PHIL BARKER

Question 1

2 BASIC ASSUMPTIONS:
1. Change is the only constant. Nothing lasts.
2. People are their stories. They are no more and no less than the complex story of their lived experience.

Answer 1

The Tidal Model of Mental Health Recovery

Question 2

The person’s story is the beginning and endpoint of the whole helping encounter, embracing not only the account of the person’s distress, but also the hope for its resolution.

Answer 2

Value the voice

Question 3

“emphasizes the central importance of developing understanding of the person’s needs through collaborative working, developing a therapeutic relationship through discrete methods of active empowerment,

Answer 3

The tidal model

Question 3

The language of the story—complete with its unusual grammar and personal metaphors—is the ideal medium for illuminating the way to recovery. We encourage people to speak their own words in their distinctive voice.

Answer 3

Respect the language

Question 4

Express genuine interest in the story so that they can better understand the storyteller and the story.

Answer 4

Develop genuine curiosity

Question 4

The person is the world expert on the life story. Become apprenticeminded. We need to learn from the person what needs to be done,
rather than leading.

Answer 4

Become the apprentice

Question 5

The story contains examples of “what has worked” or beliefs about “what might work” for this person in the future.

Answer 5

Use the available toolkit

Question 6

The professional helper and the person work together to construct an appreciation of what needs to be done “now.”

Answer 6

Craft the step beyond

Question 6

Any time spent in constructive interpersonal communication is a gift—for both parties.

Answer 6

Give the gift of time

Question 7

A key task for the professional is to help the person reveal and come to value that wisdom,

Answer 7

Reveal personal wisdom

Question 7

The Theoretical Basis of the Tidal Model (4 SIMPLE POINTS)

Answer 7

Community
Change
Empowerment
United

Question 8

— is a constant, ongoing process.
— help people develop awareness of the small changes that will have a big effect on their lives.

Answer 8

Change

Question 8

If the professional and the person are to become a team, then each must put down their “weapons.

Answer 8

. Be transparent

Question 9

Although change is inevitable, growth is optional. The tasks of the professional helper are to develop awareness of how change is
happening and to support the person in making decisions.

Answer 9

Know that change is constant

Question 10

— primary therapeutic focus in mental health care.
— person’s natural life = “ocean of experience”
— psychiatric crisis = “drown” them

Answer 10

Community

Question 11

— lies at the heart of the caring process.
— people have their own “power.”
— nurses need to help people “power up” so they can use their own personal power

Answer 11

Empowerment

Question 12

— nurse and the person (like dancers in a dance).
— eective nursing = “How do we tell the dancer from the dance?”
— genuine caring is “caring with” the person, not just “caring about” the person

Answer 12

United

Question 13

— the self domain with other people in the person’s social world.
— when people talk to others about their private thoughts, feelings, beliefs, or other experiences
— focus of eorts: to understand the person and the person’s problems of living (Holistic Assessment & One-on-one sessions)

Answer 13

WORLD domain

Question 13

The Three Domains: A Model of the Person

Answer 13

SELF domain
WORLD domain
OTHERS domain

Question 13

—private place (thoughts, feelings, beliefs, values, and ideas that are known only to the person), private world = secret.
— distress called “mental illness” is 1st experienced.
— focus: help the person feel safe and secure, develop a meaningful personal security plan

Answer 13

SELF domain

Question 14

— everyday life with other people, such as family, friends, neighbors, work colleagues, and professionals.
— delivery of professional care and other forms of support
— key focus: dedicated forms of group work—discovery, information sharing, and solution finding.

Answer 14

OTHERS domain

Question 15

— the unpredictability of human experience through the core metaphor of water.

Answer 15

Water

Question 16

(overwhelming distress) or (acute psychiatric unit).

Answer 16

drowning
shipwreck

Question 17

The person may need to be guided to a safe haven

Answer 17

(psychiatric rescue)

Question 18

The professional can learn something of the “mystery” of the person’s story.

Answer 18

curiosity

Question 19

: Seek to reveal resources —both personal and interpersonal—that might help on the voyage of recovery.

Answer 19

power of resourcefulness

Question 20

rather than being paternalistic or suggesting
that one might “know what is best” for the person.

Answer 20

Respect for the person’s wishes

Question 21

Opportunity for a change in life direction

Answer 21

crisis as opportunity

Question 22

Psychiatric care are complex and bewildering. The simplest possible means should be sought that might bring about the changes needed for the person to move forward.

Answer 22

virtue in pursuing elegance

Question 23

BASAHIN!!!!!!!!!!!!

Answer 23

To get in the swim and to begin the engagement process, nurses need to believe the following:
* That recovery is possible
* That change is inevitable—nothing lasts
* That ultimately, people know what is best for them
* That people possess all the resources they need to begin the recovery journey
* That the person is the teacher, and nurses, the helpers, are the pupils
* That nurses need to be creatively curious to learn what needs to be done to help the person now

Question 24

— Why the person is experiencing this particular life diiculty now
— What the person is experiencing now
— What needs to be done now to address, and hopefully resolve, the problem

Answer 24

Why this—why now?

Question 25

— What works (or might work) for the person under the present circumstances
— This represents the person-centered focus of care.

Answer 25

What works?

Question 26

— How does this person understand her or his problems?
— Rather than offering persons professionalized interpretations of their difficulties, the nurse must understand how they understand their experience.

Answer 26

What is the person’s personal theory?

Question 27

— What might be the least restrictive means of helping the person address and resolve the diiculties?
— How little might the nurse do and how much might the person do to bring about meaningful change?

Answer 27

How do we limit restrictions?

Question 28

— searching for solutions to the person’s problems (short term)
— focuses upon what needs to be done now
— initial mental health crisis

Answer 28

Immediate care

Question 29

— smooth passage from one setting to another
— liaising with colleagues and ensuring the person’s participation in the transfer of care

Answer 29

Transitional care

Question 30

— the focus is on more intensive and longer-term support or therapeutic intervention

Answer 30

Developmental care