554 research outputs found

    Recovery:an international perspective

    Get PDF
    SUMMARY. Aims To review developments in recovery-focussed mental health services internationally. Methods Two forms of recovery which have been used in the literature are considered, and international examples of recovery-focussed initiatives reviews. A litmus test for a recovery-focussed service is proposed. Results Clinical recovery has emerged from professional literature, focuses on sustained remission and restoration of functioning, is invariant across individuals, and has been used to establish rates of recovery. Personal recovery has emerged from consumer narratives, focuses on living a satisfying, hopeful and contributing life even with limitations caused by the illness, varies across individuals, and the empirical evidence base relates to stages of change more than overall prevalence rates. Clinical and personal recovery are different. Two innovative, generalisable and empirically investigated examples are given of implementing a focus on personal recovery: the Collaborative Recovery Model in Australia, and Trialogues in German-speaking Europe. The role of medication is an indicator: services in which all service users are prescribed medication, in which the term compliance is used, in which the reasoning bias is present of attributing improvement to medication and deterioration to the person, and in which contact with and discussion about the service user revolves around medication issues, are not personal recovery-focussed services. Conclusions The term Recovery has been used in different ways, so conceptual clarity is important. Developing a focus on personal recovery is more than a cosmetic change it will entailfundamental shifts in the values of mental health services

    Australian mental health consumers' contributions to the evaluation and improvement of recovery-oriented service provision

    Get PDF
    Background: one key component of recovery-oriented mental health services, typically overlooked, involves genuine collaboration between researchers and consumers to evaluate and improve services delivered within a recovery framework. Method: Eighteen mental health consumers working with staff who had received training in the Collaborative recovery Model (CrM) took part in in-depth focus group meetings, of approximately 2.5 hours each, to generate feedback to guide improvement of the CrM and its use in mental health services. Results: Consumers identified clear avenues for improvement for the CrM both specific to the model and broadly applicable to recovery-oriented service provision. Findings suggest consumers want to be more engaged and empowered in the use of the CrM from the outset. Limitations: improved sampling procedures may have led to the identification of additional dissatisfied consumers. Conclusions: Collaboration with mental health consumers in the evaluation and improvement of recovery-oriented practice is crucial with an emphasis on rebuilding mental health services that are genuinely oriented to support recovery
    • …
    corecore