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Recovery: Lessons from the Irish mental health movement

Inaugural Irish International Recovery Conference Mainstreaming recovery in Irish drug policy and practice: The challenge of change. Recovery: Lessons from the Irish mental health movement Prof Agnes Higgins Trinity College Dublin. Plan. Background to recovery in mental health

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Recovery: Lessons from the Irish mental health movement

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  1. Inaugural Irish International Recovery ConferenceMainstreaming recovery in Irish drug policy and practice:The challenge of change Recovery: Lessons from the Irish mental health movement Prof Agnes Higgins Trinity College Dublin

  2. Plan • Background to recovery in mental health • Personal recovery • Implications for mental health services • Lessons

  3. Recovery 2006 2008 Recovery Framework 2013 2007

  4. Recovery ‘…a deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills and roles…The development of new meaning and purpose in one’s life as one grows beyond the catastrophic effects of mental illness’ (Anthony 1993)‏ Living a purposeful and meaningful life with or without ‘symptoms’ Having someone to love somewhere to live something meaningful to do

  5. CHIME Leamy et al 2011

  6. Current narrative

  7. Recovery narrative RecoveryNarrative

  8. Addressing power imbalance

  9. Peer support Bonding • Bridging

  10. Family/supporter involvement • Change our perspective on family • Source of risk • Cause of mental health problem • Support recovery • Motivation for recovery • Practical support • Emotional support • Have own recovery journey

  11. Inclusion and citizenship • Involvement with community • (living versus residing ) • Education • Housing • Employment (Payed and unpaid) • Discrimination

  12. ImROC challenges • Changing the nature of day-to-day interactions and the quality of experience • Delivering comprehensive, user-led education and training programs • Establishing a Recovery Education Center to drive the programs forward • Ensuring organizational commitment, creating the culture and leadership • Increasing personalization and choice • Transforming the workforce (training and deployment of peer professionals) • Changing the way we approach risk assessment and management • Redefining user involvement to achieve a true working partnership • Supporting staff in their recovery journey • Increasing opportunities for building a life beyond illness

  13. Progress • Overall strategy and group (ARI) and developing an education strategy • Mental Health Engagement Office (area leads for SU, family, carer engagement) • Trialogue/ open dialogue initiatives • Consumer panels (meetings with local senior management to provide consumer feedback on services) • Peer workers/ family workers/peer advocates (30 across the CHO) • Recovery Colleges (5 Dublin, Carlow/Kilkenny, Limerick, Galway/Roscommon, Mayo) • Peer led projects • Co-produced and co-delivered projects (eg EOLAS) • Hearing Voices groups • Mad Pride Ireland, Mind Freedom Ireland and Critical Voices Network • Mental Health Reform (collective voice)

  14. Where are we at : National Picture Recovery oriented mental health services 0 10

  15. Changing a culture takes time Change is a collective social process Changing and challenging values, beliefs, assumptions, prejudices, fears Changing minds and heart

  16. Acknowledged reality but don’t wait

  17. Strategic planning • Service providers • Service users • Family/supporters • Community http://www.hse.ie/eng/services/list/4/Mental_Health_Services/advancingrecoveryireland/

  18. Build capacity among staff, service users and family members • Developing a shared meaning of recovery • Education – power of trialogue • Share power • Space to address anger/distress • Binary divisions: • Them and Us; • Mad and Sane; • Ill and Well

  19. Needs resources Time Financial (payment of service users) People

  20. Presence doesn’t mean equality of participation Hierarchies that exclude POWER

  21. Don’t get disheartened

  22. Celebrate and share effort as well as achievements

  23. ahiggins@tcd.ie

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