid:  0009-0003-8200-8136

Andrew Voyce, University of Greater Manchester

Dr Andrew Voyce was awarded an Honorary Doctorate in Social Science from the University of Greater Manchester in 2024. He graduated without a degree from Reading University, obtained two Bachelor’s degrees from the Open University and has a Master’s degree in Social Policy from the University of Brighton. He supports mental health recovery and is an activist through his website AndrewVoyce2.com. He advocates for better mental health awareness through lecturing and Mental Health First Aid and The Langford Centre’s Patients Council. He has an interest in autoethnography, alienation and 1960s youth culture, and has published a number of academic articles. His Orchid number is 0000-0001-8705-3161.

Jerome Carson, Professor of Psychology, University of Greater Manchester

Jerome Carson is Professor of Psychology at the University of Greater Manchester. His interest in recovery from mental health problems largely developed in 2006 when he worked for the South London and Maudsley NHS Foundation Trust. While he now works as an academic he retains his interest in recovery and also applications of the CHIME model.
Orcid: https://orcid.org/0000-0002-7596-116X

References

Amabile, T. M., Barsade, S. G., Mueller, J. S. and Staw, B. M. (2005) Affect and creativity at work. Administrative Science Quarterly, 50, 3, 367-403.

Andreasen, N. C. (2006) The creative brain: The science of genius. Plume.

Andresen, R., Oades, L. and Caputi, P. (2003) The experience of recovery from schizophrenia: Towards an empirically validated stage model. Australian & New Zealand Journal of Psychiatry, 37, 5, 586-594.

Angel, S., and Halling, S. (2024) Uses and abuses of the concept of acceptance in rehabilitation and recovery. The Humanistic Psychologist, 52, 4, 341–352. https://doi.org/10.1037/hum0000341

Anthony, W. (1993) Recovery from mental illness : The guiding vision of the mental health system in the 1990s. Psychosocial Rehabilitation Journal, 16, 4, 11-23

Apostolopoulou, A., Stylianidis, S., Issari, P., Chondros, P., Alexiadou, A., Belekou, P., Giannou, C., Karali, K., Foi, V., and Tzaferou, F. (2020) Experiences of recovery in EPAPSY’s community residential facilities and the five CHIME concepts: A qualitative inquiry. Frontiers in Psychiatry, 11, 24.

Asike, I. (2024) The shackles of lupus, and the redefining path of faith and positive psychology. In, A. Grant and J. Carson (Eds.), Autoethnographies in Psychology and Mental Health. Routledge.

Avvenuti, G., Baiardini, I., and Giardini, A. (2016) Optimism’s explicative role for chronic diseases. Frontiers in Psychology, 7, 295. https://doi.org/10.3389/fpsyg.2016.00295

Bea, M. (2022) How it Feels to Experience the Grief of Losing the Old You. Lupus.Net. https://lupus.net/living/grief-old-self

Borchers, A. T., Naguwa, S. M., Shoenfeld, Y., and Gershwin, M. E. (2010) The geoepidemiology of systemic lupus erythematosus. Autoimmunity Reviews, 9, 5, A277–A287. https://doi.org/10.1016/j.autrev.2009.12.008

Brijnath, B. (2015) Applying the CHIME recovery framework in two culturally diverse Australian communities: Qualitative results. International Journal of Social Psychiatry, 61, 7, 660-667.

Carson, J. and Hurst, R. (2021) Mental health nursing and recovery: The C-CHIME model. British Journal of Mental Health Nursing, 10, 2, 1-3.

Case, S., Sinnette, C., Phillip, C., Grosgogeat, C., Costenbader, K. H., Leatherwood, C., Feldman, C. H., and Son, M. B. (2021) Patient experiences and strategies for coping with SLE: A qualitative study. Lupus, 30, 9, 1405–1414. https://doi.org/10.1177/09612033211016097

Colmenares-Roa, T., Gastelum-Strozzi, A., Crosley, E., Fuentes-Silva, Y., Reategui-Sokolova, C., Elera-Fitzcarrald, C., Ibañez, S., Cairoli, E., Pons-Estel, B. A., Drenkard, C., and Peláez-Ballestas, I. (2023) Digital narratives of living with lupus: Lived experiences and meanings for Latin American and Latino patients and their families. Arthritis Care & Research, 75, 3, 540–549. https://doi.org/10.1002/acr.24870

Csikszentmihalyi, M. (1997) Creativity: The Psychology of Discovery and Invention. Harper Collins Publishers.

Dall’Era, M., Cisternas, M. G., Snipes, K., Herrinton, L. J., Gordon, C., and Helmick, C. G. (2017). The incidence and prevalence of systemic lupus erythematosus in San Francisco County, California: The California Lupus Surveillance Project. Arthritis & Rheumatology, 69, 10, 1996–2005. https://doi.org/10.1002/art.40191

Davidson, L. and Roe, D. (2007) Recovery from versus recovery in serious mental illness: One strategy for lessening confusion plaguing recovery. Journal of Mental Health, 16, 459–470.

Davidson, L., Rowe, M., Bellamy, C., and Delphin-Rittmon, M. (2021) Recovery-oriented systems of care: A perspective on the past, present, and future. Alcohol Research: Current Reviews, 41, 1, DOI: 10.35946/arcr.v41.1.09.

Davidson, L. (2016) The recovery movement: Implications for mental health care and enabling people to participate fully in life. Health Affairs, 35, 6, 1091-1097.

Department of Health (2011) Talking Therapies: A Four-year Plan of Action available at: https://assets.publishing.service.gov.uk/media/5a7cdd6fed915d7c849adb5d/dh_123985.pdf accessed 22.12.24

Dekkers, A., Vos, S., and Vanderplasschen, W. (2020) Personal recovery depends on NA unity: An exploratory study on recovery-supportive elements in Narcotics Anonymous Flanders. Substance Abuse Treatment, Prevention, and Policy, 15, 1, 53.

Deng, Y., Hahn, B. H., and Tsao, B. P. (2013) Systemic lupus erythematosus. In, D. Rimoin, R. Pyeritz, & B. Korf (Eds.), Emery and Rimoin’s Principles and Practice of Medical Genetics (Sixth Edition) (pp. 1–22). Academic Press. https://doi.org/10.1016/B978-0-12-383834-6.00081-1

Dunkin, M. A. (2023) Lupus and Mental Health Concerns. WebMD. https://www.webmd.com/lupus/psychosocial-aspects-lupus

Fava, A., and Petri, M. (2019) Systemic lupus erythematosus: Diagnosis and clinical management. Journal of Autoimmunity, 96, 1–13. https://doi.org/10.1016/j.jaut.2018.11.001

Ford, D. Y. and Harris, J. J. (1992) The elusive definition of creativity. The Journal of Creative Behavior, 26, 3, 186–198.

Franco, M. D., Guzzo, M. P., Spinelli, F. R., Atzeni, F., Sarzi-Puttini, P., Conti, F., and Iannuccelli, C. (2014) Pain and systemic lupus erythematosus. Reumatismo, 66(1), Article 1. https://doi.org/10.4081/reumatismo.2014.762

Hale, E. D., Radvanski, D. C., and Hassett, A. L. (2015). The man-in-the-moon face: A qualitative study of body image, self-image and medication use in systemic lupus erythematosus: Table 1. Rheumatology, 54(7), 1220–1225. https://doi.org/10.1093/rheumatology/keu448

Hare-Duke, L., Charles, A., Slade, M., Rennick-Egglestone, S., Dys, A. and Bijdevaate, D. (2023) Systematic review and citation content analysis of the CHIME framework for mental health recovery processes: Recommendations for developing influential conceptual frameworks. Journal of Recovery in Mental Health, 6, 1, 38.

Hochberg, M. C. (1997) Updating the American College of Rheumatology revised criteria for the classification of systemic lupus erythematosus. Arthritis & Rheumatism, 40(9), 1725–1725. https://doi.org/10.1002/art.1780400928

Hurst, R. & Carson, J. (2021) For whom the bell CHIMEs: A synthesis of remarkable student lives. Mental Health and Social Inclusion, 25, 2, 195-207.

Hurst, R., Carson, J., Shahama, A., Kay, H., Nabb, C. and Prescott, J. (2022) Remarkable recoveries: An interpretation of recovery narratives using the CHIME model. Mental Health and Social Inclusion, 26, 2, 175-190.

Hurst, R., Voyce, A., & Carson, J. (2024). Creative Mental Health Recovery: An Approach to Healing. Routledge.

Ivtzan, I., Lomas, T., Hefferon, K., and Worth, P. (2015). Second Wave Positive Psychology: Embracing the Dark Side of Life. Abingdon: Routledge.

Izmirly, P. M., Parton, H., Wang, L., McCune, W. J., Lim, S. S., Drenkard, C., Ferucci, E. D., Dall’Era, M., Gordon, C., Helmick, C. G., and Somers, E. C. (2021). Prevalence of systemic lupus erythematosus in the United States: Estimates from a meta-analysis of the Centers for Disease Control and Prevention National Lupus Registries. Arthritis & Rheumatology, 73, 6, 991–996. https://doi.org/10.1002/art.41632

Jabareen, Y. (2009) Building a conceptual framework: Philosophy, definitions, and procedure. International Journal of Qualitative Methods, 8, 4, 49-62.

Jagfeld, G., Lobban, F., Marshall, P. and Jones, S. H. (2021) Personal recovery in bipolar disorder: Systematic review and ‘best fit’ framework synthesis of qualitative evidence–a POETIC adaptation of CHIME. Journal of Affective Disorders, 292, 375-385.

Larsen, J. L., Hall, E. O. C., Jacobsen, S., and Birkelund, R. (2018) The existential experience of everyday life with systemic lupus erythematosus. Journal of Advanced Nursing, 74, 5, 1170–1179. https://doi.org/10.1111/jan.13525

Lases, M. N., Bruins, J., Scheepers, F. E., Van Sambeek, N., Ng, F., Rennick-Egglestone, S. ... and Castelein, S. (2024) Is personal recovery a transdiagnostic concept? Testing the fit of the CHIME framework using narrative experiences. Journal of Mental Health, online, 1-9.

Leamy, M., Bird, V., Le Boutillier, C., Williams, J. and Slade, M. (2011) Conceptual framework for personal recovery in mental health: Systematic review and narrative synthesis. The British Journal of Psychiatry, 199, 6, 445-452.

Lomas, T., Waters, L., Williams, P., Oades, L. G. and Kern, M. L. (2021) Third wave positive psychology: Broadening towards complexity. The Journal of Positive Psychology, 16, 5, 660-674.

Lucas, K. (2021) A narrative review of systemic lupus erythematosus. Lupus Open Access, 6, 2, e111.

McManus, J. and Carson, J. (2019) Remarkable Lives: John McManus in conversation with Jerome Carson. Mental Health and Social Inclusion, 23, 4, 156-161.

Meadows, G., Brophy, L., Shawyer, F., Enticott, J. C., Fossey, E., Thornton, C. D., Weller, P. J., Wilson-Evered, E., Edan, V. and 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.

Nettle, D. (2001) Strong Imagination: Madness, Creativity and Human Nature. Oxford University Press.

Ogilvie, L. (2022) The values in action character strengths model in addiction recovery: A case study. Advances in Dual Diagnosis, 15, 3, 177-186.

Ogilvie, L., and Carson, J. (2022a) Trauma, stages of change and post traumatic growth in addiction: A new synthesis. Journal of Substance Use, 27, 2, 122-127.

Ogilvie, L., and Carson, J. (2022b) Positive addiction recovery therapy: A pilot study. Advances in Dual Diagnosis, 15, 4, 196-207.

Ogilvie, L., and Carson, J. (2023a) Stories of Addiction Recovery: The G-CHIME Model. Leeds: Emerald Points.

Ogilvie, L., and Carson, J. (2023b) The values in action character strengths model: A resource for people in addiction recovery. Advances in Dual Diagnosis, 16, 3, 152-158.

Ogilvie, L., and Carson, J. (2023c) Positive addiction recovery therapy: A replication and follow-up study. Advances in Dual Diagnosis, 16, 4, 227-241.

Ogilvie, L., and Carson, J. (2025) Positive Psychology for Addiction: Theory, Research and Application. Leeds: Emerald.

Penas, P., Uriarte, J. J., Gorbeña, S., Moreno-Calvete, M. C., Ridgway, P. and Iraurgi, I. (2020) Psychometric adequacy of recovery enhancing environment (REE) measure: CHIME framework as a theory base for a recovery measure. Frontiers in Psychiatry, 11, 595.

Petri, M., Orbai, A.-M., Alarcón, G. S., Gordon, C., Merrill, J. T., Fortin, P. R., Bruce, I. N., Isenberg, D., Wallace, D. J., Nived, O., Sturfelt, G., Ramsey-Goldman, R., Bae, S.-C., Hanly, J. G., Sánchez-Guerrero, J., Clarke, A., Aranow, C., Manzi, S., Urowitz, M., … and Magder, L. S. (2012) Derivation and validation of the Systemic Lupus International Collaborating Clinics classification criteria for systemic lupus erythematosus. Arthritis & Rheumatism, 64, 8, 2677–2686. https://doi.org/10.1002/art.34473

Piat, M., Seida, K. and Sabetti, J. (2017) Understanding everyday life and mental health recovery through CHIME. Mental Health and Social Inclusion, 21, 5, 271-279.

Pickover, C. A. (1998) Strange Brains and Genius: The Secret Lives of Eccentric Scientists and Madmen. Plenum Press.

Pisetsky, D. S., Eudy, A. M., Clowse, M. E. B., and Rogers, J. L. (2021) The categorization of pain in systemic lupus erythematosus. Rheumatic Disease Clinics of North America, 47, 2, 215–228. https://doi.org/10.1016/j.rdc.2020.12.004

Rees, F., Doherty, M., Grainge, M. J., Lanyon, P., Davenport, G., and Zhang, W. (2016) Mortality in systemic lupus erythematosus in the United Kingdom 1999–2012. Rheumatology, 55, 5, 854–860. https://doi.org/10.1093/rheumatology/kev424

Reid, K., Flowers, P., and Larkin, M. (2005) Exploring lived experience. The Psychologist, 18, 1, 20-23.

Repper, J and Perkins, R (2003) Social Inclusion and Recovery Edinburgh, Balliere Tindall.

SAMHSA. (2012) SAMHSA’s working definition of recovery: 10 guiding principles of recovery. Retrieved January 2025, from SAMHSA: https://store.samhsa.gov/sites/default/files/d7/priv/pep12-recdef.pdf

Scottish Recovery Network (n.d.) available at: https://scottishrecovery.net/lets-talk-recovery/ accessed 22.12.24

Seligman, M. E. and Csikszentmihalyi, M. (2000) Positive psychology: An introduction. American Psychologist, 55, 1, 5-14.

Slade, M., Bird, V., Clarke, E., Le Boutillier, C., McCrone, P., Macpherson, R., Pesola, F., Wallace, G., Williams, J. & Leamy, M. (2015a) Supporting recovery in patients with psychosis through care by community-based adult mental health teams (REFOCUS): A multisite, cluster, randomised, controlled trial. The Lancet Psychiatry, 2, 6, 503-514.

Slade, M., Bird, V., Le Boutillier, C., Farkas, M., Grey, B., Larsen, J., Leamy, M., Oades, L. and Williams, J. (2015b) Development of the REFOCUS intervention to increase mental health team support for personal recovery. The British Journal of Psychiatry, 207, 6, 544-550.

Slade, M., Leamy, M., Bacon, F., Janosik, M., Le Boutillier, C., Williams, J., and Bird, V. (2012) International differences in understanding recovery: Systematic review. Epidemiology and Psychiatric Sciences, 21, 4, 353-364.

Smith, J. A. and Osborn, M. (2003) Interpretative phenomenological analysis. In, J. A. Smith (Ed.), Qualitative Psychology: A Practical Guide to Research Methods (pp. 51-80). Sage.

Smith, J. A. (2017) Interpretative phenomenological analysis: Getting at lived experience. The Journal of Positive Psychology, 12, 3, 303-304.

Sun, K., Eudy, A. M., Criscione-Schreiber, L. G., Sadun, R. E., Rogers, J. L., Doss, J., Corneli, A. L., Bosworth, H. B., and Clowse, M. E. B. (2021) Racial differences in patient-provider communication, patient self-efficacy, and their associations with systemic lupus erythematosus-related damage: A cross-sectional survey. The Journal of Rheumatology, 48, 7, 1022–1028. https://doi.org/10.3899/jrheum.200682

Thornton, T., and Lucas, P. (2011) On the very idea of a recovery model for mental health. Journal of Medical Ethics, 37,1, 24-28.

Treffert, D. A. (1989) Extraordinary People: An Exploration of the Savant Syndrome. Transworld Publishers.

Ugarte-Gil, M. F., Alarcón, G. S., Seet, A. M., Izadi, Z., Montgomery, A. D., Duarte-García, A., Gilbert, E. L., Valenzuela-Almada, M. O., Wise, L., Sparks, J. A., Hsu, T. Y.-T., D’Silva, K. M., Patel, N. J., Sirotich, E., Liew, J. W., Hausmann, J. S., Sufka, P., Grainger, R., Bhana, S., …and Yazdany, J. (2023) Association between race/ethnicity and COVID-19 outcomes in systemic lupus erythematosus (SLE) Patients from the United States: Data from the COVID-19 Global Rheumatology Alliance. Arthritis Care & Research, https://doi.org/10.1002/acr.25039

van Weeghel, J., Van Zelst, C., Boertien, D. and Hasson-Ohayon, I. (2019) Conceptualizations, assessments, and implications of personal recovery in mental illness: A scoping review of systematic reviews and meta-analyses. Psychiatric Rehabilitation Journal, 42, 2, 169-181.

van Zyl, L., and Salanova, M. (2021) Editorial: Facilitating the third wave of positive psychology: Perspectives on the future of the discipline. Frontiers in Psychology, 13, DOI: 10.3389/fpsyg.2022.963167.

VIA Institute on Character. (2025). What the Research Says About Character Strengths. Retrieved from VIA Institute on Character: https://www.viacharacter.org/research/findings

Voyce, A (n.d.) andrewvoyce2.com available at https://andrewvoyce2.com/ accessed 22.12.24

Weisberg, R. W. (2015) On the usefulness of ‘value’ in the definition of creativity. Creativity Research Journal, 27, 2, 111-124.

Wong, P. T. (2011) Positive psychology 2.0: Towards a balanced interactive model of the good life. Canadian Psychology/Psychologie Canadienne, 52, 2, 69-81.

World Health Organization (2021). Comprehensive Mental Health Action Plan. 2013–2030.

Yen, E. Y., and Singh, R. R. (2018) Brief Report: Lupus—An unrecognized leading cause of death in young females: A population-based study using nationwide death certificates, 2000–2015. Arthritis & Rheumatology, 70(8), 1251–1255. https://doi.org/10.1002/art.40512

Downloads

Published

2026-01-06

How to Cite

Hurst, R., Ogilvie, L., Asike, I., Voyce, A., & Carson, J. (2026). One ring to rule them all: Applications of the CHIME framework of mental health recovery. Social Work and Social Sciences Review, 26(1), 45–64. https://doi.org/10.1921/swssr20252593

Issue

Section

Articles

Most read articles by the same author(s)

<< < 1 2