3THRIVE Self help / guided approach to recovery Supplements current models of workingMeets best practice criteriaAppropriate to all levels and areas of distress
4The concept of THRIVE is one of taking the key elements of restoration and recovery and usingthem as the foundation stones for finding andachieving the future you want to build.
5If recovery is a journey, a process, a direction rather than an event or a label then there has tobe a map, a guide, short cuts, beginnings and anoverall direction.
6Advantages of the THRIVE Approach Teaches short cutsDraws on people’s innate strengths and abilitiesEnables people to find order in a disordered world!Sees madness as a natural coping strategy that need not be permanentPlaces individual at the heart of the recovery process
7Resilience (recovery) POTENTIAL RESPONSES TO DISTRESSThrivingEventResilience (recovery)Survival with impairmentLevel of FunctioningSuccumbingTime
9Elements that underpin recovery Hope & hopefulnessOwnershipSelfActivityPersonalChoiceTHRIVE encompasses these withinTime Healing Resilience Interdependence Vivacity Emancipation
10Recovery may take you back to where you were, but to thrive means so much more.It enables you to regain and reclaim lifenot just as it was, but as it would and should havebeen had the disruption not occurred.It is a far more optimistic and hopeful concept.Marion Aslan
11Recovery and ThrivingWhere the similarities lie are in the initial processof becoming unstuck, the underpinning elementsthat support moving on and the commitmentrequired from self to put in the work and effortnecessary for advancement.Marion Aslan
12“We all have that essential human resilience within us, not to give in. We all have that capacity to grow strongerthrough adversity” Courtney Harding, U.S.A.Hope and optimism is crucial to the process and even this can be learned!The THRIVE approach firmly believes that the individual is the expert of his or her experiences, and within every person lies the necessary resources to facilitate reclamation of their life.
13In order to thrive, there is a clear process of Breakdown, Breakthrough and Breakout(Aslan & Smith 2008) which embraces recovery butgoes even further. It liberates the individual,emancipates and encourages responsibility taking.It can be actively supported by friends, family, workers andcolleagues, but the key person is you, your hopes anddesires and a commitment to reclaiming your life, workingthrough problem areas and gaining insight into yourself.
14Experience in a social context Explore your experiences Reconnecting Startling/ inc. toxic factorsEngage with others get informationReclaim power & ownershipOverwhelmingUnderstand and make senseChange relationship with experienceGet safeMake choices begin to recognise power/politicsEmancipate selfGet stuck!strugglingBegin to engage with experienceReject labels/Confront powerMourning loss & healingIdentifying your experiences, Name the problemTHRIVE !Get safe againGet stuck!maintained
15Time TIME is a natural healer as long as we don’t resist the process and become stuck. Think of someone you haveloved who has died. The pain of grief becomes less rawover time – you don’t forget or stop missing the person,but over time you focus on the joy of knowing them ratherthan the pain of losing them.So it can be with emotional problems. With TIME you willfeel differently, gain a different perspective and move awayfrom the distress you feel right now.
16Timelines Negative events Past Positive events Present Do you see any patterns in your timeline?Can you identify where your didtress began, or when it became problematic?Does that follow any event or events in particular?Past Positive events Present
17Healing Healing is integral to recovery and essential to everyone’s wellbeing, sometimes easier to impartto others than to give to ourselves.There may be reasons whywe block our own healing– guilt, worthlessness,shame, lack of belief in ourown worth..
18Part of the healing process is to acknowledge these emotions, and allow healing elements into our consciousness.
19Resilience Showing Resilience is a common factor in those who have survived and rebuilt their lives. Indeedwe all have a degree of resilience, and somepeople are able to draw on their inner reservesand show Resilience even wherethe system may squash it.It is also possible to build up ourown resilience and to help supportthe process in others.
20Resilience encompasses the psychological damage AND enduring strength that can result fromstruggling with hardship
21“We can call this natural healing process resilience. It is integral to and underpins recovery. It’s aprocess of taking back control of your life andreinventing yourself”Courtney Harding, U.S.A.
22“We all have that essential human resilience within us, not to give in. We all have that capacity togrow stronger through adversity”Courtney Harding, U.S.A.
23Interdependence We all rely on other people for some things some of the time, and other peoplemay rely on us.These are the naturalsupports we can build on.
24Interdependence A healthier attitude is to look at ways of increasing Our personal connections and relationships,building Circles of Support
25Vivacity Vivacity is not a term we hear very often in mental health spheres but our conviction is that we should be thinkingabout this as a vital part of recovery. Being animated, fullof enjoyment of life is possible for all. Many people whohave experienced severe lows in their lives talk aboutenjoying life even more after coming through illness ordepression.
26Emancipation Emancipation or liberation comes with taking control of one’s own life and celebrating your ownindividuality and uniqueness. Playing a vital role insociety and being valued can enhance our sense offreedom and remove us from the constraints ofbeing regarded as mentally unwell, maintained inthe system and feeling as if life happens to otherpeople.
27“This book fills a gap, where psychiatry more and more fails to see that mental health problems are a reaction toproblems in life and not only, if at all, symptoms of anillness.The THRIVE Approach focuses on the person’s ownpotential and their capabilities to find solutions for theirproblems. Using this process, it is about framing yourunderstanding of your experiences”Marius Romme,Professor Emeritus of Social Psychiatry, MaastrichtAuthor of “Understanding Voices & “Accepting Voices”
28The approach encourages the individual to Learn self therapyFind ways of increasing resiliencereframe their experienceand either “let go” or “work through”Find a futureFind restored hope
29The approach encourages the supporter to Act as a “reflector”Take a more active listening roleLearn the language of distressUnderstand metaphor & meaningRetain hopefulnessBe a companion or guide on the journeyEnables workers to reclaim their helping roles
30Feedback from participants on THRIVE courseChallenged some of my ideas – e.g. the behaviour and lifestyles of some people who might seem “risky” or “abnormal” are strategies of survivalThis course helped me put aside my background and training, allowing learning from others and to look at who is the expertGave me confidence to work with clients in a person centred way
31The THRIVE Assessment & Planning Tool The planning tool is for individuals who are currently receiving services or support.It will assist recovery by helping to organise and plan all relevant support needs in a way that is useful to the individual, their workers and families, giving an overall direction of where the person wishes to be in their lifeOwnership belongs to the individual - they assume responsibility in determining their care planRisk and safety issues negotiated
32The THRIVE Approach…Focuses on the values of working with individuals in a person centred, hopeful way towards recovery.It sometimes challenges traditional thinking and concepts of mental illness, focusing rather on working with the individual, their story, their hopes, their dreams, skills and strengths rather than symptoms
33Potential Outcomes of the THRIVE approach People regard themselves differently – “survivors” , “victors”Self knowledgeSelf acceptanceSelf determinationSelf worthPride – “I am who I am”
34Outcomes for workersRenewed enthusiasm – the job you originally set out to do!Pride in new skills – a huge varietyOptimism and fulfilment – seeing people reclaim their livesSelf worth arising from self knowledge
35I wanted to let you know, at a difficult time personally and professionally, I found it uplifting, positive, clear, simple,not patronising, encouraging me in the way that I work,inclusive, varied, funny and very real.I have passed on details to the coordinator for mentalhealth promotion, to the rest of my team and to some folkinvolved in recovery stories down here.Thank you both for all the hard work putting it together and for theinspiration!All the very best with the projectFrances, Community Psychiatric Nurse, C.M.H.T. Cornwall
36Sometimes its just a different perspective that is needed. If you don’t believe us, look sideways