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Scottish Personality Disorder Network Conference Glasgow, September 2007. Simon Bradstreet, Network Director. The National Programme.
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Scottish Personality Disorder Network ConferenceGlasgow, September 2007 Simon Bradstreet, Network Director
The National Programme Improving the mental health and well-being for everyone living in Scotland and improving the quality of life and social inclusion of people experiencing mental health problems.
The National Programme • Raise awareness • Reduce suicide • Challenge stigma and discrimination • Promote and support recovery
Scottish Recovery Network • SRN aims to • Raise awareness of recovery • Develop our understanding of recovery • Build capacity by sharing information and by supporting efforts to promote recovery • Launched December 2004 • Part of a public health approach • SRN staff team and Network
Key principles • People can and do recover • A common human experience • Recovery as process or journey rather than an end point • More than recovery from illness or absence of symptoms
Understanding recovery Recovery is being able to live a meaningful and satisfying life, as defined by each person, in the presence or absence of symptoms. It is about having control over and input into your own life. Each individual’s recovery, like his or her experience of the mental health problems or illness, is a unique and deeply personal process. SRN ‘Journeys of Recovery’
Key principles • A unique experience • Different things help different people • Creative, person centred approaches • Timescales vary
Understanding recovery “What matters in recovery is not whether we’re using services or not using services; using medications or not using medications. What matters in terms of a recovery orientation is, are we living the life we want to be living? Are we achieving our personal goals? Do we have friends? Do we have connections with the community? Are we contributing or giving back in some way?” Pat Deegan
Key tasks • Research • Communicating recovery • Events (e.g. DCP April), talks, publications, web and story sharing, DVD • Building capacity for recovery • Training, Local Network Development • Policy and practice development
Narrative and SRN • Why narrative • Narrative Research Project • Identity • Engagement • Relationships • Treatment and supports • Promoting narrative method and using different methods to share • Launch research and Routes to Recovery October 9th
“I never ever thought I’d be 40. I never ever thought I’d get past 30 and I did… For the future I want to be happy, want to be settled, I want to go to Las Vegas and drive down the main street in a pink Cadillac!”
Values base for mental health nursing Relationships Rights Respect Recovery Reaching out Responsibility “The recovery approach should be adopted as the model for mental health nursing care and intervention, particularly in supporting people with long-standing mental health problems.”
“If recovery is a journey then the role of the nurses is to provide some guidance and sign posts on that journey without taking control away from the service user they travel alongside”
Delivering for mental health Improve the patient and carer experience of mental health services Commitment 1:We will develop a tool to assess the degree to which organisations and programmes meet our expectations in respect of equality, social inclusion, recovery and rights. The tool will be piloted in 2007 and be in general use by 2010. Commitment 2:We will have in place a training programme for peer support workers by 2008 with peer support workers being employed in three board areas later that year.
Why develop a practice tool • To improve the experience of using a service and outcomes • To assess the extent to which practice is focussed around recovery • To help people realise principles of recovery in practice • To make recovery more tangible • Are we really ‘doing this already’?
Recovery in Scotland • Remarkable shift in dialogue around recovery • Adoption in policy and practice • SRN balancing act • Next steps • Communicating recovery to Scotland • From services to self
Services to self “Me. That’s what’s changed. Me! It was a control thing. For 20 years there was an unconscious release of control on my part. I let other people control what I was doing and what I wasn’t doing. I let the symptoms of my illness become the centre of my universe, and I realise now that the symptoms of my illness are not the centre of my universe.” SRN Narrative Research Participant
Services to self “The group has made a huge difference to me. I feel completely empowered because it is something I am doing for myself. It’s not a psychiatrist telling me to do this, do that, take medication: it’s members of the group doing things for ourselves. Also as mental health service users we don’t have a chance to give back and what this group offers is a chance to give support as well as receive it.” Jo Mullen, quoted in mental Health Today, September 2007
Talking recovery “At first we felt we had to be doing things, being active and busy. So we weren’t taking time to talk about recovery and learn from each other. It fell into place when we realised that the conversation was what mattered. That was the activity.”
www.scottishrecovery.net • Join SRN mail list • Research findings and reports • Recovery stories • Audio and film • Recovery in practice detail
