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National programme for improving mental health and well-being: small research projects initiative 2005-06: plotting the story of recovery in Edinburgh and Scotland
- Authors:
- TILLEY Stephen, ASQUITH Stewart
- Publisher:
- Scotland. Scottish Government
- Publication year:
- 2008
- Pagination:
- 2p.
- Place of publication:
- Edinburgh
Supporting and promoting recovery is one of the four key aims of Scotland’s National Programme for Improving Mental Health and Well-being. The Scottish Recovery Network is funded to work towards this aim. The study on which this discussion paper is based (completed mid-2006) aimed to contribute to development of recovery in Scotland through critical inquiry. Three linked methods were used: review of key local, national and international texts on experience, policy, practice and recovery-focused research, semi-structured, informal interviews with 11 key actors from the four constituencies on their perceptions of the emergence and development of ‘recovery’ and implications for implementation of a recovery agenda, and notes taken at local and national recovery events, meetings or conferences documenting content and use of recovery language in public settings.
An occupational perspective of the recovery journey in mental health
- Authors:
- KELLY Mary, LAMONT Scott, BRUNERO Scott
- Journal article citation:
- British Journal of Occupational Therapy, 73(3), March 2010, pp.129-135.
- Publisher:
- Sage
The philosophy of occupational therapy and that of recovery are markedly similar; however, there is limited research linking occupation to recovery in mental health. This study aimed to explore the relationship between recovery and occupation in consumers with mental health problems. A qualitative method in the form of narratives was chosen in exploring the uniquely subjective experiences of mental health, occupation and recovery. Five members of a mental health support group (GROW) were engaged in semi-structured interviews, whereby individual narratives were analysed through comparative methods to identify categories and themes. Five categories emerged: (1) The recovery map, (2) GROW has just given me the platform, (3) You have to become active, (4) The great barriers and (5) Where am I now ... I couldn't bear it if I was any better. The participants' experiences of recovery highlighted the necessity for occupational engagement in a supported environment. The benefits of occupation included feelings of social cohesion, meaning, purpose, normalisation, routine, competence, productivity, skill acquisition, routine and pleasure. These factors enabled the participants to re-establish self-concepts and subsequently promoted mental health. The findings may have implications for occupational therapy practice, whereby occupational therapy could facilitate a leadership role in recovery-orientated mental health services.
Perceptions of professionals about the nature of rehabilitation relationships with persons with mental illness and the dilemmas and conflicts that characterize these relationships
- Authors:
- FINARET Anderea Eini, SHOR Ron
- Journal article citation:
- Qualitative Social Work, 5(2), June 2006, pp.151-166.
- Publisher:
- Sage
The development of rehabilitation relationships with persons with mental illness is a topic that has had limited attention in psychiatric rehabilitation literature. This research presents findings from in-depth interviews that were conducted with 10 psychiatric rehabilitation workers in Israel. Six of them were social workers, two were psychologists, and two were occupational therapists. Eight central components that characterize the development of rehabilitation relationships have been highlighted. These components indicate that the rehabilitation relationship is unconventional and differs in many ways from traditional therapeutic relationships. In addition, the challenge of coping with the conflicts and dilemmas which professionals encounter during the implementation of these components has been emphasized. The findings illuminate the need to develop a knowledge base that would prepare rehabilitation workers to cope with these difficulties and provide suitable professional training and supervision.
Supported education for adults with psychiatric disabilities: an innovation for social work and psychosocial rehabilitation practice
- Authors:
- MOWBRAY Carol T., et al
- Journal article citation:
- Social Work: A journal of the National Association of Social Workers (NASW), 50(1), January 2005, pp.7-20.
- Publisher:
- Oxford University Press
Discusses supported education (SEd), one of the newest pyschosocial rehabilitation (PSR) models for adults with mental illness. Its mission, principles and service components are presented, reflecting its basis in PSR practice. Evidence of the effectiveness of supported education based on research and evaluation studies is provided. Concludes with a discussion of why PSR and SEd are important to social work and how social workers can effectively use this evidence-based practice to maximise opportunities for consumers with a mental illness.
The journey into healership: Chiron the wounded healer and recovery in mental health
- Author:
- LOGANATHAN Linda
- Journal article citation:
- A Life in the Day, 6(3), August 2002, pp.5-11.
- Publisher:
- Emerald
Recounts the authors personal journey with the question ' What is the journey into healership? and her research with four co-researchers who work as recovery guides in a crisis house in North Birmingham. Explores the wider implications for service development and the training of mental health professionals.
Group gardening in mental outpatient care
- Authors:
- RAPPE Erja, KOIVUNEN Taina, KORPELA Elli
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 29(3), Autumn 2008, pp.273-284.
- Publisher:
- Emerald
This aim of this study was to assess the suitability and effectiveness of group gardening in contributing to the rehabilitation of mental health outpatients. Participants were mental health outpatients and their support persons at a hospital in Helsinki. The participants completed a questionnaire about the importance of health-related effects of gardening and four returned their diaries at the end of the study. The researchers participated in 17 weekly meetings, observing and making notes in their personal diaries The participants reported feeling calmer and invigorated, and their ability to concentrate was improved due to gardening. The social support of the group and the atmosphere of approval contributed to the autonomy and coping resources of the outpatients. The study indicates that group gardening can promote the development of healthy communities in which individuals have equal opportunities for a fulfilling everyday life despite their health or social state.
Making recovery a reality
- Authors:
- SHEPHERD Geoff, BOARDMAN Jed, SLADE Mike
- Publisher:
- Sainsbury Centre for Mental Health
- Publication year:
- 2008
- Pagination:
- 16p., bibliog.
- Place of publication:
- London
Helping people to recover their lives should be the top priority for mental health services. This means giving service users the chance to determine what future they want for themselves and offering practical support to help them to achieve it. While recovery is already government policy, the reality is that mental health services still focus more on managing people's symptoms than their work, education and family life. Yet these are what matter most to most people. The authors say "Recovery is a truly radical idea. It turns mental health services' priorities on their heads. Traditional services wait until a person's illness is cured before helping them to get their life back. Recovery-focused services aim from day one to help people to build a life for themselves. The medical care they give is in support of that bigger purpose." Making Recovery a Reality says mental health services need to change radically to focus on recovery. They need to demonstrate success in helping service users to get their lives back and giving service users the chance to make their own decisions about how they live their lives.
Mental health recovery
- Author:
- PETCH Alison
- Journal article citation:
- Community Care, 7.2.08, 2008, pp.32-33.
- Publisher:
- Reed Business Information
The author summarises findings of research into the recovery of people with mental health problems conducted by the Scottish Recovery Network. Sixty-four people completed structural questionnaire and then took part in a semi-structured narrative interview exploring their recovery journey. These personal narratives then helped clarify understanding of the individuals journey after a mental health issue.
Implementing recovery oriented evidence based programs: identifying the critical dimensions
- Authors:
- FARKAS Marianne, et al
- Journal article citation:
- Community Mental Health Journal, 41(2), April 2005, pp.141-158.
- Publisher:
- Springer
In the decades of the 1990s many mental health programmes and the systems that fund these programs have identified themselves as recovery-oriented. A program that is grounded in a vision of recovery is based on the notion that a majority of people can grow beyond the catastrophe of a severe mental illness and lead a meaningful life in their own community. First person accounts of recovery and empirical research have led to a developing consensus about the service delivery values underlying recovery. The emphasis on recovery-oriented programming has been concurrent with a focus in the field on evidence-based practices. The authors propose that evidence based practices be implemented in a manner that is recovery compatible. Programme dimensions for evidence based practice, such as programme mission, policies, procedures, record keeping and staffing should be consistent with recovery values in order for a program to be considered to be recovery-oriented. This article describes the critical dimensions of such value based practice, regardless of the service the recovery oriented mental health programmes provide (e.g., treatment, case management, rehabilitation). The aim of this first attempt at conceptualizing recovery-oriented mental health programmes is to both provide direction to those involved in programme implementation of evidence based mental health practices, as well as providing a stimulus for further discussion in the field.
Place first, then train: An alternative to the medical model of psychiatric rehabilitation
- Authors:
- CORRIGAN Patrick W., McCRACKEN Stanley G.
- Journal article citation:
- Social Work: A journal of the National Association of Social Workers (NASW), 50(1), January 2005, pp.31-39.
- Publisher:
- Oxford University Press
The medical model has promoted a train-place model for psychiatric rehabilitation which carefully trains people with psychiatric disabilities on a range of skills so they can handle real-world demands before placing them in work and independent living situations. More consistent with a social work perspective are place-train programmes, which rapidly place people with psychiatric disorders in real-world settings so they can experience the benefits as well as the challenges of these situations, and then provide the necessary training and support to successfully maintain these placements. This article compares the 2 models and shows that place-train approaches can help people with serious mental illness attain many of their work and housing goals without increasing the frequency of relapse.