Client-Driven Care

1. Client-Driven Care Recovery Values in the Adult System of Care Using Values in a Cultural Context

2. Learning Objectives • Discuss the differences between the medical, psychosocial rehabilitation and empowerment models. • Identify the core values and principles of recovery and resiliency. • Demonstrate the core values of recovery and resiliency.

3. Models of Treatment • Initially, treatment services were delivered utilizing an approach that’s known as the Medical Model. • Brainstorm: What are all the words and phrases that come to mind when you hear this term?

4. Evolving Models of Treatment • Psychosocial Rehabilitation (PSR) is the next model of treatment • The Goals of PSR are • Recovery • Community Integration • Quality of life

5. Psychosocial Rehabilitation Is.. … a set of tools and techniques that are used to help an individual with a psychiatric disability to restore his/her ability to live independently, socialize and use effective life management skills.

6. Principles and Values of Psychosocial Rehabilitation • Choice • Strengths based • All people have the capacity to learn and grow • Respect and dignity • Integrated services • Individualized planning • Community based • Holistic • Cultural Competence

7. Examples of PSR Programs • Supported employment • Case management services • Residential treatment programs • Supported education programs

8. The Empowerment Model • Dan Fisher, PhD, MD • Key beliefs of the Empowerment Model • Mental illness is not a permanent condition and people have recovered from it. • It is important to hear about and learn from people who have recovered and who can be role models.

9. The Empowerment Model • Symptoms are expressions of severe emotional distress • The model emphasizes the importance of reestablishing personal connections. • It's often peers who are the most significant guides for recovery.

10. The Recovery Model • The ideas expressed by Dan Fisher’s Empowerment Model reflect the broader concept of the Recovery Model - that recovery from mental illness is possible. • The values of the Recovery Model are empowerment, hope, self-determination, meaningful role and cultural competence. • Going forward, we’ll refer to these ideas as the Recovery Model.

11. Approaches to Working with People • A Chance to Act Out!

12. Diagnosis is not a destiny. Pat Deegan, Ph.D.

13. Recovery Research • Courtenay Harding’s research – a longitudinal study of people hospitalized in Vermont and Maine. • What’s the research definition of “recovered”?

14. Research Definition of Recovery • Recovered is • Experiencing no psychiatric symptoms • Having social relationships and support systems • Not on benefits • Not on medication • “Significantly recovered” is all but one of the above.

15. Recovery is a personal journey • Recovery is not something we provide. • It is defined by the individual in the context of his/her worldview. • We walk alongside people who are in the midst of a unique and personal recovery journey – and we, too, are on our own similar journey.

16. Recovery Values • Empowerment • Self-Determination • Hope • Meaningful Role • Cultural Competence

17. Living Out the Values

18. Culture and Values • There are cultural differences in values. For example, in some cultures the word “empowerment” doesn’t exist. It is not a concept that everyone necessarily relates to. • Discussion Time • From your cultural background, are any of these values not applicable or problematic? • What strategies might you use with someone whose worldview regarding values was different from yours?

19. Self-Direction Individualized and Person-Centered Empowerment Holistic Non-Linear Strengths-Based Peer Support Respect Responsibility Hope SAMHSA’s Recovery Fundamentals

20. Putting Fundamentals into Practice