1. Recovery: a journey of the heart
Patrick Mundy
Physiotherapist

2. Learning Outcomes No Health without Mental health (2011)
Principles of Recovery
REFOCUS: Model of Recovery
Supporting Recovery
Physiotherapy and Recovery

3. No Health without mental health (2011)
The Vision:
More people will have good mental health
More people with mental health problems will recover
More people with mental health problems will have good physical health
More people will have a positive experience of care and support
Fewer people will suffer avoidable harm
Fewer people will experience stigma and discrimination

4. Recovery Supporting Organisations
Implementing Recovery organisational change (ImROC)
Recovery colleges
Both for service users and Staff
Courses lead by both a Practitioner teacher and a Peer teacher
Non-clinical
Promoting trusts and organisations to hiring Peer support workers

5. Clinical Recovery
Evidence based practice and skilful use of interventions
Getting rid of symptoms
Restoring social functioning
“Getting back to normal”

6. “…. A deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills &/or roles. It is a way of living a satisfying, hopeful, & contributing life even within the limitations caused by illness. Recovery involves the development of new meaning & purpose in one’s life as one grows beyond the catastrophic effects of mental illness.” (Anthony 1993)

7. Personal Recovery Physical, mental and spiritual journey
Spontaneous and Natural
Deeply Personal
Can occur with or with out professional help
Involves growth and setbacks, periods of rapid and little change
Can occur with continuing symptoms

8. Core concepts of Recovery
Hope – Sustains motivation and supports expectations of an individually fulfilled life
Sense of control – Service users taking control of their own problems, the services they receive and their lives
Opportunity – Participation in a wider society. To be valued, to contribute and have access to the opportunities that exist within those communities

9. Recovery Vs. Rehabilitation
The goal of the recovery process is not to become normal. The goal is to embrace the human vocation of becoming more deeply, more fully human. (Deegan, 1995)
A person with paraplegia can recover even though the spinal cord has not. Similarly, a person with mental illness can recover even though the illness is not “cured”. (Anthony, 1993)
Def: restore (someone) to health or normal life by training and therapy after imprisonment, addiction, or illness (Oxford Dictionary)
The process whereby a disabled person is enabled to use their residual abilities to function effectively in as normal a social situation as possible (Bennet 1978)
Recovery is what people with disabilities do. Treatment and case management and Rehabilitation are what helpers do to facilitate recovery. (Anthony, 1993)

10. Stages of Recovery
Moratorium Denial, confusion, hopelessness, identity confusion, self-protective withdrawal
Awareness The first glimmer of hope for a better life, that recovery is possible. Can emerge from within or be triggered by significant other, role model, clinician
Preparation The person resolves to start recovery work, taking stock of personal resources, values, limitations
Rebuilding Forging a more positive identity, setting & striving towards personal goals, reassessing old values
Growth Whether or not symptom-free, can manage illness & stay well (resilience, self-confidence, optimism)
Andresen R et al (2003) The experience of recovery from schizophrenia: towards an
empirically-validated stage model, Australian and New Zealand Journal of Psychiatry, 37,

11. REFOCUS: Model of Recovery
Recovery-promoting Relationships
Relationship between staff and service users is central to personal Recovery
Exploring team understanding of Recovery and team values
Skill training in Coaching
Working Practices
Understanding values and treatment preferences:
Care planning is centred around person
2. Assessing strengths:
Focussed on amplifying a person’s strengths and ability
3. Supporting goal-striving:
Oriented around personally valued goals and that staff support active goal-striving

13. Supporting Recovery
Download:

14. Recovery-promoting Relationships
Valuing people for who they are – seeing beyond a diagnosis/set of symptoms
“Listening” & believing in the authenticity
Seeing & having confidence in their skills, abilities & potential
Recognising that problems or set backs are part of the recovery process

15. Recovery-promoting Relationships
Tipping points for successful recovery:
Insights and acceptance in the person being supported
Allowance of risk taking
Co-development of social opportunities and knowledge
Positive relationships with formal services based on good communication
Carers involved in self-recovery and respite
Parr H (2009) Carers and supporting recovery,
Glasgow: Scottish Recovery Network.

16. Mental Health Life Coaching
Established from sport and Business
Non-clinical
Defined as a holistic orientation to working with people, to find balance, enjoyment and meaning in their lives as well as improving performance, skills and effectiveness.

17. Coaching Continued Goal: Setting clear goals
Reality: Exploring the current situation
Options: Alternative strategies or courses of action
Way forward: What is to be done, when, by whom and the will to do it.

18. Social Inclusion
Supporting people regain their place in their communities where they live
Restitution – Regaining something that was lost or taken away

19. Peer Support Mutual self-help groups Peer support specialists
Is a role in the mental system for which personal experience of mental illness is a job requirement
Their own lived experience is valued
Act as Role models
Peer run programmes

20. Physiotherapy and Recovery
Currently no research in the role of Physiotherapy in Recovery
Currently little involvement in Recovery
Is there a place for physiotherapy in Recovery?
Natural Coaches!
Goal-striving practice

21. Online Recovery Resources

22. Further Reading/information
Slade, M (2009) 100 ways to support recovery. Rethink Recovery Series Vol. 1. London: Rethink Mental Illness
Bora R, Leaning L, Moores A, Roberts G (2010): Life coaching for mental health recovery: the emerging practice of recovery coaching. Advances in Psychiatric Treatment, Vol 16,
Gallwey T (1974), The Inner Game of Tennis. Random house, New York.