Defining Recovery by ert554898


									 Defining Recovery

Exploring the NIMHE Guiding
   Statement on Recovery
 Insert date, Audience and venue here

• Briefly describe the NIMHE Guiding
  Statement on Recovery
• Provide time for you to read it alone
• Lead a brief discussion on it’s content
• Distribute a worksheet for you to check
  your understanding
  NIMHE is committed to the development of
recovery-oriented services that can be used by
   people as tools to support their recovery.
 Recovery is not just about what services do to
or for people. Rather, recovery is what people
   experience themselves as they become
    empowered to manage their lives in a
manner that allows them to achieve a fulfilling,
   meaningful life and a contributing positive
    sense of belonging in their communities.
                Defining Recovery
• A return to a state of wellness (e.g., following an
  episode of depression)
• Achievement of a personally acceptable quality of life
  (e.g., following an episode of psychosis)
• A process or period of recovering (e.g., following
• A process of gaining or restoring something (e.g.,
  one’s sobriety)
• An act of obtaining usable resources from apparently
  unusable sources (e.g., in prolonged psychosis where
  the experience itself has intrinsic value)
• To recover optimum quality of life and have
  satisfaction with life in disconnected circumstances
  (e.g. dementia
       Guiding statement -
• Recovery is a relatively recent
• Introduced primarily by people who are
  in recovery from mental health
• The Guiding Statement lays out
  NIMHE’s emerging view of recovery
A Recovery Oriented System of Care
    the full range of hospital and
     community-based services, including
     those in secure settings and prisons;
    self-help and peer-run services, that the
     NHS and Local Authorities fund,
     facilitate, or foster;
    their family, partner and friends
    faith communities;
    individual people and groups in local
           Recovery Offers
• The possibility of improvement in a
  person’s condition and/or experience
• The importance of the person assuming an
  active and responsible role life-style
• Based on successful experiences with 12
  step programmes and self-help groups
     Principles and Values

NIMHE formally endorses the principles
 set out in the guiding principles and in
  the poster and the values of people in
  recovery and their loved ones that are
  underpinned by the emerging NIMHE
           Framework of Values
    Recovery Oriented Systems of Care
• Focus on people rather than services.
• Monitor outcomes rather than performance.
• Emphasise strengths rather than deficits or
• Educate people who provide services, schools,
  employers, the media and the general public to
  combat stigma.
• Foster collaboration between those who need support
  and those who support them as an alternative to
• Through enabling and supporting self-management,
  promotes autonomy and, as a result, decreases the
  need for people to rely on formal service and
  professional supports.
            Guiding Principles - 1
Principle 1. The user of services directs the recovery process

Principle II. The Mental Health System must be aware of its tendency to
   promote dependency. Users of service need to be aware of the negative
   impact of co-dependency

Principle III. Users of services recover more quickly when
              Hope is encouraged, enhanced and/or maintained;
              Life roles with respect to work and meaningful
                  activities are defined;
              Spirituality is considered;
              Culture is understood;
              Educational needs as well as those of
                  families/significant others are identified;
              Socialisation needs are identified.
              They are supported to achieve their goals.
             Guiding Principles - 2
Principle IV. Individual differences are valued across the life span

Principle V. Recovery from mental illness is most effective when a
   holistic approach is considered; this includes psychological,
   emotional, spiritual, physical and social needs.

Principal VI. In order to reflect current “best practices” there is a need
   for an integrated approach to treatment and care that includes
   Medical/biological, Psychological, Social and Values Based
   approaches. A Recovery approach embraces all of these.

Principal VII. Clinicians and practitioners initial emphasis on “hope”
   and the ability to develop trusting relationships influences the
   recovery of users of services.

Principle VIII. Clinicians and practitioners operate from a
   strengths/assets model
            Guiding Principles - 3
Principle IX Users of service with the support of clinicians, practitioners
   and other supporters should develop a recovery management or
   wellness recovery action plan. This plan focuses on wellness, the
   treatments and supports that will facilitate recovery and the resources
   that will support the recovery process.

Principle X. Involvement of a person’s family, partner and friends may
   enhance the recovery process. The user of service should define whom
   they wish to involve.

Principle XI. Mental Health services are most effective when delivery is
   within the context of the service users locality and cultural context.

Principle XII Community Involvement as defined by the user of services is
   central to the recovery process.

Principles from; NIMHE Guiding Statement on Recovery, 2005
   Emerging National Framework of
      Values for Mental Health
• Recognition – NIMHE recognises the role of
• Raising Awareness – NIMHE is committed to
  raising awareness of values
• Respect – NIMHE respects diversity of values
        Respect for Diversity
• Is concerned with the equality of citizenship
• Is anti-discriminatory in all it’s forms
• It is unacceptable to discriminate on
  grounds such as gender, sexual orientation,
  class, age, culture, race, religion or
• Puts respect for the values of individual
  users at the centre of policy and practice
    Emerging Framework of Values
•   Recovery oriented
•   Multidisciplinary
•   Dynamic
•   Reflective
•   Balanced
•   Relational
             The Recovery Process
              (Laurie Curtis 1998)
• Recovering what was lost - rights, roles,
  responsibilities etc
• Reclaiming the roles of a healthy person
• A personal vision for life
• How he/she can get there
• How others can support them to get there
• Rekindling hope for a productive present &
  rewarding future
                   Recovery Themes
•    Recovery is a process that is unique for each person
•    Discovering hope for recovery is essential
•    Finding a persistent and resilient self, enables recovery
•    Recovery means taking personal responsibility for instituting
     purposeful action and active coping
•    Finding meaning in ‘mental illness’ experiences promotes
•    Recovery involves finding personal supports, activities and
     an environment that will support growth and development
•    Recovery is a non-linear process with spirals and difficult
•    Recovery is not simply about symptom elimination but is an
     active on-going process of self-directed healing and
•    Thriving can be the result of recovering from experiences
     due to ‘mental illness and other adverse experiences

(Allott, 2005)
                      12 Points of Wellness*
•   You live in a place you like and can call home.
•   You have something that you believe is meaningful to do during the day.
•   You have at least one someone to laugh with and pour your heart out to.
•   You find some joy in life and have fun now and again.
•   You see that you have choices and you are able to make a decision about
    what you want to do.
•   You like yourself (mostly).
•   You feel that you are able to do most of the things you would like to do.
•   You take a calculated risk now and again.
•   You recognize that there are some things about life and our world that just
    cannot be changed, at least in the short term.
•   You have found a place in the world and feel reasonably good about it.
•   When you feel bad, you are able to make yourself feel better and ask for help
    when you need it.
•   When others feel bad or need help, you give when asked.

    *Excepted from Homeward Project, Special Task Focus on Case
    Management: Rethinking Case Management, Toronto, Canada. 1992.
Working in Partnership                              Respecting Diversity
                           Challenging Inequality

 Practising Ethically     The Ten Essential              Needs
                         Shared Capabilities
                                                    Making a Difference

 Providing User                                       Safety
  Centred care           Promoting
                                            Personal Development &
     The 10 Essential Capabilities
•   Working in Partnership
•   Respecting Diversity
•   Practising Ethically
•   Challenging Inequality
•   Promoting Recovery
•   Identifying People’s Needs and Strengths
•   Providing Service User Centred Care
•   Making a Difference
•   Promoting Safety & Positive Risk Taking
•   Personal Development and Learning

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