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Mental Health Recovery Overview. History. 1993 Mental Health dialogues/forums were held around the state with consumers, family members, providers, and professionals . Several questions were asked: What does recovery mean to you? What support do you need?. History. 1994
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History 1993 • Mental Health dialogues/forums were held around the state with consumers, family members, providers, and professionals. • Several questions were asked: What does recovery mean to you? What support do you need?
History 1994 • In 1994 the first round of mental health recovery projects were funded. • Lessons learned: • Given the opportunity, consumers were able to set goals and achieve them. • Developed consumer leadership, consumer computer training programs, & consumer operated organizations. • “Recovery: A New Force in Mental Health” was published.
History 1995 • The Recovery Concept developed by Ohio’s Community Support Council provides the framework for Ohio’s recovery initiative.
History 1998 • First Mental Health Recovery Conference held; focused on accomplishments of the first 4 recovery projects. • By the end of 1998, we were looking at how the recovery projects could have a greater impact statewide and in local systems. The goal was to have more people know about recovery.
History 1999 • Emerging Best Practices Model (EBP) in Mental Health Recovery was developed by consumers, family members, providers, and professionals. • EPB Model was disseminated at the Mental Health Recovery Conference.
History 2000 • EBP Training Curriculum was developed with Boston Center for Psychiatric Rehabilitation and is currently being trained in local systems. • Eight demonstration projects funded, focusing on system aspects.
History 2000 • EBP Training Curriculum was developed with Boston Center for Psychiatric Rehabilitation and is currently being trained in local systems. • Eight demonstration projects funded, focusing on system aspects.
Mental Health Recovery is defined as: A personal process of overcoming the negative impact of a psychiatric disability despite its continued presence. Pat Deegan, Ph.D.
Movement through the recovery process is • Influenced by multiple factors • Is not linear • Is consumer directed
GUIDING PRINCIPLES
PRINCIPLE I • The consumer directs the recovery process; therefore, consumer input is essential throughout the process.
PRINCIPLEII • The mental health system must be aware of its tendency to enable and encourage consumer dependency.
PRINCIPLEIII • Consumers are able to recover more quickly when their: • Hope is encouraged, enhanced, and/or maintained; • Life roles with respect to work and meaningful activities are defined; • Spirituality is considered; • Culture is understood; • Educational needs as well as those of their family/significant others are identified; and • Socialization needs are identified.
PRINCIPLEIV • Individual differences are considered and valued across the consumer’s life span.
PRINCIPLEV • Recovery from mental illness is most effective when a holistic approach is considered.
PRINCIPLEVI • In order to reflect current “best practices,” there is a need to merge all intervention models, including Medical, Psychological, Social, and Recovery.
PRINCIPLEVII • Clinician’s initial emphasis on “hope” and the ability to develop trusting relationships influences the consumer’s recovery.
PRINCIPLEVIII • Clinicians operate from a strengths/assets model.
PRINCIPLEIX • Clinicians and consumers collaboratively develop a recovery management plan which focuses on the interventions that will facilitate recovery and the resources that will support the recovery process.
PRINCIPLEX • Family involvement may enhance the recovery process. The consumer defines his/her family unit.
PRINCIPLEXI • Mental health services are most effective when delivery is within the context of the consumer’s community.
PRINCIPLEXII • Community involvement as defined by the consumer is important to the recovery process.
RECOVERY IS WHAT CONSUMERS DO FACILITATE RECOVERY IS WHAT WE DO
NINE COMPONENTS OF MENTAL HEALTH RECOVERY • CLINICAL CARE • FAMILY SUPPORT • PEER SUPPORT & RELATIONSHIPS • WORK / MEANINGFUL ACTIVITY • POWER & CONTROL • STIGMA • COMMUNITY INVOLVEMENT • ACCESS TO RESOURCES • EDUCATION
CLINICAL CARE(Clinical Roles & Relationships) • Receiving and benefiting from mental health services. • Ex.: Q. 19 Feeling fearful • Q. 14 Concerns about my medications…
FAMILY SUPPORT • Giving and receiving emotional support and assistance from family members and/or significant others. • Ex.: Q. 7 The way you and your family act toward each other • Q. 3 How effective is the client’s social support network…
PEER SUPPORT & RELATIONSHIPS • Giving and receiving emotional support and assistance from other consumers based on a common understanding of issues and experiences impacting recovery. • Ex.: Q. 1 …the amount of friendship in your life? • Q. 29 Feeling lonely
WORK / MEANINGFUL ACTIVITY • Participating in paid employment and/or other productive activities that provide psychological benefits that positively impact recovery. • Ex.:Q.5 The amount of meaningful activity in your life.
POWER AND CONTROL • Actively engaging in one’s own care and personal decision making that promotes recovery. • Ex.: Q. 58 People have a right to make their own decisions, even if they are bad ones.
STIGMA Overcoming negative perceptions and stereotypes related to mental illnesses that hinder and/or negatively impact recovery. Ex.: Q. 15 I have been treated with dignity and respect at this agency. Q. 25 Feeling of worthlessness
COMMUNITY INVOLVEMENT • Interacting with people and organizations in the community for social enjoyment and civic fulfillment. • Ex.: Q. 30 Feeling no interest in things.
ACCESS TO RESOURCES • Interacting with various people and places and gaining use of products, services, and technologies that promote recovery. • Ex.: Q. 2 …the amount of money you get? • Q. 5 …forced to move from his/her living arrangements?
EDUCATION • Participating in both informal and formal methods of learning information that results in behavioral change that enhances recovery. • Ex.: Q. 5 …the amount of meaningful activity in your life? • Q. 14 Concerns about my medications…
The Mental Health Recovery Best Practices assists individuals to function at their optimal level… …particularly during those times when they may be dependent upon clinicians, family/significant others, and the community for support and/or services.
Failure to use Mental Health Recovery Best Practices could result in consumers: • - not functioning optimally • - taking longer than necessary to reach their optimal level of functioning or • - having unnecessary relapses
To Learn More About Recovery… • Call your local CMH/ADAMHS Board • See “Resources” section in your training notebook!