A guide for mental health professionals Rethink recovery Recovery is a word two meaning Anthony 1993 Personal Recovery Tasks Recovery Tasks 1 Developing a positive identity Recovery Tasks 2 ID: 513425
Download Presentation The PPT/PDF document "100 ways to support recovery" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
100 ways to support recovery
A guide for mental health professionals Rethink recovery Slide2
Recovery is a word two meaningSlide3
:
Anthony 1993Slide4
Personal Recovery Tasks
Recovery Tasks 1:Developing a positive identityRecovery Tasks 2: Flaming the ‘mental illness’Recovery Tasks 3
:
Self – managing the mental illness
Recovery Tasks 4:
Developing
valued social rolesSlide5
The Personal Recovery FrameworkSlide6
Differences between traditional and recovery – oriented serviceSlide7Slide8Slide9Slide10Slide11
The central importance of
relationships- with peers, with staff and with others.
2.1 Supporting peer relationships
1: Mutual self-help grou
ps
2: Peer Support Specialists
3: Peer-run
programmesSlide12
Staff can foster peer support by…
Collaborating with voluntary sector
organisations
to develop mutual self-help
groups
and actively
promoting access to them
2
. Distributing information written for service users about
recovery12-15
3
. Employing peer support specialists in the service, and supporting them to
make
a distinct
contribution
4
. Encouraging the development of peer-run
programmes
5
. Support people to talk about their own recovery stories, e.g. through
training
from professional story-tellers, by developing
a
local speaker’s bureau, by encouraging service users to tell their stories
in
local and national media
Slide13
Relationships with professionalsSlide14
Staff can support recovery by:
Wherever possible, being led by the priorities
of the service user rather than
the staff
Being
open to learning from, and being changed by, the service user
Wherever possible, using coaching skillsSlide15
Supporting other relationshipsSlide16
Staff can encourage spirituality and connection with others by:
Asking the person about meaning and purpose in their life.
Nurturing a positive view of the self, by demonstrating compassion in their response to a service user who reports
setbacks
Supporting access to spiritual experiences, e.g. scripture, prayer, attending places
of
worship, accessing on-line religious resources
Supporting access to uplifting experiences, e.g. art, literature, poetry,
dance
, music, science,
nature
Supporting access to opportunities for self- discovery,
Helping the person to give back to others, Slide17
The foundations of a recovery-oriented mental health service
starts
with
a consideration of
values making
values explicit
embedding
them in daily practice
and
tailoring practice using
performance
feedbackSlide18
Proposed values for a recovery- oriented mental health service
Value 1: The primary goal of mental health services is to support personal recovery
Value 2:
Actions by staff will primarily focus on identifying, elaborating and supporting work towards the person’s
goals
Value 3:
Mental health services work as if people are, or (when in crisis) will be, responsible for their own livesSlide19
Assessment
Using assessment to develop and validate
personal
meaning
Using assessment to amplify strengthsSlide20
Mental Health Assessment
Current strengths and resources Personal goals
Past coping
history
Inherited resources
Family environment
Learning from the
past
Developmental
history
Valued social roles
Social supports
Personal gifts Slide21
Using assessment to foster personal responsibilityUsing assessment to support a positive
identityUsing assessment to develop hopeSlide22
Strategies for promoting hope
S
t
a
f
f
v
al
u
e
s
V
a
l
u
i
ng
t
he
p
e
r
s
on
a
s
a u
n
ique
h
um
a
n
be
i
ng
F
a
il
u
r
e
is a
p
osi
t
i
v
e
sign
o
f
e
ngag
e
m
e
nt
,
a
nd
c
o
nt
r
i
b
u
t
e
s
t
o
s
e
l
f
-
k
n
o
wl
e
dge
T
a
rget
e
f
f
o
r
ts
to
w
a
rds sup
po
r
ti
ng
t
he
p
e
r
s
on
t
o
m
a
in
ta
i
n
r
e
la
t
ion
s
hi
ps
a
nd
so
ci
a
l rol
e
s
T
r
us
t
i
n
t
he
a
u
t
h
e
nt
ici
t
y
o
f
what
t
he
p
e
r
s
on
s
a
ys
T
o
b
e
h
um
a
n
is
t
o h
a
v
e
li
mi
t
a
t
ions
–
t
he ch
a
l
l
e
nge
is
t
o
e
x
c
ee
d
o
r
a
cce
p
t
t
h
e
m
F
i
nd
o
r
bu
i
ld
a
n a
u
d
i
e
n
c
e
t
o
t
he
p
e
r
s
o
n
’
s
u
n
iqu
e
n
es
s,
s
tr
e
n
g
t
hs
a
nd
b
e
s
t e
f
f
o
r
tsSlide23
S
t
a
f
f
a
t
t
i
tud
e
s
B
e
l
i
e
v
i
ng
i
n
t
he
p
e
r
s
o
n
’
s
p
o
t
e
nt
i
a
l
a
nd
s
tr
e
n
g
t
h
Lo
s
s
e
s
n
ee
d
t
o
b
e g
r
i
e
v
e
d
f
o
r
Ho
u
s
i
n
g
,
e
mpl
o
y
m
e
n
t
a
nd
e
d
uc
a
t
ion
a
r
e
k
e
y
e
x
t
er
n
a
l
r
e
s
our
c
e
s
A
cce
pti
ng
t
he
p
e
r
s
on
f
o
r
who
t
h
e
y
a
r
e
T
he
p
e
r
s
on
n
ee
ds
t
o
f
i
nd
m
ea
ni
ng
i
n
t
h
e
ir m
e
n
ta
l
ill
n
es
s,
a
nd m
o
r
e
i
m
po
r
ta
nt
ly
i
n
t
h
e
ir
l
i
f
e
E
mpl
o
y
r
e
c
ov
e
r
e
d s
e
r
vi
c
e
u
s
e
r
s
a
nd
e
x
-
u
s
e
r
s
i
n s
e
r
vi
c
e
s
a
s
role m
o
d
e
ls
V
i
e
w
se
t
-
bac
k
s
a
nd
‘
r
e
l
a
ps
e
’
a
s
p
a
r
t
o
f
r
e
c
ov
e
r
y
Slide24Slide25
Action planning
two types of goal
-
Recovery goals
-Treatment
goals Slide26
St
a
f
f
ca
n
h
e
l
p
t
he
p
e
r
s
on
id
e
nt
i
f
y
r
e
c
ov
e
r
y go
a
ls
b
y
:
-
Us
i
ng
p
e
r
s
on-centred planning - Supporting the use of user-developed work-books Wellness Recovery Action Planning - Completing a personal WRAP distinctionsSlide27
Supporting the development of self-management skills
Supporting the development of agencySupporting the development of
empowerment
Supporting the development of
motivation
The contribution of medication to
recoverySlide28
The contribution of risk-taking to recovery
- Harmful risk - Positive risk-taking Slide29
Recovery through crisis
prevent unnecessary crises • to minimise the loss of personal
responsibility
during crisis
• and to support identity in and beyond
the
crisisSlide30
Recognising a recovery focus in mental health services
Staff can make recovery outcomes more visible by: -
Using recovery-supporting quality
standards
and service development tools
- Assessing recovery process and outcome
measures
, e.g. measure and
publicise
empowerment
levels among service users
-
Routinely monitoring and
publicising
attainment
of socially valued roles and
personally
valued recovery goalsSlide31
Transformation in the mental health system
Working in a recovery-oriented way may not come naturally to the
mental
health system.
A reversal of some traditional assumptions is at the heart of a recovery approach
:
The
experience of mental illness is a part of the person, rather than the person being a mental patient or, for example, ‘a schizophrenic
’
Having valued social roles improves symptoms and reduces
hospitalisation
, rather than treatment being needed before the person is ready to take on responsibilities and life rolesSlide32
• The recovery goals come from the service user and the support to meet these goals comes from staff among others, rather than treatment goals being developed which require compliance from the service user
• Assessment focuses more on the strengths, preferences and skills of the person than on what they cannot do
• The normal human needs of work, love and play do apply – they are the ends to which treatment may or may not contribute
• People with mental illness are fundamentally normal, i.e. like everyone else in their aspirations and needs
• People will over time make good decisions about their lives if they have the opportunity, support and encouragement, rather than being people who will in general make bad decisions so staff need
to take
responsibility for them.
A
recovery approach also has the potential to liberate mental health staff from
unmeetable
expectations: diagnose this person; treat this illness; cure this patient; manage risk effectively; keep the public safe; exclude deviance from society. A focus on recovery is in the interests of all.Slide33