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The Stages Of Recovery Instrument

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There are five main stages of recovery, according to the Stages of Recovery Instrument (Serafín Lemos-Giráldez, 2015) ranging from Stage 1 (a negative identity) to Stage 5 (a positive sense of self), (Andersen, 2006).
• Moratorium – A time of withdrawal characterized by a profound sense of loss and hopelessness. ‘I feel as though I don’t know who I am anymore.’ (Andresen, 2006).
• Awareness – Realization that all is not lost and that a fulfilling life is possible. ‘I have recently begun to recognize a part of me that is not affected by the illness.’ (Andresen, 2006).
• Preparation – Taking stock of strengths and weaknesses regarding recovery and starting to work on developing recovery skills. ‘I am just starting to realize that I can still be a valuable person.’ (Andresen, 2006).
• Rebuilding – Actively working towards a positive identity, setting meaningful goals and taking control of one’s life. ‘I am learning new things about myself as I work towards recovery’. (Andresen, 2006).
• Growth – Living a full and meaning life, characterized by self-management of the illness, resilience and a positive sense of self. ‘I think that working to overcome the illness has made me a better person.’ (Andresen, 2006).

The nurse’s role in the recovery journey can appear in a variety ways at each of the five stages. This can vary from a nurse on a mental health or psychiatric ward in a hospital to a mental health nurse in a general clinic (Elisabet and Fisher, 2011). General Nurses will

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