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In recovery: the making of mental health policy
- Author:
- JACOBSON Nora
- Publisher:
- Vanderbilt University Press
- Publication year:
- 2004
- Pagination:
- 208p., bibliog.
- Place of publication:
- Nashville, TN
For hundreds of years, people diagnosed with mental illness were thought to be hopeless cases, destined to suffer inevitable deterioration. Beginning in the early 1990s, however, providers and policymakers in mental health systems came to promote recovery as their goal. But what does recovery truly mean? Traditionally, recovery was defined as symptom abatement or a return to a normal state of health, but as activists, mental health professionals, and policymakers sought to develop “recovery-oriented” systems, other meanings emerged. This analysis describes the complexes of ideas that have defined recovery in various contexts over time. The first meaning, “recovery-as-evidence,” involves the theories, statistics, therapies, legislation, and myriad other factors that constituted the first one hundred years of mental health services provision in the United States. “Recovery-as-experience” brought the voices of patients into the conversation, while “recovery-as-ideology” drew on both recovery-as-evidence and recovery-as-experience to rally support for specific approaches and service-delivery models. This in turn became the basis for “recovery-as-policy,” which developed as assorted representative bodies, such as commissions and task forces, planned reforms of the mental health system. Finally, “recovery-as-politics” emerged as reformers confronted harsh economic realities and entrenched ideas about evidence, experience, and ideology.
Facing up to life in Hong Kong
- Authors:
- BARKER Lindsay, CHEUNG Stephen, NG Petrus
- Journal article citation:
- A Life in the Day, 4(2), May 2000, pp.21-27.
- Publisher:
- Emerald
This article asks whether social firms and supported employment can they flourish in the very special situation of the new Hong Kong. Now part of the people's Republic of China, the former colony is still sitting between East and West, capitalism and communism, and is also in the throes of a very sharp recession. The authors look at what the future might hold.
Mental illness: policies for prevention, treatment, rehabilitation and care
- Author:
- GREAT BRITAIN. Department of Health and Social Security. Mental Health Division
- Publisher:
- Great Britain. Department of Health and Social Security
- Publication year:
- 1983
- Pagination:
- 9p.
- Place of publication:
- London
Inpatient plans need care to be scanned correctly
- Author:
- BARTON Nick
- Journal article citation:
- Addiction Today, 17(101), July 2006, pp.21-23.
- Publisher:
- Addiction Recovery Foundation
The SCAN Network of psychiatrists is making recommendations on "how best to configure inpatient services" in the addictions field. The author asks whether this is possible if they do not fully involve clinicians who are treating similar populations in different settings, for example those in residential rehabilitation or treatment centres. It is argued that much of what is being proposed in the SCAN recommendations for inpatient units is what short-stay residential rehabilitation units have been providing for over 20 years.
User involvement: substance or spin?
- Authors:
- DIAMOND Bob, et al
- Journal article citation:
- Journal of Mental Health, 12(6), December 2003, pp.613-626.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Department of Health policy guidelines state that people who use mental health services should be involved in all levels of planning and delivery of care they receive. Service standards were introduced in a mental health rehabilitation service to address user involvement in staff recruitment, service evaluation, organisation and planning, staff training, advocacy, care planning and self-assessment. The aim was to audit the user involvement service standards. To identify further improvements for user involvement and to consider whether user involvement influenced the culture of care. A collaborative action-orientated partnership between a user-researcher group and a clinical psychologist was used. Structured interviews with staff were undertaken to ascertain the levels of implementation of service standards addressing user involvement. High levels of user involvement were found for staff recruitment, planning and organising services and regular meetings for users. Established but less successful levels in such areas as annual surveys eliciting users' views, evaluation of services and self-assessment. Modest levels of user involvement were found for staff training and links with advocacy services. User involvement addresses some of the current limitations in the conceptual frameworks adopted to describe mental distress. Further development of user involvement requires the continued support of staff and additional resources from health services.
Clinical governance review: South Birmingham mental health NHS trust; October 2002
- Author:
- COMMISSION FOR HEALTH IMPROVEMENT
- Publisher:
- Commission for Health Improvement
- Publication year:
- 2002
- Pagination:
- 17p.
- Place of publication:
- London
Northern Birmingham Mental Health NHS Trust is a multi site trust providing a variety of mental health services for adults and older adults in north Birmingham. Since 1994, the trust has developed an integrated service model replacing centralised inpatient facilities and multi functional community teams with local, functionalised community teams. The trust has national recognition for its services, which have advised national policy. Many elements of the trust service model featuring in the national service framework for mental health services. The report looked at two acute admission wards, two day units, eight functional community teams two each of assertive outreach, home treatment, primary care liaison and rehabilitation and recovery services.