Recovery Focused, Person Centred, Trauma Informed Care

Question 1

Clinical recovery involves: (3)

Answer 1

1 getting rid of symptoms
2 restoring social functioning
3 ‘getting back to normal’

Question 2

Personal recovery definition - Anthony, 1993 (3)

• unique process
• way of living
• new meaning

Answer 2

“… (1) a deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills, and/or roles.

(2) It is a way of living a satisfying, hopeful, and contributing life even with the limitations caused by illness.
(3) Recovery involves development of new meaning and purpose in one’s life as one grows beyond the catastrophic effects of mental illness.”

Question 3

Personal recovery definition - Anthony, 1993 (3)

Answer 3

“… (1) a deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills, and/or roles.

(2) It is a way of living a satisfying, hopeful, and contributing life even with the limitations caused by illness.
(3) Recovery involves development of new meaning and purpose in one’s life as one grows beyond the catastrophic effects of mental illness.”

Question 4

Personal recovery definition - Anthony, 1993 (3)

• unique process… attitudes, values, feelings, skills, roles
• way of living… satisfying, hopeful, contributing… even…
• new meaning and purpose… growing beyond… MI

Answer 4

“… (1) a deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills, and/or roles.

(2) It is a way of living a satisfying, hopeful, and contributing life even with the limitations caused by illness.
(3) Recovery involves development of new meaning and purpose in one’s life as one grows beyond the catastrophic effects of mental illness.”

Question 5

Four tasks commonly undertaken during recovery process: (4)

Answer 5

1 developing a positive identity
2 framing the ‘mental illness’
3 self-managing the mental illness
4 developing valued social roles

Question 6

Definition: developing positive identity

Answer 6

outside of being a person w/MI

recognising what constitutes a personally valued identity

Question 7

Definition: framing the ‘mental illness’

Answer 7

making sense of the experience so that it can be understood as a part of the person but not as the whole person

Question 8

Definition: self-managing the mental illness

Answer 8

refers to ownership and responsibility for wellbeing, including seeking support from others when necessary

Question 9

Definition: developing valued social roles

Answer 9

valued social roles provide scaffolding for the emerging identity of the recovering person

Question 10

Nursing role: developing a positive identity

Answer 10

take approach to all people that maintains humility, appreciates equality, provides hope

Question 11

Nursing role: framing the ‘mental illness’

Answer 11

seek to communicate in a way that is meaningful and empowering for the person concerned

Question 12

Nursing role: self-managing the mental illness

Answer 12

facilitate and encourage self-management of the illness from within our service and role context

Question 13

Nursing role: developing valued social roles

Answer 13

advocate and facilitate acquisition of previous, modified or new valued social roles (which often have nothing to do with mental illness)

Question 14

Different types of trauma: (2)

Answer 14

1 single incident trauma

2 complex trauma

Question 15

Single incident trauma

Answer 15

one off event (eg. natural disaster, motor vehicle accident)

Question 16

Complex trauma

Answer 16

cumulative, interpersonally developed trauma over a period of time (usually during childhood - ie childhood abuse: physical, sexual, emotional or emotional depravation).
effects physical and brain development

Question 17

Coping strategies develop due to:

Answer 17

not being able to modulate out own response, thus seeking the ability to do so elsewhere.

Question 18

Coping strategy mechanisms: (7)

Answer 18

1 promiscuity
2 drugs
3 alcohol
4 self-harm
5 hoarding
6 gambling 
7 other addictions

Question 19

Trauma impacts:

Answer 19

ability to regulate self - being in control of affect, rather than affect controlling you

Question 20

Recovery practice should be informed by:

Answer 20

belief that recovery is absolutely possible. BRAIN IS NEROPLASTIC thus with the right support it is possible to recover from trauma

Question 21

Recovery time:

Answer 21

lifetime - not just one or two years. slowly decreasing negative effects and focusing on positive effects

Question 22

Stages for treatment of complex trauma: (3)

Answer 22

1 safety & stabilization
2 processing trauma
3 integration of trauma

Question 23

neurobiological changes caused by trauma

Answer 23

stress related hormones (eg cortisol) impact on developing brain -> effects:
1 ability to cope with fear
2 ability to protect self
3 ability to recognize threats