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Purpose  This paper aims to describe service user experiences of an art psychotherapy group which drew on occupational therapy perspectives to help adults with severe and enduring mental health difficulties move forward in their recovery.    Design/methodology/approach  A case study approach incorporating outcome data was used. The data gathered comprised attendance, facilitators’ clinical notes, photographs of participant artworks, the Psychological Outcome Profiles questionnaire (PSYCHLOPS:  www.psychlops.org ), a post-therapy feedback form, discussion at post-therapy individual review sessions and participants’ achievements post-group.    Findings  All but one participant scored the group as “very helpful” or “helpful” and all felt that the group had helped them with the personal aims they had identified. The PSYCHLOPS questionnaire yielded a large average effect size, indicating positive change in terms of problems, functioning and well-being. Participants identified several ways in which the group was helpful, and their artwork and reflections indicate how they used the art making in the group to pursue their recovery goals. The service user experiences and outcomes suggest that this group was effective in facilitating recovery for these adults with severe and enduring mental health difficulties.    Originality/value  This group was innovative in integrating approaches from the different professional specialisms and the findings encourage further investigation into this way of working.

From reflection to action: a case study of an art psychotherapy group which drew on occupational therapy perspectives