Recovery

Question 1

What is recovery?

Answer 1

Recovery is when people can live well in the presence or absence of their mental illness and the many losses that may come in its wake, such as isolation, poverty, unemployment, and discrimination. Recovery does not always mean that people will return to full health or retrieve all their losses, but it does mean that people can live well in spite of them.

Question 2

What are the principles of recovery

Answer 2

Is borne of hope
Is a journey defined by the individual
Needs a supportive environment to thrive
Involves individuals redefining who they are in the presence of a psychiatric label.
Is an active and ongoing process
Is a non-linear journey
Recovery skills can be learnt
Involves a person educating themselves about their illness
Learning to manage both internalised and external stigma and discrimination
Recovery has no end
People continue to adapt to their situations and circumstances
Their recovery moves with them

It does not follow the same LINEAR pattern for everyone
The experience is individual, therefore comparisons with other people are futile
People can move into and out of relapse – it is all under the umbrella of recovery

Learning new skills
And all the challenges that go with that process
Change is hard, people struggle with it – this is where hope is most important
The skills have to be individual and achievable – AND DEFINED BY THE PERSON

EDUCATION
Refer back to the quote on the previous slide – not just facts and details
We don’t educate, the individual educates themselves, we provide resources
What the person learns has to have meaning to them – not about acceptance of diagnosis/ compliance

Question 3

What made a difference for recovery?

Answer 3

Decent clothing and food
People to be with
A way to be productive
A way to manage symptoms
A way to be part of the community
Individualized treatment
Flexibility in services
Case management

Question 4

What are the strength model principles?

Answer 4

Principles:
1. People with mental illness can recover, reclaim and transform their lives
2. The focus is on an individuals strengths rather than deficits
3. The community is viewed as an oasis of resources
4. The client is the director of the helping process
5. The support worker- client relationship is primary and essential
6. The primary setting for our work is the community

Question 5

What is the tidal model?

Answer 5

Helps people recover their personal story, as a first step towards reclaiming control over their lives
Collaboration
Client is the expert
Personal narrative

Question 6

How can environment facilitate recovery

Answer 6

personal supports, community, relationships, havin a health care system that creates optimism, shifting focus to self-determination, empowerment and resource fullness rather than focusing on the cause of the mental illness, least restrictive care enabling environment relationships to be valued. shared decision making, everyone contributing. behaviour seen as communication, power authority open for discussion

Question 7

How does reflection in nursing improve recovery-informed practice

Answer 7

Increases awareness and clarifies aspected of themselves and their roles, being open to new challenges and seeking
reflection allows for critical thinking analysis evaluation of skills, knowledge deficits and challenging cases.

Question 8

principle of recovery: keeping hope alive

Answer 8

positive expectations, optimism, creating a sense of value and worth

Question 9

principle of recovery: creating a relationship of safety

Answer 9

professional boundaries, trust and mutual regard a genuine desire to help the person and their family

Question 10

principle of recovery: self-determination

Answer 10

promoting autonomy with focus on personal strengths and personal responsibility while engaging in collaborative relationships and reflection

Question 11

principle of recovery: engaging with curiosity

Answer 11

having a genuine interest in the person, their lives and beliefs

Question 12

principle of recovery: promoting citizenship

Answer 12

attending to rights, social inclusion and meaningful occupation

Question 13

principle of recovery: social inclusion

Answer 13

advocacy of social determinants, challenging stigma and discrimination, developing community pathways

Question 14

principle of recovery: facilitating self-help and personal responsibility

Answer 14

recovery is a journey, often non-linear and client is the expert. the clinical role is to support recovery though fostering hope and optimism, reducing self-stigma and seeking opportunity

Question 15

How can hospital induce further trauma

Answer 15

Restrictive environments, heighten sense of authority and loss of autonomy, loss of security and safety not known others around you, lack of knowledge re expectations and future, being torn away from familiar environments and people

Question 16

trauma survivors often feel a lack of safety in receiving services

Answer 16

nurses must make clients feel safe and welcomed with explanation, listening basic relaxation techniques recognition skills risk around re traumatisation

Question 17

impacts of trauma can affect how people react to potentially helpful relationships

Answer 17

trauma often occurs when people trust in people or situations has been violated, this can shape difficulties in forming relationships.

Question 18

coercive interventions may re-traumatise people

Answer 18

power and authority can be seen as exercising control and coercion

Question 19

interventions may be seen as shaming and humiliating

Answer 19

are responsible for maintaining dignity, rights and providing care that us respectful, flexible and individual and culturally competent