The assignment delves into the concept of the recovery model in mental health. It requires students to analyze the definition, principles, and core components of this model. Further, it prompts an examination of how the recovery model is implemented in real-world mental health services and its impact on individuals' experiences.
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Mental Health Nursing 1
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Introduction: Recovery for the person with mental health illness is the ability to gain and retain hope, understand ones capabilities and deficiencies, keep engaged in the active life, personal self- sufficiency, social identity and dignity, living meaningful and purposeful life and positive attitude towards life (Kaliski & de Clercq, 2012). Recovery oriented mental health practice comprises of implementation of the certain principles which are helpful for the people to identify and take commitment for their own recovery and wellbeing to set and achieve goals, wishes and aspirations. In this essay, national recovery principles and framework in relation to the recovery of Jeremy will be discussed. Body: According to the recovery concept persons like Jeremy should present their experience about mental illness and confirm their own identity irrespective of diagnosis. Recovery is a unique and personal journey of a normal human like Jeremy. Jeremy’s journey is also unique and extraordinary from top singer to person with Schizophrenia symptoms and again back on stage for singing. Recovery process is not a journey of individual with mental illness. In Jeremy’s case also Mary, Peter and other colleagues of Jeremy, have significant role. Recovery is a nonlinear process and it has been evident in case of Jeremy with multiple ups and downs. Recovery oriented practice is based on six principles for people with symptoms of mental illness (Le Boutillier et al., 2011). Recovery oriented mental health services should includeinformedtreatment,medicaltherapy,rehabilitationandpsychologicalsupport (Williams et al., 2012). Jeremy received all these aspects. Mary and medical professionals informed him about treatment, medical therapy in terms of drugs for schizophrenia, rehabilitation and psychological support from Mary, peter and family members. In core principles of framework of recovery healthcare staff’s respectful and 2
person centred relationship with the individual should be incorporated. Practice and service environment should be inspiring for hope and optimism of the person. Mental healthcare professional should respect and value persons importance, believe person’s capability, celebrate person’s recovery, give importance to peers and family members role in recovery. Peter and Mary played significant role in the recovery of Jeremy. Mental health care professional should be well versed with the current research and development in the recovery and should learn from the live experiences. Mental healthcare professional should promote culture of confidence in the person by communicating positive expectations and should give message of recovery to the person. Without this type of encouragement, there would be possibility of decline in availing recovery services by the person with mental illness (Frost et al., 2017). Healthcare professional should apply optimistic language during recovery process in the form of records, brochures and policies. Otherwise, it would be difficult for the person to understand the recovery process. Healthcare provider should alter language and processes during recovery period based on the person because there may altered perceptions and thinking of persons with mental health illness as compared to the normal persons (Leamy et al., 2011). Healthcare provider should promote all the staff members to use optimistic language because recovery process is the integrated efforts of many stakeholders. Healthcare provider should consider different factors affecting persons mental illness and wellbeing. It would be helpful in providing holistic care to the person. Holistic and person centred recovery process should be implemented to the person. It would be helpful in the improving trust of the person on healthcare provider (Chester et al., 2016). Healthcare provider should incorporate social determinant of health like social inclusion, partnership with community andeliminationofdiscriminationinrecoverypractice.Discriminationandsocial 3
consequences of mental illness have significant impact on the recovery process (Ho et al., 2010). Organisational commitment and culture should be supportive to the recovery practice. All the stakeholdersoftheorganisationshouldbeskilled,supportiveandresourcedforthe implementation of the recovery oriented practice. In case, workforce in the organisation is not well versed with the recovery oriented practice, proper training in recovery should be provided. Healthcareprofessionalshouldbeawareofrecoveryprinciplesforitseffective implementation in person with lived experience of mental illness. Healthcare professional should keep in mind that recovery is different from cure and hence healthcare professional should develop trust of patient. It would be helpful in achieving personal recovery of the patient. Both internal and external factors should be considered in the recovery of persons diagnosed with mental illness. Internal factors include hope, healing, empowerment and connection and external factors include application of human rights, healing with positive culture and recovery-oriented services(Oades &Anderson, 2012). Uniquenessof the individual principle of the recovery suits to Jeremy. According to this principle, recovery is not mere a cure but it also considers meaningful, satisfying and purposeful life. In case of Jeremy also, he not only wanted to recover from schizophrenia but also want to re-establish broken relationships with his brother and other colleagues to live meaningful life. This principle also comprises of social inclusion and quality of life despite health issues. In case of Jeremy also, Mary observed glimmer in him despite his odd behaviour (Davidson & Roe, 2007). In the initial period, Jeremy was not accepting to consume medicines, however in later stages Mary completely focused on his recovery. As a result, with two years consumption of anti-psychotic medications along with the stable family, Jeremy recovered from his mental illness. Real choices principle of recovery includes allowing individual to take their own 4
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decisions, to build their strengths, take positive risks and create new opportunities. In case of Jeremy also, he was given freedom not take medicines until Mary made it possible. Mary gave him strength by telling him as a good person. At the same time, she made him realize that he is having Schizophrenia symptoms, however it would not label him as bad person (Peterson et al., 2014). Mary took positive risk and implemented recovery process in Jeremy. Attitudes and rights principle of recovery oriented mental health practice include listening to, learningfromandactinguponinstructionsfromthecarers.Jeremyfollowedallthe instructions given by Mary to get recovered from the Schizophrenia. Attitudes and rights principle also include support to establish social, recreational, occupational and vocational activities. In case of Jeremy also, he got opportunity to involve socially by recovering his relationships with his brother and other colleagues. He also got opportunity to regain his occupation (Topp & Leslie, 2009). Attitude and rights principle also mentioned about hope about future of a person with symptoms of mental illness and ability to spend remaining life in meaningful way. Jeremy and Mary both had faith in Jeremy’s capability to come back and perform on the stage and live meaningful life as a singer. Dignity and respect principle of recovery oriented mental health practice include respectful and honest character of an individual. It also includes sensitivity to the values, beliefs and culture of individual with mental illness (Smith-Merry et al., 2015). Peter tried to give respectful treatment to Jeremy, even though he was not responding properly to Peter. Mary, Peter and his friends maintained family and cultural values and believed that Jeremy could come back and perform on the stage. Dignity and respect principle disregard stigma and discrimination in service and community. In case of Jeremy also, there is no place of stigma of mental illness. His family and friends never made him realise that, he is associated with symptoms of Schizophrenia (Gambino et al., 2016; Waegeli, 2016). Documentary on Jeremy also, presented that early 5
intervention and more community support would be helpful in the recovery in people associated with symptoms of mental illness. Early intervention and greater community support also would be helpful in eliminating stigma about the disease of the people with symptoms of mental illness. Partnership and communicationprincipleofrecoveryorientedmentalhealthpracticeinclude acknowledgement of expertise of everyone in their own life. Jeremy’s excellence in the field of singing also acknowledged by Jeremy himself and his friends and family. According this principle, there should be partnership between individuals and care providers to implement effective recovery process in person with symptoms of mental illness. There was fruitful partnership between Jeremy and Mary to implement recovery process in Jeremy. Sharing relevantinformationandclearcommunicationhavesignificantplaceintheeffective engagement of recovery process (Gwinner & Ward, 2015). Mary had clear communication with Jeremy. She clearly told him that he is associated with symptoms of mental illness. Recovery principle include working in positive and realistic manner with the person with symptoms of mental illness. It would be helpful in raising hopes and achieving goals of the individual. With the support of Mary, Jeremy worked with positive attitude in the recovery process (Gordon & Ellis, 2013). Conclusion: Physical, physiological, mental and clinical goals of the recovery process should be directed towards the holistic and person centred improvement in the person with mental illness. Recovery process can be applicable to normal people along with persons with symptoms of mental illness. However, there are some specific differences between recovery of mentally ill persons and normal persons. Persons with mental illness are with stigma and social isolation. To overcome these problems, healthcare professionals should be knowledgeable and skilful 6
to implement effective and efficient recovery process. Healthcare professional should focus on providing social identity, improving dignity, providing meaningful and purposeful life. National framework for recovery oriented mental health services which include recovery concepts, recovery oriented practice and recovery oriented service delivery, would be helpful in effective and efficient implementation of recovery process. In addition to this recovery principles proved useful in implementing recovery process. References: Chester, P., Ehrlich, C., Warburton, L., Baker, D., Kendall, E., & Crompton, D. (2016). What is the work of Recovery Oriented Practice? A systematic literature review.International Journal of Mental Health Nursing, 25(4), 270-85. Davidson, L., & Roe, D. (2007). Recovery from versus recovery in serious mental illness: one strategy for lessening confusion plaguing recovery.Journal of Mental Health, 16, 459– 470. Frost, B.G., Tirupati, S., Johnston, S., Turrell, M., Lewin, T.J., Sly, K.A., Conrad, A.M. (2017). An Integrated Recovery-oriented Model (IRM) for mental health services: evolution and challenges. BMC Psychiatry, 17(1), 22. Gambino, M., Pavlo, A., & Ross, D.A. (2016). Recovery in mind: perspectives from postgraduate psychiatric trainees. Academic Psychiatry, 40(3), 481-488. Gordon, S.E., & Ellis, P.M.(2013).Recovery of evidence-based practice.International Journal of Mental Health Nursing,22(1), 3-14. Gwinner, K., & Ward, L.(2015).Storytelling, safeguarding, treatment, and responsibility: attributes of recovery in psychiatric intensive care units.Journal of Psychiatric Intensive Care,11(2), 105-118. Ho,W.W.,Chiu,M.Y.,Lo,W.T.,&Yiu,M.G.(2010).Recoverycomponentsas determinantsofthehealth-relatedqualityoflifeamongpatientswithschizophrenia: structural equation modelling analysis.Australian & New Zealand Journal of Psychiatry, 44(1), 71-84. Kaliski, S.Z., & de Clercq, H.G. (2012). When coercion meets hope: can forensic psychiatry adopt the recovery model?African Journal of Psychiatry, 15, 162–166. Le Boutillier, C., Leamy, M., Bird, V.J., Davidson, L., Williams, J., & Slade, M. (2011). What does recovery mean in practice? A qualitative analysis of international recovery- oriented practice guidance.Psychiatric Services, 62(12), 1470–6. Leamy, M., Bird, V., Le Boutillier, C., Williams, J., Slade, M., et al. (2011).Conceptual frameworkforpersonalrecoveryinmentalhealth:systematicreviewandnarrative synthesis.British Journal of Psychiatry,199(6), 445-452. 7
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Oades, L.G., & Anderson, J.(2012). Recovery in Australia: marshalling strengths and living values.International Review of Psychiatry, 24(1), 5-10. Peterson, S., Buchanan, A., and Falkmer, T. (2014). The impact of services that offer individualised funds, shared management, person-centred relationships, and self-direction on the lived experiences of consumers with mental illness.International Journal of Mental Health Systems, 8, 20. Smith-Merry, J., Gillespie, J., Hancock, N., &Yen, I. (2015). Doing mental health care integration: a qualitative study of a new work role. International Journal of Mental Health Systems, 9(1), 32. Topp, V., & Leslie, C. (2009). Defending the right to autonomy and self-determination: advance directives for mental health.Health Issues Journal, 101, 26–28. Waegeli, A. (2014).The recovery rocks community story.Mental Health & Social Inclusion, 18(2), 61-67. Williams, J., Leamy, M., Bird, V., Harding, C., Larsen, J., Le Boutillier, C., Oades, L., Slade, M., et al. (2012).Measures of the recovery orientation of mental health services: Systematic review.Social Psychiatry and Psychiatric Epidemiology,47(11), 1827-1835. 8