1. A Project of Eastern Health and CHANNAL RECOVERY Recovery from Mental Illness Hope For All

2. Eastern Health & CHANNAL4 Recovery… is a self determined and holistic journey that people undertake to heal and grow. Recovery is facilitated by relationships and environments that provide hope, empowerment, choices and opportunities that promote people reaching their full potential as individuals and community members.” PA Dept of Public Welfare, Office of Mental Health and Substance Abuse Services.

3. Eastern Health & CHANNAL5 Recover Is A Journey… Not A Destination  Recovery is not necessarily the absence of symptoms, but instead it is moving beyond the symptoms of the illness and side effects of the medication to live the life we want and deserve. Roy Muise, Peer Support Specialist

4. Eastern Health & CHANNAL6 It’s About The Person…  At the heart of the recovery movement is the idea that instead of focusing on the illness, emphasis is placed on the potential for growth in individuals William Anthony, 2003

5. Eastern Health & CHANNAL7 OBJECTIVES At the end of this session, each person will: 1. Have an increased awareness of Recovery. 2. Identify the stages of Recovery. 3. Think about your workplace from a Recovery focus. 4. Reflect on your practice and consider how to incorporate the concepts of recovery.

6. Eastern Health & CHANNAL8 Don’t tell me recovery is not evidence based. I’m the evidence. - Anonymous

7. Eastern Health & CHANNAL9 In practice…  It is increasingly becoming the model of choice in the delivery of mental health services (CMHA, 2003)  …peer support services and the evolution of the recovery movement may represent the brightest star in the future of the mental health treatment systems (NTAC)

8. Eastern Health & CHANNAL10 Services are changing…  Medical model  Harsh restraint methods  Sheltered workshops  Long term hospitalization  Massive doses of medication  Staff directed treatment  Recovery model  Consumer and family education  Consumer run initiatives  Community based care  Medications to suit the individual  Consumer participation in treatment  Self help groups  Supported employment

9. Eastern Health & CHANNAL11 Beliefs are changing…  Medical model Consumers …  Will never be able to function in society  Impaired judgment and can’t be trusted  Needs to be stabilized and cared for  Has something wrong with them that someone needs to fix  Do not understand their own needs  Will not recover  Recovery model Consumers…  Can function well in society with supports  Can make a positive contribution to society  Can learn ways to cope with symptoms  Can use experience with mental illness as a source of knowledge  Can learn and teach other consumers  CAN AND DO RECOVER

10. Eastern Health & CHANNAL12 “Recovery is a deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills and/or roles. Recovery involves the development of new meaning and purpose in one’s life as one grows beyond the catastrophic effects of psychiatric (illness).” William Anthony, Executive Director of the Center for Psychiatric Rehabilitation, Boston University

11. Eastern Health & CHANNAL13 Elements of Recovery Choice and Autonomy Respect and Dignity Partnership Empowerment and Personal Control Restoration and Personal Growth Self Acceptance and Healing Adaptability and Capacity to Improve Hope and Optimism

12. Eastern Health & CHANNAL14 Key Recovery Assumptions  Recovery can occur without professional intervention  Consumers- not professionals hold the key to recovery. The task of the professionals is to facilitate recovery, the task of the consumers is to recover. Recovery may be facilitated by a natural support system.

13. Eastern Health & CHANNAL15  Strong support system. People who believe in and stand by the person is essential to recovery.  People need to trust that people will be there in time of need.

14. Eastern Health & CHANNAL16  A recovery vision is not a function of one’s theory about the causes of mental illness.  Recovery can occur regardless of the “cause”. The key element is that there is hope for the future, rather than understanding the cause in the past.

15. Eastern Health & CHANNAL17  Recovery can occur even if symptoms reoccur.  The episodic nature of severe mental illness does not prevent recovery. As one recovers, symptoms interfere with functioning less often and for briefer periods of time.

16. Eastern Health & CHANNAL18  Recovery is a unique process.  There is no one path to recovery. It is a highly personal process.

17. Eastern Health & CHANNAL19  Recovery demands that a person has choices.  The concept that people have options from which to choose is often more important than the option that is initially selected.

18. Eastern Health & CHANNAL20  Recovery from the consequences of the illness is sometimes more difficult than recovering from the illness itself.  These can include discrimination, poverty, segregation, stigma and iatrogenic effects of treatment

19. Eastern Health & CHANNAL21 Consumer Responsibility is to Recover…  Advocate for self.  Dialogue with system about what is and is not helpful.

20. Eastern Health & CHANNAL22  Take responsibility for one’s own recovery.  Follow a wellness plan  Develop a strong support system  Use Self Help

21. Eastern Health & CHANNAL23 Service Provider Responsibility  Provide an environment that is conducive to recovery, based on consumer wisdom and input

22. Eastern Health & CHANNAL24 As service providers…  Our role is not to judge who will and will not recover. Our job is to create environments in which opportunities for recovery and empowerment exist. Our job is to establish strong, supportive relationships with those we work with. -Patricia Deegan

23. Eastern Health & CHANNAL25 Service Providers Can…  Focus on strengths and client self determination  Instill a sense of hopefulness vs. doom  Empower the client to identify and utilize coping strategies that assist in the movement beyond mental illness, diagnosis and mental health systems

24. Eastern Health & CHANNAL26 When The Concept of Recovery is Not Supported…  Staff are not supportive of person’s goals  Staff do things that consumers can do for themselves  Staff lead all groups  Treatment decisions are made without consumer involvement  No recognition of achievement

25. Eastern Health & CHANNAL27 STAGES OF RECOVERY Adapted from Royal Ottawa Hospital Recovery Presentation The Five Stages of the Recovery Process Onset of Illness Life is Limited Change is Possible Commitment to Change Actions for Change What Individuals Experience Disabled by the symptoms of the illness Not ready to make a commitment to change Beginning to believe that life can be different Willing to explore what it will take to make changes Willing to take responsibility for actions What Helps Decrease the emotional distress by reducing the symptoms Instill hope, a sense of possibility and rebuild a positive self esteem Facilitate empowerment by encouraging participation in recovery in small steps Help identify strengths and needs in terms of skills, resources and supports Help the individual use his/her strengths and get the necessary skills, resources and supports

26. Eastern Health & CHANNAL28 RECOVERY LANGUAGE  Person-First  Language can hinder or help

27. Eastern Health & CHANNAL29 “Having hope is crucial to recovery ; none of us would strive if we believed it a futile effort…I believe that if we confront our illnesses with courage and struggle with our symptoms persistently, we can overcome our (challenges) to live independently, learn skills, and contribute to society, the society that has traditionally abandoned us.” Leete, 1989

28. Eastern Health & CHANNAL30 Recovery Resources  Mental Health Recovery and WRAP, Mary Ellen Copeland www.mentalhealthrecovery.com  B.C. Partners for Mental Health and addictions www.heretohelp.ca  Boston University, Centre for psychiatric Rehabilitation www.bu.edu/cpr  National Network for Mental Health Consumers  National Empowerment Center, Inc. www.power2u.org  Yale Program for Recovery and Community Health (PRCH) www.yale.edu/PRCH/