a project of eastern health and channal recovery recovery from mental illness hope for all

A Project of Eastern Health and CHANNAL

RECOVERYRECOVERYRecovery from Mental Illness

Hope For All

Eastern Health & CHANNAL 2

Recovery… is a self determined and holistic journey

that people undertake to heal and grow. Recovery is facilitated by relationships and environments that provide hope, empowerment, choices and opportunities that promote people reaching their full potential as individuals and community members.”

PA Dept of Public Welfare, Office of Mental Health and Substance Abuse Services.


Recover Is A Journey… Not A Destination

Recovery is not necessarily the absence of symptoms, but instead it is moving beyond the symptoms of the illness and side effects of the medication to live the life we want and deserve.

Roy Muise, Peer Support Specialist


It’s About The Person…

At the heart of the recovery movement is the idea that instead of focusing on the illness, emphasis is placed on the potential for growth in individuals

William Anthony, 2003


OBJECTIVESAt the end of this session, each person

will:1. Have an increased awareness of Recovery.2. Identify the stages of Recovery.3. Think about your workplace from a Recovery focus.4. Reflect on your practice and consider

how to incorporate the concepts of recovery.


Don’t tell me recovery is not evidence based. I’m the evidence.

- Anonymous


In practice…

It is increasingly becoming the model of choice in the delivery of mental health services (CMHA, 2003)

…peer support services and the evolution of the recovery movement may represent the brightest star in the future of the mental health treatment systems (NTAC)


Services are changing… Medical model Harsh restraint methods Sheltered workshops Long term hospitalization Massive doses of medication Staff directed treatment

Recovery model Consumer and family

education Consumer run initiatives Community based care Medications to suit the

individual Consumer participation in

treatment Self help groups Supported employment


Beliefs are changing… Medical modelConsumers … Will never be able to function

in society Impaired judgment and can’t

be trusted Needs to be stabilized and

cared for Has something wrong with

them that someone needs to fix

Do not understand their own needs

Will not recover

Recovery modelConsumers… Can function well in society

with supports Can make a positive

contribution to society Can learn ways to cope with

symptoms Can use experience with

mental illness as a source of knowledge

Can learn and teach other consumers

CAN AND DO RECOVER


“Recovery is a deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills and/or roles. Recovery involves the development of new meaning and purpose in one’s life as one grows beyond the catastrophic effects of psychiatric (illness).”

William Anthony, Executive Director of the Center for Psychiatric Rehabilitation, Boston University


Hope and Optimism

Adaptability and Capacity to

Improve

Self Acceptance and Healing

Restoration and Personal Growth

Empowerment and Personal

Control

Partnership

Respect and Dignity

Choice and Autonomy

Elements of Recovery


Key Recovery Assumptions

Recovery can occur without professional intervention

Consumers- not professionals hold the key to recovery. The task of the professionals is to facilitate recovery, the task of the consumers is to recover. Recovery may be facilitated by a natural support system.


Strong support system. People who believe in and stand by the person is essential to recovery.

People need to trust that people will be there in time of need.


A recovery vision is not a function of one’s theory about the causes of mental illness.

Recovery can occur regardless of the “cause”. The key element is that there is hope for the future, rather than understanding the cause in the past.


Recovery can occur even if symptoms reoccur.

The episodic nature of severe mental illness does not prevent recovery. As one recovers, symptoms interfere with functioning less often and for briefer periods of time.


Recovery is a unique process.

There is no one path to recovery. It is a highly personal process.


Recovery demands that a person has choices.

The concept that people have options from which to choose is often more important than the option that is initially selected.


Recovery from the consequences of the illness is sometimes more difficult than recovering from the illness itself.

These can include discrimination, poverty, segregation, stigma and iatrogenic effects of treatment


Consumer Responsibility is to Recover…

Advocate for self. Dialogue with system about what is and

is not helpful.


Take responsibility for one’s own recovery.

Follow a wellness plan Develop a strong support system

Use Self Help


Service Provider Responsibility

Provide an environment that is conducive to recovery, based on consumer wisdom and input


As service providers…

Our role is not to judge who will and will not recover. Our job is to create environments in which opportunities for recovery and empowerment exist. Our job is to establish strong, supportive relationships with those we work with.

-Patricia Deegan


Service Providers Can…

Focus on strengths and client self determination

Instill a sense of hopefulness vs. doom Empower the client to identify and utilize

coping strategies that assist in the movement beyond mental illness, diagnosis and mental health systems


When The Concept of Recovery is Not Supported…

Staff are not supportive of person’s goals

Staff do things that consumers can do for themselves

Staff lead all groups Treatment decisions are made without

consumer involvement No recognition of achievement


STAGES OF RECOVERY

Adapted from Royal Ottawa Hospital Recovery Presentation

The Five Stages of the Recovery Process

Onset of Illness

Life is Limited

Change is Possible

Commitment to Change

Actions for Change

What Individuals Experience

Disabled by the symptoms of the illness

Not ready to make a commitment to change

Beginning to believe that life can be different

Willing to explore what it will take to make changes

Willing to take responsibility for actions

What Helps

Decrease the emotional distress by reducing the symptoms

Instill hope, a sense of possibility and rebuild a positive self esteem

Facilitate empowerment by encouraging participation in recovery in small steps

Help identify strengths and needs in terms of skills, resources and supports

Help the individual use his/her strengths and get the necessary skills, resources and supports


RECOVERY LANGUAGE

Person-First Language can hinder or help


“Having hope is crucial to

recovery; none of us would strive if we believed it a futile effort…I believe that if we confront our illnesses with courage and struggle with our symptoms persistently, we can overcome our (challenges) to live independently, learn skills, and contribute to society, the society that has traditionally abandoned us.”Leete, 1989


Recovery Resources Mental Health Recovery and WRAP, Mary Ellen Copeland

www.mentalhealthrecovery.com B.C. Partners for Mental Health and addictions

www.heretohelp.ca Boston University, Centre for psychiatric Rehabilitation

www.bu.edu/cpr National Network for Mental Health Consumers

National Empowerment Center, Inc.www.power2u.org

Yale Program for Recovery and Community Health (PRCH)www.yale.edu/PRCH/

a project of eastern health and channal recovery recovery from mental illness hope for all

Documents

channal recovery recovery

recovery movement

destination recovery

recovery focus

stages of recovery

concepts of recovery

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