Mental Health Recovery Overview

History 1993 Mental Health dialogues/forums were held around the state with consumers, family members, providers, and professionals. Several questions were asked: What does recovery mean to you? What support do you need?

History 1994 In 1994 the first round of mental health recovery projects were funded. Lessons learned: Given the opportunity, consumers were able to set goals and achieve them. Developed consumer leadership, consumer computer training programs, & consumer operated organizations. “Recovery: A New Force in Mental Health” was published.

History 1995 The Recovery Concept developed by Ohio’s Community Support Council provides the framework for Ohio’s recovery initiative.

History 1998 First Mental Health Recovery Conference held; focused on accomplishments of the first 4 recovery projects. By the end of 1998, we were looking at how the recovery projects could have a greater impact statewide and in local systems. The goal was to have more people know about recovery.

History 1999 Emerging Best Practices Model (EBP) in Mental Health Recovery was developed by consumers, family members, providers, and professionals. EPB Model was disseminated at the Mental Health Recovery Conference.

History 2000 EBP Training Curriculum was developed with Boston Center for Psychiatric Rehabilitation and is currently being trained in local systems. Eight demonstration projects funded, focusing on system aspects.

History 2000 EBP Training Curriculum was developed with Boston Center for Psychiatric Rehabilitation and is currently being trained in local systems. Eight demonstration projects funded, focusing on system aspects.

Mental Health Recovery is defined as: A personal process of overcoming the negative impact of a psychiatric disability despite its continued presence. Pat Deegan, Ph.D.

Movement through the recovery process is Influenced by multiple factors Is not linear Is consumer directed

GUIDINGPRINCIPLES

PRINCIPLE I The consumer directs the recovery process; therefore, consumer input is essential throughout the process.

PRINCIPLE II The mental health system must be aware of its tendency to enable and encourage consumer dependency.

PRINCIPLE III Consumers are able to recover more quickly when their: Hope is encouraged, enhanced, and/or maintained; Life roles with respect to work and meaningful activities are defined; Spirituality is considered; Culture is understood; Educational needs as well as those of their family/significant others are identified; and Socialization needs are identified.

PRINCIPLE IV Individual differences are considered and valued across the consumer’s life span.

PRINCIPLE V Recovery from mental illness is most effective when a holistic approach is considered.

PRINCIPLE VI In order to reflect current “best practices,” there is a need to merge all intervention models, including Medical, Psychological, Social, and Recovery.

PRINCIPLE VII Clinician’s initial emphasis on “hope” and the ability to develop trusting relationships influences the consumer’s recovery.

PRINCIPLE VIII Clinicians operate from a strengths/assets model.

PRINCIPLE IX Clinicians and consumers collaboratively develop a recovery management plan which focuses on the interventions that will facilitate recovery and the resources that will support the recovery process.

PRINCIPLE X Family involvement may enhance the recovery process. The consumer defines his/her family unit.

PRINCIPLE XI Mental health services are most effective when delivery is within the context of the consumer’s community.

PRINCIPLE XII Community involvement as defined by the consumer is important to the recovery process.

RECOVERY IS WHAT CONSUMERS DO FACILITATE RECOVERY IS WHAT WE DO

NINE COMPONENTS OF MENTAL HEALTH RECOVERY – CLINICAL CARE – FAMILY SUPPORT – PEER SUPPORT & RELATIONSHIPS – WORK / MEANINGFUL ACTIVITY – POWER & CONTROL – STIGMA – COMMUNITY INVOLVEMENT – ACCESS TO RESOURCES – EDUCATION

CLINICAL CARE (Clinical Roles & Relationships) Receiving and benefiting from mental health services. Ex.: Q. 19 Feeling fearful Q. 14 Concerns about my medications…

FAMILY SUPPORT Giving and receiving emotional support and assistance from family members and/or significant others. Ex.: Q. 7 The way you and your family act toward each other Q. 3 How effective is the client’s social support network…

PEER SUPPORT & RELATIONSHIPS Giving and receiving emotional support and assistance from other consumers based on a common understanding of issues and experiences impacting recovery. Ex.:Q. 1 …the amount of friendship in your life? Q. 29 Feeling lonely

WORK / MEANINGFUL ACTIVITY Participating in paid employment and/or other productive activities that provide psychological benefits that positively impact recovery. Ex.:Q.5 The amount of meaningful activity in your life.

POWER AND CONTROL Actively engaging in one’s own care and personal decision making that promotes recovery. Ex.:Q. 58 People have a right to make their own decisions, even if they are bad ones.

STIGMA STIGMA Overcoming negative perceptions and stereotypes related to mental illnesses that hinder and/or negatively impact recovery. Ex.: Q. 15 I have been treated with dignity and respect at this agency. Q. 25 Feeling of worthlessness

COMMUNITY INVOLVEMENT Interacting with people and organizations in the community for social enjoyment and civic fulfillment. Ex.: Q. 30 Feeling no interest in things.

ACCESS TO RESOURCES Interacting with various people and places and gaining use of products, services, and technologies that promote recovery. Ex.: Q. 2 …the amount of money you get? Q. 5 …forced to move from his/her living arrangements?

EDUCATION Participating in both informal and formal methods of learning information that results in behavioral change that enhances recovery. Ex.: Q. 5 …the amount of meaningful activity in your life? Q. 14 Concerns about my medications…

The Mental Health Recovery Best Practices assists individuals to function at their optimal level… …particularly during those times when they may be dependent upon clinicians, family/significant others, and the community for support and/or services.

Failure to use Mental Health Recovery Best Practices could result in consumers: - not functioning optimally - taking longer than necessary to reach their optimal level of functioning or - having unnecessary relapses

To Learn More About Recovery… Call your local CMH/ADAMHS Board See “Resources” section in your training notebook!