1. Kris A McLoughlin, DNP, APRN, BC, CADC-II
Recovery to Practice Project: American Psychiatric Nurses Association Update
Kris A McLoughlin, DNP, APRN, BC, CADC-II
APNA RTP Steering Committee Member and
Curriculum Committee Co-Chair
The APA Institute for Psychiatric Services
October 28, 2011 San Francisco, CA

2. Situational Analysis Method - Facilitated Discussions:
Consumers
Practicing Psychiatric RNs / APRNs
PMH Leaders / local, state, national level
Nurse Educators from Associate degree through Doctoral programs
Findings - Focus for Curriculum Development
Need for Integration of Education
Need for Recovery Champions
Need for Recovery Experts
Need for Consistency in Systems
Need for Recovery Skills

3. Curriculum Development
Target Audience: In-patient acute care psychiatric RNs
Findings from the situational analysis were used as a foundation to develop the curriculum outline.
A curriculum workgroup was formed & chaired by Drs. Jeanne Clement, Mary Moller, & Kris McLoughlin
Members from the RTP Steering Committee and the Curriculum Workgroup met for a 2-day summit to identify priorities of the RTP curriculum.

4. CURRICULUM Draft - Module I
What is recovery, where and when does and who does it happen to?
Introduction / Brief History of Mental Health Recovery / Definitions
Recovery: From Model to Principles
Recovery as a lived experience
Recovery in the context of inpatient settings
Can recovery happen in an in-patient setting?
Language
Recovery Approaches: Challenges and Promises
You and Recovery: Attitudes and Relationships
Attitudes and beliefs
Relationships
How the nurse as a professional and as a person counts in developing and enhancing recovery oriented practice.
Societal stigma on both consumer and providers: Particularly relevant

5. CURRICULUM Draft- Module 2
Relationship between the recovery approach to care and the PMH -
Scope and Standards of Practice
PMH-Scope and Standards of Practice
Davidson (2003) recovery components & self-care continuum
Integrating Recovery Principles into Nursing Interventions
Recovery Oriented Inpatient Therapeutic Milieu
Development of a recovery-oriented therapeutic environment
Care and understanding to the importance of trauma -informed care
Nurse as an advocate v. traditional care provider
Recovery focused approach to care: language and stigma/ engagement / peer support / patient self-assessments
Davidson, L., O’Connell, M., Sells, D., & Stacheli, M. (2003). Is there an outside to mental illness? In L. Davidson, Living Outside Mental Illness. Qualitative Studies of Recovery in Schizophrenia. New York University Press, New York, p

6. Field Testing / Implementation
Finalize Curriculum
Video-taping mental health consumers and RNs who have lived in both recovery and non-recovery oriented environments
Pilot program (curriculum) in 3 hospital sites, Spring 2012
Present final program next fall, 2012 at APNA national conference / meetings

7. Impact on RN and Nursing Practice
Provide clarity and support for the importance of Psychosocial Nursing Interventions
Support the nursing philosophy that we care for and assist the person with the disease or disorder.
Provide the RN basic tools to assist people in their own individualized recovery efforts.
For some, nothing will change (although they may feel more system support for their work.)

8. Impact on RNs’ role in the Interdisciplinary Team
We may be better able to describe our practice and how it compliments other discipline practices.
At least if our U.S. policy directive stays the course, we will be on the cutting-edge of systemic change…and be active leaders with team members of other disciplines.
It is going to give us a consistent language and understanding of how we see our patients as “people-first”.

9. Questions? Comments .