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Facilitators and barriers in dual recovery: a literature review of first-person perspectives
- Authors:
- NESS Ottar, BORG Marit, DAVIDSON Larry
- Journal article citation:
- Advances in Dual Diagnosis, 7(3), 2014, pp.107-117.
- Publisher:
- Emerald
Purpose: The co-occurrence of mental health and substance use problems is prevalent, and has been problematic both in terms of its complexity for the person and of the challenges it poses to health care practitioners. Recovery in co-occurring mental health and substance use problems is viewed as with multiple challenges embedded in it. As most of the existing literature on recovery tends to treat recovery in mental health and substance use problems separately, it is critical to assess the nature of our current understanding of what has been described as “complex” or “dual” recovery. The purpose of this paper is to identify and discuss what persons with co-occurring mental health and substance use problems describe as facilitators and barriers in their recovery process as revealed in the literature. Design/methodology/approach: The method used for this study was a small-scale review of the literature gleaned from a wider general view. Searches were conducted in CINAHL, Psych info, Medline, Embase, SweMed+, and NORART. Findings: Three overarching themes were identified as facilitators of dual recovery: first, meaningful everyday life; second, focus on strengths and future orientation; and third, re-establishing a social life and supportive relationships. Two overarching themes were identified as barriers to dual recovery: first, lack of tailored help and second, complex systems and uncoordinated services. Originality/value: The recovery literature mostly focuses on recovery in mental health and substance use problems separately, with less attention being paid in the first-person literature to what helps and what hinders dual recovery. (Publisher abstract)
From "double trouble" to "dual recovery": integrating models of recovery in addiction and mental health
- Authors:
- DAVIDSON Larry, et al
- Journal article citation:
- Journal of Dual Diagnosis, 4(3), 2008, pp.273-290.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
It is increasingly recognised by both the mental health and substance misuse fields that people with mental illnesses and addictions are first and foremost people rather than diagnoses or disorders. As such, they are the experts in what it means to live through and recover from disorders, and their views need to be accessed in order for the person-first approach to become more than rhetoric. This paper reviews two models of recovery, one in mental health and the other in addictions, that were developed in collaboration with advocates and recovering individuals. These are then integrated to produce a strengths-based model of dual recovery. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Beyond co-occurring disorders to behavioral health integration
- Authors:
- DAVIDSON Larry, et al
- Journal article citation:
- Advances in Dual Diagnosis, 7(4), 2014, pp.185-193.
- Publisher:
- Emerald
Purpose: Despite the high prevalence of co-occurring disorders and the need for systems of care to integrate mental health and addiction services, integration remains a challenge. The purpose of this paper is to address this challenge by focusing on shared processes of recovery. Design/methodology/approach: After reviewing commonalities between mental health and substance use recovery, integration of treatment with recovery supports under the rubric of a “recovery-oriented system of care” is described. Philadelphia's Department of Behavioral Health and Intellectual disAbility Services is then used as an example to illustrate strategies for achieving two forms of integration: mental health and addiction and treatment and recovery supports. Findings: Viewed through the lens of people with mental health and addiction challenges, the services and supports that promote recovery are very similar. One of the common themes that emerged was the need for these services to go beyond helping people manage their symptoms or achieve abstinence, to also helping them to rebuild their lives in their communities. In addition to co-location and increased collaboration, service providers must possess common values, a consistent approach, and a shared vision for the people they serve. Practical implications: Systems need to find innovative and effective ways to integrate recovery support services with treatment and other interventions, hopefully transforming existing services in the process. Originality/value: In the process of developing a truly integrated behavioral health system, a shared vision across all sectors of the system must shift away from the field's historical focus on illness and problems to a new focus on strengths and possibilities. (Publisher abstract)