1. IT IS ALL ABOUT THE JOURNEY: Supporting the creation of active recovery spaces within service frameworks IT IS ALL ABOUT THE JOURNEY: Supporting the creation of active recovery spaces within service frameworks Kompetanse PA Brukervis- Nordisk Konferanse OM Psykisk Helse 2 nd – 4 th October, 2007 Trondheim, Norway Helen Glover Queensland, Australia

3. Non Focussed

4. Refocus on 3, 2, 1

5. Objective Explanation of Distress External Interpretation External Expert External knowledge Focuses on what is common Absolute Truth Alone Externally Determined Managed Care- Doing to Understanding of Subjective Distress Internal Interpretation Self Expert Internal knowledge Focuses on what is unique Many understandings Internally realised Participatory Care – being with A Recovery Oriented Paradigm Shift And Dominant Paradigm Non Dominant Paradigm Bodies of Knowledge Dominant Paradigm Less - Dominant Paradigm Formally Learnt ( Professional) Medical Psychology Social Work Occupational Therapy Nursing Experiential Traditional Society Knowledge Lived Experiences Family and Community Knowledge Subjective Objective Alternatives Recovery Based Practice Knowledge Adapted from Canadian framework of Support 1989 & Glover H, 2001

6. Some Underpinning We are self righting beings We constantly seek to meet our needs We are constantly changing We are meaning making beings We each are responsible for our own lives We utilise and create a range of environments to undertake our life’s work Contributing is as an important factor as being able to receive We define ourselves in many ways –People are not their illness experience We are joined by our sameness not our difference. We have all overcome something Overcoming anything requires personal effort Core Beliefs

10. Efforts of “Self Righting” Realising I am uncomfortable Wanting something different Personal vision of what is possible Believing I can Realising no-one can ‘ recover me’ Taking risks – having a go Actively seeking and utilising supports Seeing that I am Self Managing and Doing It Seeking to be in more control Doing more of works and less of what doesn’t Realise I can influence my distress Taking more ownership and self direction Learning and discovering Making meaning Seeing my illness is not me Appreciating my sense of sameness to others Transcending my identity with illness Reconnecting to my sense of citizenship Making contributions Accepting and maintaining roles, responsibilities and opportunities Appreciating my internal effort versus the effort of others

11. Wife Teacher Tax Payer House owner ( mortgage payer) Aunt Loves Travel Can Kill Plants at a Glance Friend Gym goer I can’t do that I have an illness I’ll have to ask the Doctor first Others know more about me than I do… I might fail… I might relapse.. Sorry I can’t go… I have to go to the Day Centre I have to face the facts – I have a mental illness I don’t know … I am just an illness…no-one expects anything else of me Hospital admissions Day Centres Dr’s Appointments Assessments & Monitoring Medications Sick certificates Reports and documentation Stubborn as an Ox Patient

12. Self Direction & Care Natural supports Mental Health Care & support Housing & Financial Supports Meaningful occupation Hobbies and Interests Self Determination Motivation Courage Resilience Stubbornness Personal Responsibility Humor Sense of meaning and purpose Sense of Self Internal & External Supports Spirituality Future Physical Health care I am mentally Ill I’ll have to ask the doctor first I am not capable of doing that I have to face reality that I am sick Internal External

13. Construction of ChronicityConstruction of Wellness Micro Aggressors Micro Enhancers IT ME IT

14. Special Entry!!! Identity with illness required Free Entry!!! NO Identity with illness required Which door?

15. Types of Participation Primary Secondary Tertiary I am actively involved in valued roles and opportunitie s I am actively involved in managing my health I am actively involved in addressing systemic change

16. Lived Experienced “ Specialities”/ Expert areas Beyond the T –Shirt Experience Alone

17. Human Rights & Social Justice Effects of Marginalisation and Discrimination on Wellness The effects of professional, systemic, community and self stigma Skills in addressing stigmatising practices and structures Anti- discrimination, disability discrimination Concepts of Advocacy and Advocacy skills Power relationships and its impact on illness/wellness Self empowerment Values and principles of Recovery and Recovery Based Practice Resilience – overcoming adversity Narratives of lived experience

18. Effects of professional, community and self stigma Construction of Disability/Wellness Self Assessment Self Management Self Directed Planning Frameworks of Peer Support Evidence base for Peer Support Lived experienced delivered services Lived Experienced research methodology

19. Working with people differently who experience crisis Change processes Connecting with people in distress Skills of sitting with distress and being with Social connectedness and inclusion Research that supports recovery Recovery based practice indicators Recovery based language Self documentation mechanisms Recovery education Recovery based practice education

20. Social Inclusion theory Self determination theory History of mental illness and recovery History of consumer movement International perspectives on survivor movement Survivor politics Legal frameworks Involvement and participation structures and models Current Policy – National, State and Universal Frameworks of Support Community Resources

23. Thank you Helen Glover Australia helen@enlightened.com.au