Recovery

1. Recovery Elizabeth Moody Associate Director of Nursing 6th June 2006

2. Supporting literature • DoH Ten essential shared capabilities-A framework for the whole of the mental health workforce (2004) • NIMHE Guiding statement on recovery (2005) • Our Health, Our Care, Our Say: A new direction for Community Services (2006) • From Values to Action: The CNO Review of Mental Health Nursing (2006)

3. A definition ‘ A deeply personal, unique process of changing ones attitudes, values, feelings, goals, skills or roles. It is a way of living a satisfying, hopeful and contributing life even with limitations caused by illness. Recovery involves the development of new meaning and purpose in one’s life as one grows beyond the effects of mental illness’. Anthony 1993

4. From Values to Action • Commences with a vision for Mental Health nursing over the next 10 years • The report aims to help Mental Health Nurses (MHN’s), their organisations and professional leaders put in place the practical changes that will make a difference to Service Users and Carers • Recommends key actions needed for nurses to improve the care of people with mental health problems

5. From Values to Action: Key Recommendations • Mental Health Nurses should promote and increase social inclusion for service users and carers • All Mental Health Nurses will comprehensively assess and take into account that people have interrelated psychological, physical, social, emotional and spiritual needs • The key principles and values of the recovery approach should inform Mental Health Nurses practice in all areas of care and inform service structures, individual practice and education

6. Social Inclusion • Fight stigma at a local level • Develop links with schools, colleges and employers • Education • Support service users to retain or develop social links, supports, roles

7. Bio psychosocial Assessment • Identify strengths that service users have or that can be restored • Social needs- finance, housing employment, social and familial networks, interests • Physical- activity, sexual health, well-being, smoking, nutrition, side-effects of medication • Spirituality- personal sense of identity, religious beliefs, quiet space for reflection

8. Recovery Approach • Increase in the availability of psychological interventions • Direct Payments • Review policies and philosophies to ensure they support the delivery of care based on recovery principles • Service users and carers to be routinely involved in recruitment, education and assessment of Mental Health Nurses

9. Recovery Approach • Value base - Value the aims of the service user - Holistic approach - Work in partnership and provide meaningful choice - Be optimistic about possibilities

10. So what are we doing in the Trust? • Advance Statement policy • Reconfiguration of services • Recovery Wards • Rehabilitation Services • Assertive Outreach Teams • Wellness Recovery Action Planning (WRAP) training • Volunteer Services • Bi-Polar project • Expert Patient programme

11. So what are we doing in the Trust? • Service User and Carer Implementation Team- consultation, action planning, evaluation, recruitment • Development of new roles • STR workers • Community Support Workers • New roles for nurses • Open days for the public and local media

12. Recovery • Not too many years ago, I was Mary Ellen Copeland, manic depressive. Because I had this label my family was told not to expect much of me. I learned not to expect much of myself. I became dependent on the mental health system to maintain, at best, a minimal life style. I avoided thinking about the future; the present was bad enough. I saw myself through a mental health system lens that was confining and oppressive. Now I see myself through a different lens, a lens that is Mary Ellen Copeland, educator, author, mother, wife, woman

13. Recovery in mental health is an exciting concept- but we’ve got to take off the lens caps