Recovery: Power Sharing and Empowering

1. Recovery: Power Sharing and Empowering Moderator: Dianne Puckett, BS Speackers: George Hedrick, PhD and Sandrel Joneswebster, MS

2. Recovery: Power sharing and Empowerment Purpose: Consumer and family member investment strategies in the recovery process leads to increased success in recovery from mental disorders. Empowerment of consumers and their family members is a way to accomplish this

3. Objectives At the end of this workshop, the participants should: 1. Know about how recovery is defined by people whose lives are affected by mental illnesses. 2. Identify some resources, skills, and efforts to maximize recovery. 3. Understand the use of mindfulness in recovery.

4. Recovery means: • Doing the best you can with what you have to work with (Consumer/Family member/Mental health provider) • Recovery is a state of wellness (Consumer/Family member/Mental health provider) • is meeting the needs of the consumer that involves health, lifestyle and working in the community without stigma. Recovery is a journey that is individual .Recovery is very possible (Family member)

5. Recovery means: • To get the person back to where they were before the events occurred. (Rehab therapist) • To have access to great and reasonable priced mental health, including medication (Family member)

6. Recovery Means (cont) • Process through science, medicine, and therapy to improve the quality of life for the, mentally ill and their families (Family member) • When the client and his or her family can live in a way that is not greatly disrupted by the symptoms of their mental health (Mental health professional) • When the client and his or her family can live in a way that is not greatly disrupted by the symptoms of their mental health (Consumer/Family member) • Stability, positivity, creativity (Consumer) • Being able to function as normally as possible in society as a whole (Consumer/Family member/Provider)

7. Recovery means (continued) • Bonney and Stickley (2008) describe the present (2008) state of knowledge of recovery (paraphrasing Turner, 2002) • It is ``. . . an idea, • a movement, • a philosophy, • a set a values, • a paradigm, • [a] policy, • and a doctrine for change.'‘

8. Recovery means (continued) Every stakeholder group identified had a different idea of the nature of recovery and how mental health services should be delivered to consumers. Bonney and Stickley (2008)

9. Components of recovery Source: www.samhsa.gov: National consensus statement on mental health recovery

10. Individual and environmental Components of Recovery • For recovery to be successful, change is required of the individual in the environment and interplay is necessary between the individual and environmental changes that creates: • hope, • purpose, • potential, • respect, and meaning

11. Individual and environmental Components of Recovery (continue) • Individual Components of Recovery • Healing and Reconstruction •  Internal and external •  Sense of self •  Developmental growth •  Physical wellness •  Emotional wellness •  Mental wellness •  Spiritual wellness

12. Individual and Environmental Components of Recovery (cont) • Personhood • Self reliance • Self esteem • Personal resourcefulness • Self determination • Self care • Environmental Components • Social relationships •  Mutual support • Family • Friends

13. Individual and environmental components of recovery • Peers • Neighbors • Colleagues • Community affiliation • Full citizenship • Sense of home • Meaningful activities • Job and career • Education • Service and volunteer opportunities`

14. Individual and environmental components of recovery (cont) • Leadership development • Sports and exercise • Hobbies

15. Individual and environmental components of recovery (cont) • Resources: -- Livable income -- Safe and descent housing -- Health care and social services -- Transportation -- Means of communication -- Recovery supports

16. Empowerment “The ongoing capacity of individuals or groups to act on their own behalf to achieve a greater measure of control over their lives and destinies” Source: Linhurst, et al (2002) quoting Staples (1990, pp. 30-31)

17. Empowerment Rogers, Chamberlain, Ellison, and Crean developed an empowerment scale (1997)

18. Components of empowermentFrom Rogers (1997) quoted by Corrigan (2004) • Self efficacy • Powerlessness • Self-esteem • Effecting change • Optimism/control over future • Righteous anger and • Group/community action

19. Barriers to empowermentFrom Corrigan (2004); Brockington (1993) • Fear and exclusion • Authoritarianism • Benevolence

20. Fostering empowermentCondensed from Corrigan (2004) • Collaboration • Consumer satisfaction/input for services • Lodges and clubhouses • Supported housing/employment • Consumers as providers • Consumer-operated services • Participatory action research

21. Recovery: Power Sharing and Empowerment Please give your responses to the following items. 1. My Gender is: Female 69.0% N/A 1.4% Male 29.6% 2. The area I live in is: Rural 31.0% Suburban 28.2% Urban 40.8% 3. I am a (an) Consumer 29.6% Family Member 71.8% Mental Health Professional 26.8% 19 4. If you are a family member, please list your familial relationship with the consumer (e.g., mother, father, grandmother, grandfather, brother, sister, spouse, cousin, etc). Response Count 49

22. 6. Please give your definition of recovery. Response Count 100%

23. 7. If you are a family member, how would you rate the quality of life for your relative who is a consumer of mental health services using your definition of recovery? Excellent 3.8%; Very Good 19.2%; Good 25.0%; Fair 1.9%; Poor5.8% I do not know 2.43% 8. If you are a consumer, how would you rate the quality of life for yourself using your definition of recovery? Excellent 18.2%; Very Good 21.2%; Good 9.1% Fair 9.1%; Poor 12.1%; I do not know 0.0%;N/A 30.3% 9. Complete recovery from mental illness is possible Strongly Agree 27.5% ; Agree 33.3%; Neutral 17.4%; Disagree 21.7%; Strongly Disagree 0.0%; Other2.67%

24. References • Bonney, S., Stickley, T. (2008). Recovery and mental health: A review of the British literature. Journal of psychiatric andMental Health Nursing, 15, 140--153. • Corrigan, P. W. (Autumn, 2004). Enhancing personal empowerment: people with psychiatric disabilities American Rehabilitation, (28)1, 10--24.

25. References (continued) • Linhorst, D. M., Hamilton, G., Young, E., Eckert, A. (October, 2002). Opportunities and barriers to empowering people with severe mental illness through participation in treatment planning. Social Work, (47)4, 425--434.

26. References (continued) • President's New Freedom Commission on Mental Health. (2003). President's New Freedom Commission on Mental Health(Final report). Retrieved June 2, 2008 from http://www.mentalhealthcommission.gov/reports/FinalReport/FullReport.

27. References (Cont) • U.S. Department of Health and Human Services: Substance Abuse and Mental Health Services Administration. (2005). National consensus statement on mental health recovery. Washington, DC: Author (National Mental Health Information Center).

28. References (continued) • U.S. Department of Health and Human Services: Substance Abuse and Mental Health Services Administration. (2005). National summit on mental health recovery. Washington, DC: Author (National Mental Health Information Center).