What are the implications of a recovery model for mental health services and for service users/survivors?
In discussing the implications of a recovery model on service users/survivors and mental health services, it is essential to define recovery. In illustrating the controversial nature of this concept it is pragmatic to discuss service users and workers in mental health because implications of the recovery model affect both, but in different ways. It is important to realize there is a division in the focus of each group; service users generally want independence from services while health care providers focus on methods and models (Bonney & Stickley, 2008). In working together both groups can improve the provision of recovery services.
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This more inclusive definition is in keeping with the holistic framework while recognizing the complexity of recovery for those experiencing mental distress.
Bonney and Stickley (2008) note the theme of power is often raised by service users. If, as predicted by the DOH in 2003, services are to become increasingly individual focused, the system needs to place power with service users. There is increasing amounts of service user literature that places an emphasis on individuals defining their own journey of recovery (Unit 21, pg 66) rather than having it imposed on them by workers. Peter Beresford (Audio 4) notes that currently there are inequalities in mental health services with limited service user power but considerable professional power. Bonney and Stickley mention Martyn (2002, cited in Bonney and Stickley 2008) who proposes professionals should be present by service user invitation only. A less radical aim is that of a gradual transfer of responsibility in power from services to individuals during recovery. It is important such involvement confers genuine power to individuals, rather than being tokenistic (Jacobson 2004, cited in Bonney and Stickley 2008).
It should be noted service users do not necessarily associate recovery with being symptom free. Rather, it involves coping with distress and living well. Rachel Perkins (Unit 21, pg
Mental health is a complex phenomenon that consists of a range of diagnoses, treatments and outcomes. Recovery from such experiences has historically meant to completely remove all symptoms of illness, but is now currently thought of as regaining a sense of control over and development of a new meaning and purpose in one’s life, rather than feeling defined by the illness. Each individual understands it in their own personal way, likened to a journey towards self-determination, choice, and empowerment.
In mental health the concept of recovery is a contrast to the medical context to which we are accustomed to. Individuals experiencing mental illnesses have expressed recovery to be “elusive, not perfectly linear… erratic, we flatter, slide back and regroup…establish a sense of integrity and purpose” (Roads to recovery, n.d.), which reflects
Regarding the treatment of mental illness, there are two effective forms that have caused considerable debates in the field of psychology: the medical and the recovery models. While there are significant differences between these two models, they are both effective when used concurrently. The efficacy of the medical model alone is diminishing as it focuses too narrowly on treatment goals, and may ignore the needs of the client. On the other hand, the recovery model focuses on the client and allows them to take control of their treatment and rehabilitation, which helps promote positive change. Recovery is often seen as a lifelong journey that requires the client to be wholly involved in the recovery process. This is why the recovery model values
The recovery model comes from the medical model, and has been improved upon and redefined for many years. One of the many definitions that had been agreed upon state that “people can be
RTP works with professional organizations to develop and implement educational training programs for “use in discipline-sponsored professional development, academic training, and continuing education” (Substance Abuse and Mental Health Services Administration (b), 2016, para 2). These educational programs address recovery principles in various behavioral health professions. This specialized, specific training is for workforce professionals in the Association for Addiction Professionals (NAADAC), the Inter-National Association of Peer Supporters Inc. (iNAPS), the American Psychiatric Nurses Association (APNA), the Psychiatric Association (APA), the American Association of Community Psychiatrists (AACP), the American Psychological Association (APA), and the Council on Social Work Education (CSWE) (SAMHSA (b),
Recovery is a term used when an individual comes to terms and overcomes the obstacles associated with a mental illness. (Le Boutillier et al.,2011).
Most people who have mental health problems experience symptoms, and gradually recover. They may pick Up where they left off, or head in a new direction in life. Everybody’s experience of mental ill health is Different and everybody’s recovery is therefore individual. For a minority of people, the symptoms of their mental health problem might lead them to act
Mental illness plays a voluminous role after coming back from problems like mania,depression,schizophrenia and for many post
Contemporary mental health care is a changing and developing field. Traditional practices of understanding and caring for those with mental illness are being challenged (Trenoweth, 2017). Personal recovery is not a new concept. Although it is significantly different to the biomedical model, it has been well written about in literature, putting a significant influence on policies and the delivery of care within today’s practices. When people with a lived experience of mental illness started to challenge the biomedical model of care, recovery orientated health care began to grow (Barkway, 2013). Before further exploring both personal recovery and the biomedical approach, we will look at what recovery is. Slade (2009) outlines a two part definition
one method for looking into approaches is by supervision. When I have supervision with the recovery colleagues I inquire as to whether there is any preparation that they believe they have to empower them to carry out their occupations legitimately and effectively. This enhances their nature of work. They reveal to me what they feel is successful while completing their parts and it is a chance to check whether there are elective ways that can be attempted practically speaking.
The health care system is complicated. There are many health care providers and services out there. Some of them are preventative care or public health; ambulatory or primary care; subacute or long-term care; acute care; auxiliary services; rehabilitative services; end-of-life care; mental health services; emergency management or disaster preparedness; dental services; military and veteran services; and Indian health services. Each of these providers offers its individual service or product, but in the long run, they all benefit each other to help the patient that needs it. The two that are going to be discussed are rehabilitative services and mental health services. I will give a basic description of the provider or service and the products
Clinicians work in collaboration with patients and their families/carers through their recovery journey and employ various treatment interventions. This could range from pharmacological (medications) interventions and psychological approaches such as relapse
‘Recovery from a mental health problem can be understood either as an outcome or as a process.’ Also known as ‘clinical recovery’ an outcome is present depends on whether the symptoms/problems are present or absent (Serafín Lemos-Giráldez 2015). Usually involving a reduction or absence of symptoms and a significant improvement in occupational and social functioning, an outcome does not change from person to person. On the other hand, individuals who go through a process in order to live a joyful and fulfilling life, experience personal recovery. (Serafín Lemos-Giráldez 2015). This form of recovery involves learning to become self-managing of one’s illness, whether recurring symptoms are at that point in time present and working towards a self-caring, independent and fulfilling life. The definition of a satisfying like varies from one individual to the next. This is why each consumer’s recovery journey is personal and tailored to fit their goals and beliefs (Serafín Lemos-Giráldez 2015).
As stated by Deegan (1988), recovery is not the healing of an illness but the process of persons overcoming the restrictions placed by the illness on their meaningful participation. Hence, in my future practice, instead of focusing on the severity of a condition, I would emphasise clients’ feelings about their self and the situation to determine their readiness for rehabilitation. This is because patients who have a less medically severe illness could potentially have a sense of hopelessness that places them in an earlier stage of recovery, making them require self-acceptance rather than life skills training (Crist, 2011). Therefore, assessing clients based on their attitudes and sense of purpose would avoid setting unrealistic goals for clients
Therefore, the level of recovery varies from each person. There are no checklists or timetables for the recovery of a person, recovery in itself is just helping the person attain the state where they want to be. One cannot tell a person they are mentally healthy if the person himself does not feel like so. It is not embarrassing to look for help. In order for everyone to be open and honest about what they feel and get the help they deserve, we should change our perspectives of having mental illness and treating it. So we can achieve what they’ve been fighting for, a normal and happy