IT IS ALL ABOUT THE JOURNEY: Supporting the creation of active recovery spaces within service frameworks

1. IT IS ALL ABOUT THE JOURNEY:Supporting the creation of active recovery spaces within service frameworks Kompetanse PA Brukervis- Nordisk Konferanse OM Psykisk Helse 2nd – 4th October, 2007 Trondheim, Norway Helen Glover Queensland, Australia

3. Non Focussed

4. Refocus on 3, 2, 1

5. Bodies of Knowledge A Recovery Oriented Paradigm Shift Dominant Paradigm Less - Dominant Paradigm Non Dominant Paradigm Dominant Paradigm Experiential Formally Learnt ( Professional) • Understanding of Subjective Distress • Internal Interpretation • Self Expert • Internal knowledge • Focuses on what is unique • Many understandings • Internally realised • Participatory Care – being with • Objective Explanation of Distress • External Interpretation • External Expert • External knowledge • Focuses on what is common • Absolute Truth Alone • Externally Determined • Managed Care- Doing to Lived Experiences SocialWork Medical Recovery Based Practice Knowledge Traditional Society Knowledge And Nursing Psychology Family and Community Knowledge Occupational Therapy Alternatives Subjective Objective Adapted from Canadian framework of Support 1989 & Glover H , 2001

6. We are self righting beings We constantly seek to meet our needs We are constantly changing We are meaning making beings We each are responsible for our own lives We utilise and create a range of environments to undertake our life’s work Contributing is as an important factor as being able to receive We define ourselves in many ways –People are not their illness experience We are joined by our sameness not our difference. We have all overcome something Overcoming anything requires personal effort Core Beliefs Some Underpinning

10. Realising I am uncomfortable Wanting something different Personal vision of what is possible Believing I can Realising no-one can ‘ recover me’ Taking risks – having a go Actively seeking and utilising supports Seeing that I am Self Managing and Doing It Seeking to be in more control Doing more of works and less of what doesn’t Realise I can influence my distress Taking more ownership and self direction Learning and discovering Making meaning Seeing my illness is not me Appreciating my sense of sameness to others Transcending my identity with illness Reconnecting to my sense of citizenship Making contributions Accepting and maintaining roles, responsibilities and opportunities Appreciating my internal effort versus the effort of others Efforts of “Self Righting”

11. Others know more about me than I do… I might fail… I might relapse.. Loves Travel Teacher I can’t do that I have an illness Friend Patient Wife Assessments & Monitoring I have to face the facts – I have a mental illness Stubborn as an Ox Gym goer Hospital admissions Medications I am just an illness…no-one expects anything else of me Reports and documentation I’ll have to ask the Doctor first Dr’s Appointments House owner ( mortgage payer) Can Kill Plants at a Glance Day Centres Sorry I can’t go… I have to go to the Day Centre Sick certificates I don’t know … Tax Payer Aunt

12. Internal & External Supports External Internal Self Direction & Care Hobbies and Interests I am mentally Ill Humor Self Determination Mental Health Care & support Stubbornness I have to face reality that I am sick I am not capable of doing that Resilience Natural supports Physical Health care Motivation Courage Future Sense of Self Personal Responsibility Spirituality I’ll have to ask the doctor first Sense of meaning and purpose Meaningful occupation Housing & Financial Supports

13. Construction of Chronicity Construction of Wellness IT ME ME IT Micro Aggressors Micro Enhancers

14. Free Entry!!! NO Identity with illness required Special Entry!!! Identity with illness required Which door?

15. Types of Participation I am actively involved in addressing systemic change Tertiary I am actively involved in valued roles and opportunities Secondary I am actively involved in managing my health Primary

16. Lived Experienced “ Specialities”/ Expert areas Beyond the T –Shirt Experience Alone

17. Human Rights & Social Justice Effects of Marginalisation and Discrimination on Wellness The effects of professional, systemic, community and self stigma Skills in addressing stigmatising practices and structures Anti- discrimination, disability discrimination Concepts of Advocacy and Advocacy skills Power relationships and its impact on illness/wellness Self empowerment Values and principles of Recovery and Recovery Based Practice Resilience – overcoming adversity Narratives of lived experience

18. Effects of professional, community and self stigma Construction of Disability/Wellness Self Assessment Self Management Self Directed Planning Frameworks of Peer Support Evidence base for Peer Support Lived experienced delivered services Lived Experienced research methodology

19. Working with people differently who experience crisis Change processes Connecting with people in distress Skills of sitting with distress and being with Social connectedness and inclusion Research that supports recovery Recovery based practice indicators Recovery based language Self documentation mechanisms Recovery education Recovery based practice education

20. Social Inclusion theory Self determination theory History of mental illness and recovery History of consumer movement International perspectives on survivor movement Survivor politics Legal frameworks Involvement and participation structures and models Current Policy – National, State and Universal Frameworks of Support Community Resources

23. Thank you Helen Glover Australia helen@enlightened.com.au